Topic - Challenging Clients & Treatment Populations

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We've gathered Psychotherapy Networkers most popular posts and arranged them here by topic.

March Quandary: Yikes, I’m Attracted to My Client

Five Clinicians Weigh In

Psychotherapy Networker

A therapist finds her client attractive and says their conversations sometimes border on flirtatious. She says she'd never act on these feelings, but worries about how it might affect their work together. She's also not sure whether to bring this up, how she might do so, and whether to refer him out. Five clinicians share how they'd handle the situation.

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February Quandary: My Angry Client is Getting to Me

Five Clinicians Weigh In

Psychotherapy Networker

Mark has anger issues, and his therapist finds herself getting extremely reactive when he loses his temper in therapy. Recently, he called her “a joke” and stormed out of the room. She wants to stand up for herself, but doesn't want to derail their work. Five clinicians share how they'd proceed.

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My Nightmare Client, My Greatest Gift

Sometimes Our "Worst" Clients Are Our Best Teachers

Martha Straus

By Martha Straus - My young client, Brian, can reduce even confident mid-life adults to an infantile puddle, one provocative comment at a time. He's a therapist's nightmare. But he’s also the universe's gift to me. He measures my commitment to the work, to him, to my ideas about therapy, to my best self.

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November Quandary: How Do I Bring Up My Client’s Rigid Perfectionism?

Five Clinicians Weigh In

Psychotherapy Networker

By Chris Lyford - A client sees his perfectionism as an advantage, even though it ramps up his anxiety, exacerbates his sense of shame, and keeps him living a very rigid life. He brushes off his therapist every time she brings it up. Five therapists weigh in with how they'd respond.

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VIDEO: Handling Microaggressions in Therapy

An Eight-Step Process for Talking About It With Your Clients

Anatasia Kim

Let's say your client lets a microaggression slip during a session. Do you bring it up? Therapist and author Anatasia Kim shares her eight-step process for having a conversation with clients when this happens.

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October Quandary: Addressing the Idea of Meds with a Depressed Client

Five Clinicians Weigh In

Psychotherapy Networker

Sandra has been struggling with depression for many years. A psychiatrist has prescribed her an antidepressant, but she’s told her therapist she doesn’t like the “idea” of meds and doesn’t take them regularly. He's not sure how best to explore the issue with her. Five clinicians share how they'd proceed.

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VIDEO: Crossing to Safety

A Master Clinician Shares Her Most Therapeutic Moment

Courtney Armstrong

Many people wonder how therapists manage to do the work they do. Of the thousands of meaningful sessions that take place in a therapist’s office, certain ones stand out. Here, therapist Courtney Armstrong shares the story of working with her most memorable client.

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September Quandary: Will a No-Suicide Contract Help My Client Stay Safe?

Four Clinicians Weigh In

Psychotherapy Networker

A new clinician is working with a client who’s expressed some suicidality at times. She's worried about him and thinks it might be a good idea to have him sign a no-suicide contract, but she's heard mixed things about them and isn't sure what to do. Here, four therapists offer their advice.

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August Quandary: How Do I Get Clients to Engage in Work Between Sessions?

Five Clinicians Weigh In

Psychotherapy Networker

A therapist recommends exercises like journaling prompts and guided mediations that she feels would benefit her clients between sessions. Although they seem interested when she introduces the idea, they always “forget” or can’t find the time to follow through. She's unsure how to proceed. Here, five therapists share what they'd do.

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Transforming Anger into Compassion

A Five-Step Process for Dealing with Angry Clients

Steven Stosny

By Steven Stosny - Some therapists find themselves getting extremely reactive when clients lose their temper. Here's what you can do to better control your anger and anxiety in the presence of an angry client.

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