What Comedians Can Teach Us About Therapy

A Comic-Turned-Therapist's Guide to Dealing with Unruly Clients

Kirsten Lind Seal2 Comments

Family therapy is a second career for me. For 20 years, I was a professional performer, during which time I was a regular at standup comedy clubs in New York City. Many of the skills I learned as a performer have proven readily transferable to therapy, but one skill set in particular has been most helpful: the skill of using humor to defuse tension, create alliance, and challenge what we often call resistance in difficult clients.

As a beginning therapist, I discovered that I had no idea how to go about challenging difficult clients without getting angry and defensive myself. I eventually realized that what I’d learned the hard way on comedy stages was actually the key to succeeding with these clients.

Comedy Rule 1: Know the Difference Between Tragedy and Comedy

With the use of thoughtfully applied humor, we can help our clients go from here to there—from crying about their cut finger to seeing a cut finger for what it is—then we can create the movement necessary for growth. And this is what they come to us for, even if they don’t know it. That was the case with Daniel, a hard-charging attorney, who’d just moved to the Midwest from Los Angeles.

He came to see me because of ongoing conflict with his teenaged daughter, Maya. His wife had died years before, leaving him a single dad with a toddler. At one time, the father–daughter relationship had been quite close. But now, with the move to a new town, things appeared to be falling apart, and he’d come for help.

“Well, I don’t even really know where to start,” he said in my office, looking grim. “It’s just so incredibly frustrating. We used to talk all the time! But now it’s like I’ve been shut out completely. It doesn’t seem to matter how or what I ask her about her day. She just mumbles something and tries to escape as soon as possible. And she’s being really disrespectful to me,” Daniel added.

“That sounds hard,” I said. “How so?”

“Well,” he answered mournfully, “every day she tells me that I chew too loudly.”

“Hmmm.” I said. “Do you think you chew too loudly?”

“No,” he replied, shooting me an indignant look. “My chewing is perfectly normal!”

“Okay,” I said. “I just ask because I’m wondering what might be going on in your relationship with—.”

He cut me off. “Why are you asking about that?” he snorted. “It’s not me: it’s her. She’s incredibly disrespectful. I need you to get her to stop. That’s what I’m here for.” He leaned back, folded his arms across his chest, and glared at me.

I sighed. “Well, okay, we can work on that,” I told him. “But things will go better if you come to therapy, too.”

“I disagree,” he said.

We sat and looked at each other for a few moments. A thought occurred to me: Am I actually being heckled in my own office?

“Can we just try it my way first?” I asked. “I mean, maybe I’m crazy, but didn’t you come to me with this? Just sayin’.”

“Oh, alright,” he sighed. “You win.”

“That’s a good thing,” I said, and smiled.

Even though he complained about it, Daniel always wanted to have the floor and was unwilling to share it. This bullying behavior on his part was a big part of the reason for the relational stress between him and Maya. He clearly had good intentions, but getting him to change his behavior was going to be tricky.

Comedy Rule 2: You Don’t Have to Make the Audience Like You

This may seem counterintuitive, but you can do well as a comedian if an audience doesn’t actually like you. What matters is whether what you’re doing is working. The same goes for therapy: getting to the heart of the work is more important than a client’s liking you, because, in the end, it’s not about you. Of course, joining with the client is important, but it’s always possible that no matter what you do, the client won’t be happy with you. On the flip side, sometimes we might not like our clients, but we stick it out because we have faith in a turnaround—which I hoped for in the next session as Daniel and Maya came in, looking furious with each other.

“So tell me what’s going on,” I began.“

It was time for school, and I was going to be late for my meeting. Even though I told her four times it was time to get up, she still wouldn’t, so I had to drag her out of bed by her ankles,” Daniel explained.

“You actually dragged her out of bed?” I asked in astonishment.

Maya shot her dad an angry look. “I was so tired this morning because I couldn’t get to sleep at all last night! I can’t believe you actually dragged me out of bed. I hate you,” she screamed.

At this point, knowing what I do about teenagers and hormones and sleep cycles, I thought it’d be helpful to do some psychoeducation. And it didn’t matter if Daniel liked me less because of it. I had to press on.

“Well,” I started to say, “the research on teenagers and their sleep cycles is pretty clear: they have a hard time getting to sleep any earlier than midnight, and it’s hard for them to get out of bed early. The medical term for this is delayed sleep phase.”

“You and your theories,” Daniel scoffed.

Me and my theories?! I tried not to yell at him. I was frustrated, and to manage this, I breathed in. And then I breathed out. And then I asked him calmly just exactly what he expected me to do.

Work with Maya,” he said firmly. “She’s the one with the problem.”

Maya jumped in. “You’re the one with the problem! You say want to have a relationship with me, but you never ever listen. You’re always talking at me.”

“Okay,” I said firmly, sensing that this wasn’t going anywhere and seeing that we were at the end of the hour. “We’re out of time for today, so I’m giving you some homework for the week. Daniel, I’d like you to practice listening. Set a timer for five minutes and listen to Maya that whole time. Don’t talk! Then Maya, I’d like you to spend the next 10 minutes or so in conversation with your dad. Try going back and forth. Aim to do that once a day, and next time we’ll talk about how that went.”

They both reluctantly agreed to this plan, but left grumpier than when they had come—and liking me even less. That I was sure of.

Comedy Rule 3: Close Strong

At this next session, Daniel looked happier and less stressed than I’d seen him before. “You seem a bit more relaxed,” I said. “How have things been going?”

“There does seem to be a better feeling around the house,” he replied. “Sort of like the roof has opened up and I can see blue sky and sunshine above.”

“Maya, how do things seem to be going from where you sit?” I asked.

“Better, I think.” she replied. “But he’s still been on my case to do my reading for summer. And the thing is, I am reading!”

“Well, the thing is,” Daniel interjected, tears welling up in his eyes. “I don’t know if you know just how much I love you.”

Maya leaned toward him, somewhat astonished. “Yeah, I know, Dad. I know how much you love me.” And then she teared up as well.

He reached over and took her hand. “I’m sorry I can be so hard to live with. I’m just trying as hard as I can, and sometimes I just don’t do a good job of it. I’ll try to do better and not be so—.”

“Stubborn,” Maya joined in.

“I would totally agree with that.” I said.

They both smiled. This was a good moment for them, to feel connected after the rocky times they’d been through.

I’m not quite sure if I really “closed strong,” as all good stand-ups are supposed to do. But for this particular family, I think this is what success looked like at the time: just being able to actually talk to one another, not as often as Daniel would’ve liked, but more than they’d been doing before. And as Daniel backed off on giving his daughter advice, she began to talk to him more. This cheered him up and helped them feel closer during this rocky stretch of her adolescence, when she needed space and respect from her father. In the end, though, my real discovery was that when things got rocky in the therapy room, the rules of comedy proved invaluable—and they just don’t teach that in grad school.

***

This blog is excerpted from "Managing Hecklers in the Therapy Room," by Kirsten Lind Seal. The full version is available in the May/June 2016 issue, Unexpected Gifts: Six Master Therapists Recall Their Most Unforgettable Sessions.

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Photo © Sally Wern Comport

Topic: Challenging Clients & Treatment Populations | Creativity

Tags: Challenging Cases & Treatment Populations | challenging clients | clinical creativity | creative counseling | creative counseling techniques | creative therapy | creativity | family therapy | oppositional children | raising kids | resistance | resistance to therapy | Resistant Client | resistant to treatment | strategies | stuck

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2 Comments

Saturday, June 11, 2016 10:30:33 AM | posted by Sam Popper
I would not continue to pay a therapist who had this authoritative and condescending approach to clients.

Monday, August 20, 2018 1:42:07 PM | posted by IBmama2
I disagree with Sam Popper. To deal with this particular client system (especially with an attorney father) it was absolutely necessary to be clearly in charge (ie "authoritative") and not flustered by the father's bravado. We also do not have the advantage of her facial expression and tone of voice. I did not experience her as condescending, but shaping her response to this client system. And, as presented, the tactics worked.