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Topic - Challenging Clients & Treatment Populations

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

February Quandary: My Clients Are Asking Personal Questions!

Five Clinicians Give Their Take

Chris Lyford • 2 Comments

By Chris Lyford - A therapist works from his home office, which means clients sometimes observe elements of his personal life. He's had clients ask about his electric car in the driveway, his dog, and where his kids go to school. He's gently asked these clients if they can stay on topic, but worries about seeming callous. Here are five creative examples of how other therapists have dealt with this.

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Transforming Kids' Problem Behaviors into Skills

This Impressive Approach Puts Them in the Driver's Seat

Ben Furman and Liu Haiying • 4 Comments

By Ben Furman and Liu Haiying - Kids’Skills is a solution-focused and child-friendly approach to helping children overcome emotional and behavioral problems. Here, the therapist focuses on solutions, skills, and existing strengths, rather than the more traditional “problem-focused” interventions that have been already tried with little success.

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January Quandary: Should I Keep One Partner’s Secret in Couples Therapy?

Five Clinicians Give Their Take

Chris Lyford • 3 Comments

By Chris Lyford - Mark and his wife, Nicole, have been in couples therapy for almost six months. But Mark recently requested an individual session, where he revealed he recently shared a kiss with an old girlfriend and has plans to rekindle their friendship. He's asked his therapist to keep the whole thing a secret. Here's how five clinicians say they'd tackle the situation.

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The Female Therapist's Guide to Treating Men

Understanding Male Language, Attitudes, and Needs

Holly Sweet • 2 Comments

By Holly Sweet - My early experience with male clients soon taught me that working with men was going to present challenges different from those of working with women. From many years of attention to men's language, attitudes, and needs, I've developed a specific approach to working with male clients.

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November Quandary: My Client Hasn’t Paid Me but Still Wants to Meet!

Five Clinicians Give Their Take

Chris Lyford • 1 Comment

By Chris Lyford - Carla has been seeing her therapist for almost six months. She’s been good about paying for sessions in the past, but she recently lost her job, is short on cash, and has missed her last five payments. She still wants to see her therapist weekly, but says she’s unsure when she’ll be able to pay in full. This isn't sustainable for him. Here's how five therapists say they'd respond.

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A Week in the Life of a School Social Worker

Rapid-Fire Therapy, Creative Strategies, and Building Trust in an Instant

Howard Honigsfeld • No Comments

By Howard Honigsfeld - Public School 48, where I’m on staff as a social worker, sits on a block between a juvenile detention center and a strip club. A week of work can be exciting, frustrating, and often hair-raising—anything but boring.

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What Basketball Taught Me About Therapy

Learning to Stay in the Game with Challenging Clients

Barry Jacobs • 1 Comment

By Barry Jacobs - Basketball has taught me many lessons. I learned about trust, relationships, and teamwork. I learned the power to regulate feelings. It would shape my clinician's game too. I developed a knack for handling male aggression, as well as physical decline and loss.

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When Stagnation Sets In

Getting Off the Therapeutic Plateau

William Doherty • 1 Comment

By William Doherty - Why do we get stuck in "Groundhog Day therapy"—cases in which we spin our wheels from session to session? Before lurching on to alternative treatment strategies, the key to progress is recognizing the need to shift the therapist–client relationship.

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The Resurgence of Patriarchy

Why We Need to Leave Neutrality Behind

Terry Real • 6 Comments

By Terry Real - Factions of men and women these days are feeling a powerful pull toward many of the notions of traditional masculinity. What we’re witnessing is a reassertion of its most difficult and harmful traits. And yet we psychotherapists, as a field, have remained largely silent about this resurgence. Is neutrality in these times really in our clients’ best interests?

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August Quandary, Part Two: My Client Keeps Checking His Phone!

Five More Clinicians Give Their Take

Chris Lyford • 1 Comment

By Chris Lyford - Our last Clinician’s Quandary received an overwhelming number of responses. Here are a few more that didn’t make it into Part One but offer other useful perspectives on addressing this tricky clinical scenario.

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