Quick Tips for Therapists: Rolling with and Supporting the Resistant Client
Oct 3, 2024
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Leah Aguirre, a licensed clinical social worker and author of The Girl's Guide to Relationships, dives into strategies for therapists working with resistant clients. She emphasizes understanding the roots of clients' defensiveness, often linked to fear and avoidance. Leah shares practical tips, highlighting the importance of exploratory questions to foster greater insight. Her trauma-informed approach offers valuable techniques to support clients on their healing journeys.
Recognizing client resistance as rooted in fear enables therapists to approach challenges with empathy and patience.
Engaging clients in exploratory questioning helps identify their hesitations and fosters an open space for gradual change.
Deep dives
Understanding Client Resistance
Clients often display resistance to change, which can be rooted in fear and avoidance. This resistance may surface even when clients regularly attend sessions and express awareness of their issues. For example, a client might realize the need to set boundaries with an overbearing parent but may still struggle to make those changes due to underlying fears of vulnerability. Recognizing and acknowledging this resistance is crucial for therapists, as it allows them to approach their clients' difficulties with empathy and patience, understanding that the challenge lies within the client's process rather than the therapeutic relationship.
Exploring Resistance Through Inquiry
Therapists can support resistant clients by engaging in exploratory questioning to better understand their hesitations. Questions might include what feelings arise when contemplating change or potential consequences of modifying behavior. This dialogue can help clients identify any perceived drawbacks to changing their behavior and assess whether those cons outweigh the pros. By fostering an open and non-judgmental space for this exploration, therapists encourage clients to confront their fears and work towards gradual growth and change.
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Supporting the Resistant Client: Understanding and Managing Resistance in Therapy
Leah Aguirre, LCSW, coauthor of The Girl’s Guide to Relationships, Sexuality, and Consent, shares how to roll with and support the resistant client. Leah is a licensed clinical social worker practicing in San Diego, CA. She works primarily with teens and adults who have experienced complex trauma, including childhood abuse, domestic violence, and dating violence, and provides trauma-based treatment including eye movement desensitization and reprocessing (EMDR). Aguirre writes a blog for Psychology Today, and has been featured in Bumble, GQ, The San Diego Union-Tribune, and in the Reframe and DiveThru apps.