By Suzanne Bender MD, Edward Messner MD
Read or Download Becoming a Therapist: What Do I Say, and Why? PDF
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Additional resources for Becoming a Therapist: What Do I Say, and Why?
What does she keep bugging you about? 4, may use this query as an opportunity to externalize, for example, “I don’t have a problem. ” For other patients, this opener may feel too threatening as it may suggest the therapist’s need to get right down to business before even saying hello. 4, I respond empathically to Sallie’s statement, and follow her lead. If it is easier for Sallie to talk about her mother’s concerns rather than her own, this is also where I will initially focus. Here’s a tried and true opener that should avoid defensiveness.
SALLIE: Well, I don’t know. I feel okay. I’m not really that bad really. I’ve had a bit of trouble at school lately, but maybe it isn’t even out of the ordinary. ”), a patient is likely to respond by minimizing her concerns. For patients sensitive to the stigma of mental health treatment, this innocuous question may have a humiliating sting. An opening question without an affective slant is preferable. 4 Starting the session with a statement that may facilitate discussion THERAPIST: Can you tell me what brings you in?
And always, they said. The First Moments 21 I still felt upset. With these new rules, I felt bound in a social straitjacket. I felt sure that Sallie would think my specially concocted introduction was extremely strange. I also imagined many awkward moments standing by a full waiting room, asking if anyone was here to see me and getting no response. It didn’t feel natural to act in such a ritualistic manner. One other worry: if I couldn’t even figure out how to say hello without supervision, what damage might I do in an entire session?