# 66 August 2005

"And the trouble is, if you don't risk anything, you risk even more."

Erica Jong, writer

(continues below)

mental health professional trainings
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Shawn Christopher Shea
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# 66 August 2005

When a Client Doubts Our Competence

TISA Description of the Problem: Occasionally a client makes it plain that, at some level, he or she is doubting our competence or ability to help. This type of interaction tends to be more frequent within the confines of the initial interview, when clients are often ill at ease and appropriately anxious about what is to follow. Time and again I have found both in my own work and in direct supervision that the less defensive the clinician comes across, the more effectively this hurdle is transformed. In the following tips by Solomon Shapiro, M.D. two very nice ways of approaching this problem nondefensively are described. See what you think.

Tip: Two of my favorite ways of addressing challenges to my competence depend upon conveying that I am comfortable with the client's concerns in an open and relaxed fashion as follows:

1) "I have known people who have stayed in therapy with the wrong therapist. I'm glad that you are raising this right up front."

2) "If you decide I'm not the right person for you, I'm committed to referring you to another therapist."

TISA Follow-up: I like both of these techniques, and they can also be used sequentially. They are a nice example of the power of moving with "resistance" as opposed to against it. Many times supposed "resistance" is not so much a form of opposition as it is a form of wisdom. It is a wisdom that may prove invaluable to both the client and the therapist if they choose to collaboratively tap it. In both of the above examples, the clinician is metacommunicating this fact and offering a chance for just such a joint exploration.

Tip provided by:

Solomon Shapiro, M.D.