Work with a Client’s Resistance – NICABM

Expert Strategies for Dissolving Your Client’s Resistance

When our clients are distrustful or skeptical of our work, it can create difficult barriers to healing.

To us, this can sometimes feel like resistance.

But is resistance even a valid notion?

What may at first seem like opposition, can often signal our client’s deepest struggles.

The difficult part is seeing beyond the “push back” to take in the important message our client is telling us, so we can work with instead of against their energy.

So we asked the top 20 experts in our field how they worked with their most challenging clients. We were surprised by the deep dive of their answers.

They gave us useful skills that can radically shift this kind of resistance and actually help reverse a client’s ambivalence to change.

That’s why we made. . .

How to Work with a Client’s Resistance

How to Help Clients Shift Out of Avoidance so They Can Heal

Part 1: How to Work with Reluctance Linked to Attachment Issues

Pat Ogden, PhD      Kelly McGonigal, PhD

• How a client’s movement vocabulary can reveal an inner conflict
• One way to help clients reestablish a sense of identity in their body
• How to approach implicit memories that fuel a client’s avoidance

Part 2: How to Resolve the Core Threat That’s Fostering Your Client’s Opposition

Sue Johnson, EdD      Kelly McGonigal, PhD

• How to change a combative session into a collaborative one
• How to isolate the main threat that’s feeding a client’s rigidity
• The simple but powerful way validation impacts an avoidant mindset

One Hidden Fear That May Be Driving Your Client’s Reluctance

Laurel Parnell, PhD      Rick Hanson, PhD

• The counterintuitive reason your client may be avoiding change
• The unique way guilt affects a client’s feelings of unwillingness

How to Help Clients Move Out of a Defensive State

Bessel van der Kolk, MD      Stephen Porges, PhD      Ron Siegel, PsyD

• The critical reason some clients fear calmness
• One physiological change that can alter how we interact with others
• The specific breathing pattern that can trap a client in a defensive state

3 Skills to Expand a Client’s Openness to Change

Kelly McGonigal, PhD      Bill O’Hanlon, LMFT      Ron Siegel, PsyD

• One personality type that is most prone to challenging the therapy
• A 3-step action plan to foster change without triggering opposition
• How to promote a healthier mindset that resists barriers to growth

How to Work with the Deep Vulnerabilities That Keep a Client from Change

Richard Schwartz, PhD      Kelly McGonigal, PhD      Bill O’Hanlon, LMFT

Terry Real, MSW, LICSW      Ron Siegel, PsyD

• The crucial message that can soften a client’s protective parts
• The specific way to introduce hope in the healing process (so it’s actually received)
• How to work with “rational deformity” to help clients build authentic connections
• The silent vulnerability that’s most often behind a client’s reluctance

How to Avoid Misdiagnosing Clients as Unmotivated

Michael Yapko, PhD      Bill O’Hanlon, LMFT      Ron Siegel, PsyD

• The key factor that falsely presents as a lack of motivation
• The vital message your client is giving you when they don’t follow your advice
• The important difference between resistance and rigidity
• How a client’s specific cognitive style can keep them stuck in avoidance

How to Sell Behavior Change to Your Most Challenging Clients

Marsha Linehan, PhD      Peter Levine, PhD

• What can go wrong when you engage a client’s willfulness
• How to help clients be more open to your interventions
• What a client needs to get from you before they’ll agree to your ideas

How to Help Clients Shift from Reluctance to Openness

Shelly Harrell, PhD      Ron Siegel, PsyD      Kelly McGonigal, PhD

• How to identify seeds of unwillingness inside the therapeutic alliance
• One change that can improve your outcome with clients who oppose all your ideas
• How to work with clients who struggle to disclose feelings
• 3 therapeutic messages to help clients reverse their reluctance

How the Practitioner May Be Perpetuating Opposition in Their Client

Rick Hanson, PhD       Bill O’Hanlon, LMFT     Zindel Segal, PhD 

Ron Siegel, PsyD     Kelly McGonigal, PhD      Joan Borysenko, PhD

• What can go wrong when you resist a client’s resistance
• How to recognize the dangerous way a client’s willfulness may be affecting you
• How to foster a high level of support for clients who don’t do the work

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