Role of a Therapist
What the fuck am I supposed to say to this client?
⧖ 3 minute read
Being a therapist can be a joy but it’s complex and often opaque to newcomers.
The way I see it, the therapist’s role is to:
Construct a one-way supportive relationship prioritizing client well being
Communicate warm, attentive caring
Allow clients to authentically explore their experiences while being seen, heard, and validated
Co-create a way for clients to structure their thinking about their experience (vs how chaotic or confusing it may be feeling for them initially)
Do role induction* initially and recursively; many people don’t have a good grasp of what the client and therapist roles are in a session, which can erode therapy
Be good at setting and clarifying good goals within a coherent framework
“Witness” and “hold space” during difficult moments. You’ve gotta be comfortable in your own skin- the more the better
Be willing to hear feedback, and to repair ruptures
Practice consistent, effective self-care so we can be present
Showing up with as many of your own needs met as is possible
Know what ‘good enough’ therapy looks like vs when to stay home when we can’t do so (an ugly but important consideration)
Prioritize how your client thinks about change, not how you do
Helping clients identify and define what meaningful change is for them
Set and maintain healthy boundaries, respecting the therapeutic setting
Attempt to understand clients’ inner experience through genuine curiosity, getting to know them as individuals, not simply ‘presenting problems’
Know and understand your professional biases, limitations, and areas for growth and supervision
Eventually, have reasonable competence with a few models of therapy
Have a cogent approach to therapy, which will indicate more specifics about what to pay attention to (e.g., re-storying a piece of the narrative, restructuring cognitions, processing then integrating trauma, etc
And it is not the role of a counsellor to:
Work harder than your client on their wellbeing (safety is an exception to this); instead just meet them where they’re at regarding motivation
Take responsibility for clients’ choices, successes, or failures
Check/answer voicemail or email outside of time at work (assuming you work in a typical counselling psych setting)
“Fix”, “save”, or rescue clients from their circumstances or themselves (except safety)
Befriend or parent clients
Be an expert in all modes of therapy, or to be capable of working with all presentations and populations
The therapeutic alliance is the vehicle to change. A lot of therapy is spent on allowing clients to explore their experiences while feeling heard and validated—then they’re in a more likely position to change or take action. Many times the concrete or behavioural change a person wants/needs to make is quite simple, it’s the ‘baggage’ in the way first that can be a challenge (see: transtheoretical stages of change, and why lists of skills or self-help books alone are not enough). Other times it’s a skills deficit that we can help fill in, but again that’s easy enough to do once the person trusts you and feels ready to change.
We all have to decide for ourselves exactly how we fit into this role, and your perceptions/priorities will vary depending on your training and theoretical underpinnings. Good luck out there!
*Role induction is the process by which a clinician ensures that a client has an accurate idea of:
the rationale and framework of the treatment relationship
the structure of the treatment process and expected outcomes of care
the responsibilities of the clinician and the client
PS Google Impostor Syndrome, we all feel it sometimes
PPS Fair warning, bad shit will happen to you: getting fired by clients, blamed for things, you’ll have to rupture alliances by reporting abuse or safety concerns, people die, you get sick and cancel on folks, you’ll double book clients, etc. Good things will happen too, but let’s not get ahead of ourselves
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