Challenging Client Behaviors and Online Clinical Interviewing

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These flashcards cover key concepts related to challenging client behaviors, techniques in psychotherapy, and considerations for online clinical interviewing.

Last updated 4:04 PM on 11/17/25
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15 Terms

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Resistance (in psychotherapy)

A phenomenon in therapy where clients exhibit behaviors like talking too much or too little, arriving late or early, or being unprepared, indicating a reluctance to engage.

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Change talk

When clients express their own reasons or arguments for making a change.

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Sustain talk

When clients articulate reasons or arguments against making a change.

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Reflection

A statement made by a counselor to restate or uncover a client's emotional reactions.

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Amplified reflection

A technique that involves intentionally overstating the client’s main message.

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Coming alongside

A strategy similar to amplified reflection where the therapist makes an empathetic statement rather than a simple reflection.

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Secondary or vicarious trauma

A condition where therapists experience trauma symptoms due to exposure to clients' trauma stories or experiences.

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Radical acceptance

An approach in therapy that involves fully accepting and acknowledging one's feelings and thoughts without resistance.

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Nondirective play therapy

A therapeutic approach using play to help children express themselves and process their emotions.

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Text Only Asynchronous Communication

A type of communication where messages are written and sent without real-time interaction, lacking immediacy.

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Voice Only Synchronous Distance Communication

Communication that takes place in real-time through audio mediums, such as phone calls.

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Ethical problems in online therapy

Challenges that arise in online clinical settings, including issues of confidentiality, toxic disinhibition, and emergency response.

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Therapeutic alliance

The collaborative relationship and bond between therapist and client that is essential for effective therapy.

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Immediacy in communication

The quality of interactions that occurs in real-time, which can enhance connection in therapeutic settings.

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Emergency response procedures

Protocols followed by therapists to address situations where clients may be at risk, especially in remote settings.

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