Resistance in clients result from a gap in the collaborative care between the caregiver and the client. It happens when the agenda of the caregiver and that of the client differ. In this case, the caregiver should be very careful not to shift the burden to the client. This is because it affects the outcome of therapy. Instead, the caregiver should find a way to reach a common ground with the client. Efforts should be made by the caregiver to restore collaborative care (Eskin, 2012) . Various strategies can be employed to address the issue of resistant clients. Developing a strong alliance early in treatment is an important strategy. In this strategy, the caregiver should strive to understand and support the client’s experience. Having good listening skills is important. This is because it signifies to the clients that the caregiver cares about their issues. The process of building a strong alliance also entails making the client comfortable from the onset. This can be achieved by being reasonable to a client and assuring them of confidentiality. As a caregiver, one should also assure the client that no intervention will be implemented without their consent (Mee-Lee, 2010) .
After establishing a strong alliance, the caregiver should progressively negotiate this collaboration. This entails listening to the client’s perspective and concerns. This create trust. Listening genuinely without hurrying the clients show them that you care and are intentional to help them find a solution. In the same breadth, as the caregiver one should be clear on the treatment modalities and the result of each. This should be communicated to the client in a simplistic manner. Once this is communicated, the caregiver should allow the client to ask any questions or air out any concerns. All this enhances collaborative care that is based on mutual trust. The use of permissive words can also facilitate effective communication with the client. Words such as “perhaps” and “maybe” are not confrontational and signals a collaborative approach (Eskin, 2012) .
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References
Eskin, M. (2012). Problem Solving Therapy in the Clinical Practice. New york: Newnes.
Mee-Lee, D. (2010). Engage resistant patients in collaborative treatment . Retrieved from Current Psychiatry: https://www.mdedge.com/psychiatry/article/62500/engage-resistant-patients-collaborative-treatment