FIrst meeting with a client?

Question

The first meeting with a new client can be critical in establishing a positive and constructive relationship. Often times, a client can be in crisis mode and anxious to get their needs met quickly. As a counselor, you get caught up in the crisis, yet also have an obligation to give information about how we can be of assistance. I have often found that there is a conflict between meeting a persons needs and informing and empowering the individual.

How do you handle the initial meeting with an anxious client? How would you determine which information to offer in this meeting, versus attempting to address their anxiety about their situation?

Answer 1

i would hate to be your client, sounds like you need a valium...or a counselor.

Answer 2

One of the things that helps people calm down when they are in crisis is that you demonstrate calmness and understanding - but never say "I understand." You need to demonstrate it by accurately reflecting. Telling a client, "I'm going to help you" can be helpful. If it's a true crisis (e.g. suicidal) you will spend the entire hour and probably longer de-escalating things. The person probably won't remember much that you say, so "passing information" is kind of irrelevant. Your primary (maybe only) responsibility is making sure the person is safe and assessing whether hospitalization is necessary.

If the person is in an everyday type of crisis, like a panic attack, it's a great oppurtunity to challenge their assumptions that it is "unmanageable" or that they will "go insane." You can calmly assure them that a panic attack can't hurt them and that it will pass. You can use relaxation techniques and then repeat when they are calm so they will remember how to do it on their own. There is much more to treating panic attacks, but that's a good way to handle it in the moment.

Answer 3

Intitial meetings typically involve collecting historical information and gaining an understanding of the clts presenting problems. In crisis situations it is necessary to determine whether the client is in immediate danger to self or others. The methods for doing this are as varied as the prospective clients. The one common factor in all initial sessions however is an explanation of the limits of confidentiality.

Answer 4

You must first understand what the clients immediate needs are. Make sure everyone involved in the meeting is clear and understands why they are in crisis mode. Keep the client focused on this fundamental issue and address this first. Identify phases to address... focusing on the most important issues first. It's likely a client in this situation isn't as desperate as they think and if you can help them break down their problems and address them one at a time, the client will begin to feel confident in your ability to help them.

Answer 5

I would find out as much information about them before hand, and I would remain calm to keep them calm and make the meeting productive.

Answer 6

God, go back to your PH.D or MS program and ask one of your professors. I really hope you quit practicing til you get the basics down.

Answer 7

It depends what you're talking about. You aren't specific enough.

Answer 8

i don't kno...give them drugs...they'll calm down :P