Managing Expectations and Goal Setting with Clients Who Display Resistance Behaviors

DMH UCLA Public Mental Health Partnership

Presented by Danielle Cameron, LCSW.

The majority of behavioral health professionals can expect to face client resistance behaviors at some point in their careers. As commonly referred to in peer-reviewed literature, the term “resistance behaviors” can best be understood as the expression of apprehension and reluctance to engage in services and ambivalence around change, most often seen in cases with clients mandated to treatment. There are several factors that contribute to client resistance behavior and providers will receive a review on understanding, responding to, and processing distressing interactions with clients, especially around client motivation. Concepts from evidence-based frameworks such as motivational interviewing, solution-focused therapy, and trauma informed approaches will be examined to enhance providers’ skill base in working with clients exhibiting resistance behaviors. Additionally, this training will support behavioral health providers in understanding the importance of and how to collaboratively set person-centered goals with clients, especially as it relates to increasing engagement with clients who display resistance behaviors. Lastly, this training will educate attendees on concepts such as burnout, compassion fatigue, transference, and counter-transference to help them normalize and understand common experiences they may encounter when handling challenging dynamics with clients. This training is intended for field-based mental health and outreach workers in Los Angeles County.