TBHI is delighted to be launching a series of Q&A from our audiences. In this blog, then interspersed with our other news and features, we’ll post a question obtained from one of our Trainees. One such question will be drawn and answered regularly. While we can’t answer each question individually, we will try our very best to respond to all your queries. Send us your questions/enquiry/concerns by dropping an email here.
How would one handle telehealth videoconferencing distractions where the client is not open to hearing about them? For example, an extremely disheveled home, alcohol containers, etc.
This is indeed a challenge. Mostly though, what you describe is a clinical issue and not just a technology-related one. Perhaps it would be most helpful to think about a parallel situation that doesn’t involve technology: How do you deal with a ten-session reimbursement model when the client is poor, alcoholic, and battered?
Our jobs are difficult and judgment calls are needed every day. The one thing I can say here is that good clinical skills are essential. Technology compounds the problems, but if you can stand back and think about the clinical issue underneath, the situation’s solution becomes apparent.
Your question reminds me of the time when a female clients’ sexualized transference first confronted me. I panicked and luckily, told my supervisor immediately. She responded, “So how would you handle a man’s sexualized transference?”
I responded to her, “Oh, geez, as a woman, that’s easy. I’d just _______.”
She said, “Just do that with the female client, be thoughtful and caring, and she will understand the boundary.”
It worked like a charm!