Working with a client who is extremely self aware of her problems but has real trouble holding on the discipline to work on them. Any tips? I'm a little bit stumped since she really doesn't want to go on medication.

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Sounds like you’re working harder than she is. Hard. Ask HER what she wants and needs from you? How does SHE think you can be helpful? We’re not miracle workers and we don’t have magic wands.

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I agree also you can make a list for her and keep going over the list until she starts making progress.

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Circle back to the client’s goals. Not what you feel the client needs to do, but their goals and remind them of those goals as a reset.

Generic thought: Sounds like Motivational Interviewing techniques could be helpful here.

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