Sticky Situations

Every psychotherapist and mental health professional encounters sticky, problematic situations with their clients in the process of therapy. These "stuck situations," which cross theoretical orientations and diagnoses, include no-shows, frequent late arrivals, or appointments running over time; asynchronicity in the level of care the psychotherapist recommends and the client agrees to; and lack of progress due to lack of client skills application outside of session. Sticky Situations in Psychotherapy: Pragmatic Solutions to Challenging Problems provide a compendium of solutions for these common problems in psychotherapy. Each chapter provides an example case study, discussion of the problem, identification of several solutions, and sample script for the provider to address the issue with their client. This book is based on a highly successful seminar provided over the past decade within a group practice. It was developed from author Joe Hromco's experience as a psychologist leader and administrator who was the go-to for hundreds of clinicians.

Joe Hromco, PhD, is a licensed psychologist, adjunct professor, and previous co-owner of a practice of 350 clinicians and National Clinical Director for LifeStance. He has provided countless trainings on topics such as suicide prevention, pain management, motivational interviewing, the concept of "medical necessity" in psychotherapy, efficient documentation, and health psychology. He has lead outcomes projects for over a decade documenting "highly efficient" care in psychotherapy.

Part I: Overview and Prevention Chapter 1: Overview Chapter 2: Is Therapy Just an "Expensive Cup of Coffee"? Chapter 3: An Ounce of Prevention Part II: Sticky Situations Chapter 4: Lack of progress Chapter 5: Lack of Follow-through Chapter 6: Refusing a Higher Level of Care Chapter 7: Reluctant to Close Chapter 8: Weekly Frequency Chapter 9: Topic Shifting Week-to-Week or Within Session or Client "Filibustering" Chapter 10: "Yes, but..." and "I don't know, you're the expert" Chapter 11: No-Shows and Late Cancels Chapter 12: Staying Past the Session End Time. Chapter 13: Money issues. Part III: Special Considerations Chapter 14: Special Consideration- Involving Collaterals Chapter 15: Special Consideration - Group Therapy Chapter 16: Special Consideration - Case Conferences Appendix: Reference List of Sticky Situations and Potential Solutions References Index About the Author