I don’t believe you: Denial, Details, and Goal Setting

Even when there is evidence to the contrary a good counselor might begin to question what’s actually true, because the client is so consistent in making the same statements that it becomes like a mantra for the both of you. The client might even have other people in other areas of their life legitimately fooled (e.g., family members, a doctor, a caseworker), and this may be the product of them neatly compartmentalizing information and feeding specific bits to different people based on their “need to know.” As a counselor, part of my job is to pay attention to the signs of the disorder that bubble to the surface and are difficult for the client to dispute – at the end of the day, track marks don’t lie, and most of the time neither do laboratory tests.