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To be a therapist is about making a bond, forming trust, and letting the person who sits across from you know you are there to help them. The challenge is instilling the belief in your patient they have the ability to do better. Sometimes, that doesn't come easily. Reaching a point of growth can be a trial, and the party guilty of it can be who you're working with.
Reddit user, u/ilovespaceack, wanted therapists to speak up and share:
[Serious] Therapists of Reddit: what do you do if you think your client is just generally a bad person?
Monitor Your Personal Values
Value the person always. That doesn't mean you have to like them. If they have personality disorders it is probably prudent to signpost them for DBT rather than keep them in person centred counselling as a singular therapy.
However, if it's just a case of them not fitting in with your own personal values then the therapist needs to reflect on this themselves. What is it about this person I find so difficult? What has happened with me why I have this reaction etc.
Also, for congruence it is important that you are tactfully honest about your feelings. There is room for this in a therapeutic setting.
Help Out, But Be Vigilant
Luckily I've never encountered this with any of my clients. However if this ever does occur in the future, I would most likely like to keep treating them maybe find some insight of what happened to that person, family history, get an understanding of is this person is this person a product of their environment, or genetics, possible both.
But the moment I actually stop having the need to help that person or if I feel they are trying to control the session or manipulate me. I would have to refer them to someone else
Do Your Best To Find That Connection
Out of the hundreds of patients I have seen in my 15 year career as a therapist, there have been only a handful of people I could not connect with and had to transfer to a coworker. These were without exceptions mothers who'd mistreat their children without regret or willingness to reflect on it. I was not the right therapist for them. For all the others, I'd find a way, an angle, anything, be it the t-shirt they were wearing or the smile when they were talking about their pet snake or anything at all really to start connecting. No matter how boring or agressive or adapted someone presents themselves, there is always someone deserving of love and recognition underneath it.
Easy.
Tell 'em.
What's the point of keeping it a secret? Two percent of the population are actual psychopaths and whilst many psychopaths are "nice people" there's a cluster of antisocial personality types and if your client belongs to one of those groups they won't be able to manage their own behaviour unless they understand it. I also talk to the family, without breaking confidences, because it lifts an enormous burden if they can understand the pattern of behaviour.
Hold True
Never be scared.
There are three things a counsellor should provide you with. Congruence (honesty), empathy, seeing your issues from within your frame of reference and unconditional positive regard. You will be held and supported. Most people will go through a period of psychological or emotional distress. It's almost inevitable. Nothing you say will shock or surprise your therapist. And I can totally agree with your fears. I was scared to seek therapy because I felt like I'd be locked up. It was the best thing I ever did and it set me on this path to help others.
Send Them On Their Way
Maybe it's my personal view or my professional training or both, but I've met some incredibly malicious-seeming people, but could never believe them to be bad or evil.
When you speak to these people, they have fantastic justification and persuasion skills. They really believe they're not in the wrong. How can you see someone so lost and out of touch with reality as evil? There is always a thought process, incident, or underlying truth behind all evil thoughts I've encountered in others.
On the other hand, a client that is painfully annoying or I just can't get through to, I refer them to another therapist lol
Push Aside Your Prejudices
I honestly didn't buy into the theory of this at the beginning of my training but now I really do. If ever my own judgments come in when working with a client I have to remind myself that the client is being the best person they can be within their current experiences and conditions. Accepting the client for who they are in front of you and not only seeing them for what they've done and pushing aside your prejudice is hard but worthwhile for me and my clients.
It doesn't mean I have to like a client on a personal level, just accept them for who they are and give them the space to grow. I don't feel the need to change them with my own views.
Sometimes, YOU Need To Speak To Someone
We have a saying in narrative therapy
"The problem is the problem. The person is not the problem."
This statement helps me see my clients more empathically and non-judgementally. We try to see clients holistically, with the recognition that even "bad" behaviours or patterns are coming from somewhere. We don't assign good or bad labels but we focus on the roots of these behaviours/patterns. Understanding a person's context is so important, as is dissecting the reasoning and motivation behind the behaviour.
Personality disorders are much harder to dissect and understand. People diagnosed with a cluster B issues especially are more likely to be labelled. It's important to be conscious of this tendency and recognise that at the end of the day, if they're sitting in your office saying "I need help" or "I want to change", then there's something there. And everyone has that something. :)
I am still human though and if I find myself judging a client or getting triggered or experiencing negative feelings towards them, I seek supervision and try to understand the parts of me that feel this way. When the parts of me communicate, therapy flows much smoother.
Believe
I work with a population that is considered by most to be made up of bad people (sexually violent predators). I believe that you as a person are defined by more than your past mistakes.
Due to that belief, I am able to treat all of my clients with respect and hope for the best in terms of rehabilitation.
There's something seeing a person litter that drives me up the wall. I remember being a kid and being explicitly told to hold on to my trash and not just throw it in the street. As a kid, I distinctly remember being made fun of for not just throwing the bag of chips I'd just eaten or an empty soda bottle into the gutter.
I can't imagine doing that. Why?! We truly treat this planet as if we have somewhere else to go.
After Redditor pnrddt asked the online community, "What small action immediately makes you dislike a stranger?" people shared their observations.
"Playing music..."
<p>Playing music or having a 'private' conversation via speaker phone in a public place.</p><p><a href="https://www.reddit.com/r/AskReddit/comments/ktpb6p/what_small_action_immediately_makes_you_dislike_a/ginci58?utm_source=share&utm_medium=web2x&context=3" target="_blank">LLCoolBrap</a></p>"When they exhibit..."
<p><strong></strong>When they exhibit a personality trait that I also have, and don't like about myself. Every time I find myself being dismissive or judgemental of somebody, it's just my own insecurity.</p><p><a href="https://www.reddit.com/r/AskReddit/comments/ktpb6p/what_small_action_immediately_makes_you_dislike_a/ginn0g5?utm_source=share&utm_medium=web2x&context=3"></a><a href="https://www.reddit.com/r/AskReddit/comments/ktpb6p/what_small_action_immediately_makes_you_dislike_a/ginn0g5?utm_source=share&utm_medium=web2x&context=3" target="_blank">iotangle42</a></p>"When I'm talking..."
<p>When I'm talking and they are not listening. Like they are not even trying to pretend that they are listening.</p><p><a href="https://www.reddit.com/r/AskReddit/comments/ktpb6p/what_small_action_immediately_makes_you_dislike_a/gincjto?utm_source=share&utm_medium=web2x&context=3" target="_blank">eat-the-rich-07</a></p>"Because one of these days..."
<p>A person can treat me like a princess but as soon as I see them mistreating either animals or people, I am out of there. Because one of these days, you'll be on that receiving end.</p><p><a href="https://www.reddit.com/r/AskReddit/comments/ktpb6p/what_small_action_immediately_makes_you_dislike_a/ginpr97?utm_source=share&utm_medium=web2x&context=3" target="_blank">starlightradio</a></p>"It just screams..."
<p>Telling people to smile. It just screams condescending and a lack of emotional intelligence.</p><p><a href="https://www.reddit.com/r/AskReddit/comments/ktpb6p/what_small_action_immediately_makes_you_dislike_a/ginovsj?utm_source=share&utm_medium=web2x&context=3"></a><a href="https://www.reddit.com/r/AskReddit/comments/ktpb6p/what_small_action_immediately_makes_you_dislike_a/ginovsj?utm_source=share&utm_medium=web2x&context=3" target="_blank">3FoolsinaTrenchcoat</a></p>"When I hear that..."
<p>Grown ups using "baby talk" to try to get what they want. I'm not talking about when people goo-goo at babies, but when they use a silly whiney voice to try to persuade people or make people do them a favour.</p><p>"Aww, pwease hewp me wiv dis wittle pwoject."</p><p>When I hear that I instantly lose respect for that person, be it a stranger or someone I know.</p><p>Pet peeve.</p><p><a href="https://www.reddit.com/r/AskReddit/comments/ktpb6p/what_small_action_immediately_makes_you_dislike_a/ginbwb4?utm_source=share&utm_medium=web2x&context=3" target="_blank">handsahwill</a></p>"Okay, we get it..."
<p>One-upping people. "Yeah, that's pretty good, but one time I..." Okay, we get it, your life is more amazing than everyone else's.</p><p><a href="https://www.reddit.com/r/AskReddit/comments/ktpb6p/what_small_action_immediately_makes_you_dislike_a/ginhrkd?utm_source=share&utm_medium=web2x&context=3" target="_blank">well-uh-yeah</a></p>"When out driving..."
<p><strong></strong><strong></strong>When out driving, someone who pulls out in front of you, then proceeds to go 5-10+ mph under the speed limit.</p><p><a href="https://www.reddit.com/r/AskReddit/comments/ktpb6p/what_small_action_immediately_makes_you_dislike_a/gingjuj?utm_source=share&utm_medium=web2x&context=3"></a><a href="https://www.reddit.com/r/AskReddit/comments/ktpb6p/what_small_action_immediately_makes_you_dislike_a/gingjuj?utm_source=share&utm_medium=web2x&context=3" target="_blank">FuzzMcBeefy84</a></p>"If you don't..."
<p>Talking negatively about anyone who's just trying to have a good time in a fun setting. If you don't have nice to say shut the hell up.</p><p><span></span><a href="https://www.reddit.com/r/AskReddit/comments/ktpb6p/what_small_action_immediately_makes_you_dislike_a/gio4vf5?utm_source=share&utm_medium=web2x&context=3" target="_blank">intergLACTIC</a></p>"When people..."
<p>When people put other people down to try and make themselves look better. "Oh I'm just playing around with them we're friends." I don't care quit being an @ss you know what you're doing and you should be able to tell you're making them feel bad.</p><p><span></span><a href="https://www.reddit.com/r/AskReddit/comments/ktpb6p/what_small_action_immediately_makes_you_dislike_a/gio9p3c?utm_source=share&utm_medium=web2x&context=3" target="_blank">inf303</a></p>"If it's into a drain..."
<p>Spitting on the pavement.</p><p>If it's into a drain, that's fair enough, sometimes you get phlegm and you need to get rid of it. Going for a drain shows you're at least considerate of other, imo. But on the floor where anyone can step in it (or if you're in a wheelchair, get it all over your hands from pushing the wheels) is just gross.</p><p><a href="https://www.reddit.com/r/AskReddit/comments/ktpb6p/what_small_action_immediately_makes_you_dislike_a/ginojq3?utm_source=share&utm_medium=web2x&context=3" target="_blank">ghostmadlittlemiss</a></p>When you're in the market for a slew of very specific facts that all fall under the same general theme, the internet really delivers.
Forget streamlined public health capabilities and revolutionized human communication, the true beauty of the internet is all the random, barely useful information you can find when a bunch odd people decide to assemble and swap info.
Homemade TarantulaÂ
<p>"Dental student here. Black hairy tongue is a common condition and it's exactly what it sounds like." </p><p>"It's just caused by buildup of dead skin that becomes hair like because of tobacco use or antibiotic use. Usually combined with lack of frictional forces from brushing"</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/kum69x/doctors_of_reddit_whats_the_weirdestgrossest_fact/giu9tdq?utm_source=share&utm_medium=web2x&context=3" target="_blank">Alarm-Potential</a></p>Load Em UpÂ
<p>"When a patient gets a kidney transplant, they usually leave the old 2 behind unless there's a significant problem with them."</p><p>"The extra kidney is just tucked in the peritoneum leaving the patient with 3 kidneys."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/kum69x/doctors_of_reddit_whats_the_weirdestgrossest_fact/giu6qjd?utm_source=share&utm_medium=web2x&context=3" target="_blank">MedicalJargon-itis</a></p>Come On Mutations!
<p>"Every single melanocyte on your skin (you know, the ones that give your hairs color, and your skin its skin color) is connected to your sympathetic nervous system via modified synapses."</p><p>"No-one knows why they're connected that way - but we do know that under stress, those nerves nuke the pool of stem cells that create hair pigment, which is why it makes you go grey."</p><p>"A few mutations and you could theoretically be able to control them and change color like a chameleon."</p><p>"So in many ways, we're basically walking cuttlefish."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/kum69x/doctors_of_reddit_whats_the_weirdestgrossest_fact/giuyo29?utm_source=share&utm_medium=web2x&context=3" target="_blank">PavlovaPalava</a></p>Play the Long Game, PeopleÂ
<p>"Humans can outpace any animal on the planet."</p><p>"No, we're not the fastest, but if we were chasing the fastest animal (cheetah) we would catch it and be able to keep going."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/kum69x/doctors_of_reddit_whats_the_weirdestgrossest_fact/gisujdr?utm_source=share&utm_medium=web2x&context=3" target="_blank">Bout3Fidy</a></p>Little Helpful CrittersÂ
<p>"There are little microscopic organisms living in your eyebrows, eating away at the dead skin."</p><p>"Don't freak out, they are very helpful and completely harmless, just a little gross"</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/kum69x/doctors_of_reddit_whats_the_weirdestgrossest_fact/giud33u?utm_source=share&utm_medium=web2x&context=3" target="_blank">Vid-Me-BossCheesburg</a></p>Thankfully That Filter is a Pretty Good OneÂ
<p>"Saliva is filtered blood. Your tears are too. And if you're too stressed out you can cry blood."</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/kum69x/doctors_of_reddit_whats_the_weirdestgrossest_fact/gitshe5?utm_source=share&utm_medium=web2x&context=3" target="_blank">mylifeisathrowaway10</a></p>Imagine It All in a BottleÂ
<p>"I know that the average human churns out between 1 and 2 liters of saliva every day.... oh and we have parasites who are embedded in our hair follicles, and they eat away at our skin, thus causing Dandruff :,)"</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/kum69x/doctors_of_reddit_whats_the_weirdestgrossest_fact/gisrxcc?utm_source=share&utm_medium=web2x&context=3" target="_blank">Throwawayyy123451</a></p>So HotÂ
<p>"Humans give off so much body heat that in 30 min we can boil a gallon of water" -- <a href="https://www.reddit.com/r/AskReddit/comments/kum69x/doctors_of_reddit_whats_the_weirdestgrossest_fact/giu1ngt?utm_source=share&utm_medium=web2x&context=3" target="_blank">Financial-Ad-6050</a><a href="https://www.reddit.com/r/AskReddit/comments/kum69x/doctors_of_reddit_whats_the_weirdestgrossest_fact/giu1ngt?utm_source=share&utm_medium=web2x&context=3"></a></p><p style="margin-left: 20px;">"Rookie numbers" -- <a href="https://www.reddit.com/r/AskReddit/comments/kum69x/doctors_of_reddit_whats_the_weirdestgrossest_fact/giuvqqt?utm_source=share&utm_medium=web2x&context=3" target="_blank">nopenothappening</a></p><p style="margin-left: 20px;">"Pshh I can get a gallon of water boiling in like 10 minutes tops" -- <a href="https://www.reddit.com/r/AskReddit/comments/kum69x/doctors_of_reddit_whats_the_weirdestgrossest_fact/giuhji3?utm_source=share&utm_medium=web2x&context=3" target="_blank">ridiculouslygay</a></p>Oh DearÂ
<p>"Old ladies often have prolapse of their pelvic organs. This means their vaginal walls got so weak that it can no longer support their bladder or uterus."</p><p> -Nurse practitioner"</p><p>-- <a href="https://www.reddit.com/r/AskReddit/comments/kum69x/doctors_of_reddit_whats_the_weirdestgrossest_fact/gitopxb?utm_source=share&utm_medium=web2x&context=3" target="_blank">vespertinas</a></p>Working in a doctor's office means helping people when they're at their lowest. Sometimes, that leads to wonderful moments when the patient is thankful for all the advice and care you provided. Other times, it means taking something out of someone's bum.
Turns out, that second one happens a lot more than you might think.
For Fashion And Protection
<img lazy-loadable="true" src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTQ1MDMwOC9vcmlnaW4uZ2lmIiwiZXhwaXJlc19hdCI6MTY1MjkwNTU2OX0.6D-LIQ26JXH0-7OtPpG93HOtt41wAv62bGHMVvuAYpk/img.gif?width=980" id="7ff06" class="rm-shortcode" data-rm-shortcode-id="6109fb5baf04f17deade8b58695881d1" data-rm-shortcode-name="rebelmouse-image" />wound up season 3 GIFGiphy<p>I had a patient come in with lacerations to her fingers. Her blender got clogged and she stuck her hand inside to clear it. She cleared it and the blender resumed....um blending. Luckily, she had long acrylic nails. This helped lessen the impact.</p><p><a target="_blank" href="https://www.reddit.com/r/AskReddit/comments/kuld31/er_doctors_and_nurses_of_reddit_what_is_the/gitz5l4?utm_source=share&utm_medium=web2x&context=3">Bornagainchola</a></p>I'd Rather Go To Sleep
<p>Guy came in after being concerned the bed sheet had stuck to his lower leg. Turns out hed been using a petrol mower the evening before and it had exploded. Full thickness burn to his calf. No pain. He wanted to go home to feed his cows instead of being transferred to burns and plastics. Man it looked like white leather.</p><p><a target="_blank" href="https://www.reddit.com/r/AskReddit/comments/kuld31/er_doctors_and_nurses_of_reddit_what_is_the/gitkqf9?utm_source=share&utm_medium=web2x&context=3">DamaskRoses</a></p>Why Play Typical Catch?
<p>Guy was camping with his frat buddies and they were firing air rifles at each other with a baseball glove on.</p><p>The pellet was lodged well into his hand. Like, how did you think this was going to end?</p><p><a target="_blank" href="https://www.reddit.com/r/AskReddit/comments/kuld31/er_doctors_and_nurses_of_reddit_what_is_the/gitq7lt?utm_source=share&utm_medium=web2x&context=3">Milesofstyle</a></p>Close Eyes Off From The World
<p>I was in the ER as a patient next to a guy who was brought in via ambulance because he super glued his eye lids shut.</p><p>He was high as a kite, but so was I from the pain meds I'd been given for my own injury. Whatever meds I was given made me think everything was hilarious. I got yelled at by the nurses for laughing hysterically in the next room. He was being a pain in the a--, ER was on diversion already, and they were not amused.</p><p><a target="_blank" href="https://www.reddit.com/r/AskReddit/comments/kuld31/er_doctors_and_nurses_of_reddit_what_is_the/githxnc?utm_source=share&utm_medium=web2x&context=3">brubarbal</a></p>That's Why It's Called A "Dog" Toy
<p>A few stand out. Person somehow swallowed a spiked dog toy.</p><p>Someone tried to reverse his circumcision by cutting more of his d-ck off with a pair of scissors.</p><p>About every object known to man up the bum. 🎵 if you like it then you shoulda put a string on it." 🎵</p><p><a target="_blank" href="https://www.reddit.com/r/AskReddit/comments/kuld31/er_doctors_and_nurses_of_reddit_what_is_the/gitnt24?utm_source=share&utm_medium=web2x&context=3">bsn2fnp1</a></p>Yeah, But, How?
<img lazy-loadable="true" src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTQ1MDMxMi9vcmlnaW4uZ2lmIiwiZXhwaXJlc19hdCI6MTY0MjAyNTM0OX0.Esaobyl7Yq7QltSxli0ZwjggE7j8A4gu0uNRnn1ZwUc/img.gif?width=980" id="95a28" class="rm-shortcode" data-rm-shortcode-id="f4eb7f0131c0d79db2de93fd2bbdc0af" data-rm-shortcode-name="rebelmouse-image" />homer simpson GIFGiphy<p>I've seen an internal vaginal laceration from someone climbing a fence while trying to see something happening down the street.</p><p><a target="_blank" href="https://www.reddit.com/r/AskReddit/comments/kuld31/er_doctors_and_nurses_of_reddit_what_is_the/giss2id?utm_source=share&utm_medium=web2x&context=3">midturbinate</a></p>Again With The Butt...
<p>ER Nurse here</p><p>-We had a girl come in and who knows what she was doing but she had one of the thin glow sticks in her bladder, maybe some fun finger/glow play during a concert? I don't know but pretty wild.</p><ul><li>Also I had a Spanish speaking only gentleman explain why a shoe polish bottle was in his bum, we had to use a video interpreter due to the language barrier but it's was pretty wild to hear the interpreter say "I have a bottle of polish in my anus" after expecting him to just explain why he had belly pain. We also proceeded to print out multiple pictures of common types of shoe polish he used to ask him if it was "this one or that one". It was hilarious when he identified what one it was based on the picture, he had to go to the OR</li></ul><div><a target="_blank" href="https://www.reddit.com/r/AskReddit/comments/kuld31/er_doctors_and_nurses_of_reddit_what_is_the/gitqmlm?utm_source=share&utm_medium=web2x&context=3">AirFryersRule</a><a href="https://www.reddit.com/r/AskReddit/comments/kuld31/er_doctors_and_nurses_of_reddit_what_is_the/gitqmlm?utm_source=share&utm_medium=web2x&context=3" target="_blank"></a></div>Sounds Like A College Guy Thing To Do
<p>Had a university student who ignited a firework in his anus while drunk for the amusement of his buddies. It exploded, causing full thickness burns of his rectum, resulting in him needing a colostomy</p><p><a target="_blank" href="https://www.reddit.com/r/AskReddit/comments/kuld31/er_doctors_and_nurses_of_reddit_what_is_the/giss6l1?utm_source=share&utm_medium=web2x&context=3">ArcofRiolan</a></p>Wow...
<img lazy-loadable="true" src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTQ1MDI4OC9vcmlnaW4uZ2lmIiwiZXhwaXJlc19hdCI6MTYzMDMyMzMyMn0.b42VhIpJrAsaFR19Cf55ZVkWnby5yTIrMhI73HVAImk/img.gif?width=980" id="3ccdf" class="rm-shortcode" data-rm-shortcode-id="50847094a4e17c16febbb35d2146f14f" data-rm-shortcode-name="rebelmouse-image" />scared homer simpson GIFGiphy<p>Operating theatre - this woman came in with a frozen chicken stuck inside her lady parts. Apparently she had a habit of buying them, inserting them and then pulling them out, as she really had a thing for going through childbirth, but on this occasion, she hadn't allowed time for it to defrost properly /adequately.</p><p><a href="https://www.reddit.com/user/Mike_OxonFaier/" target="_blank" rel="noopener noreferrer">Mike_OxonFaier</a></p><p><em>Want to "know" more? Never miss another big, odd, funny, or heartbreaking moment again. Sign up for the Knowable newsletter <a href="https://mailchi.mp/knowable/knowable-newsletter-in-content" target="_blank" rel="noopener noreferrer">here</a>. </em></p>I love movies. The cinema has long been a savior of mine and has given me some of my greatest inspirations. But being an avid film watcher has also made me quite the critic. I can always tell when a movie is worth the money to see in theaters or wait until it's on basic cable with commercials. The signs of mediocrity abound, and sometimes they aren't that difficult to spot.
Redditor u/fjv08kl wanted to know what is obvious about mediocre cinema by asking.... What are some subtle 'red flags' that tell you a movie is not worth watching?