Do you have system though? Or is it all just kind of an artform? Some people only respond to threats/violence (and will say so) which is not an approved therapy.
After this, Loughner briefly volunteered at a local animal shelter, walking dogs, but he was asked not to return. The shelter manager later said, "He was walking dogs in an area we didn't want dogs walked... He didn't understand or comprehend what the supervisor was trying to tell him. He was just resistant to that information."
https://en.wikipedia.org/wiki/Jared_Lee_LoughnerThis type of person are who I have had most contact with I guess. Perhaps your clients have different problems.
I have a general system, yes. I utilize a set of what I believe are Universal principles and then try to tailor them to an individual's situation.
Assuming a person is in full control of their mental faculties (i.e. they are not delusional, hallucinating, mentally retarded, high on drugs or withdrawing from drugs to the point where they are significantly incapacitated, etc.), then my first goal is to simply develop a rapport with the person and try to understand what kind of information they are likely to absorb, and the best ways of helping them to absorb this information.
It is my belief that people naturally are drawn to that with which they can identify. This is why (generally) nerds hang with nerds, beautiful people hang with beautiful people, gym rats hang with gym rats, whites hang with whites, blacks with blacks, happy people with happy people, and 'mentally' ill' people with 'mentally ill' people. Accordingly, this is why I have found analogies are useful. I try to use analogies that people can relate to, and as such I find that people are more ready to absorb information presented in the form of an analogy rather than simply spilling them loads of dense information.
After I've developed a certain rapport with a client (the strength of this rapport is usually restrained by the client's length of stay), I then try to emphasize the importance of increasing self-awareness within the client, and try to help them understand why increasing self-awareness is the critical first step to recovery. Virtually any and all genres of therapy including CBT, REBT, psychodynamic, existential, etc. are designed to increase a client's level of self-awareness. Increasing self-awareness helps us to become more in tune with the subtleties of our thought patterns, behavior patterns, habits, and tendencies.
The more we become aware of these patterns (i.e. by becoming more
observant of them), we can begin to develop some increased insight into our situation. We can begin to identify negative habits and tendencies more readily, and by becoming more observant of these habits and tendencies, we can begin to find ways to intervene in situations where we would ordinarily react without thinking. Becoming more observant of these tendencies allows us a moment of stillness for insight and clarity, and it is during this moment of stillness that change is possible. We become more distant and disconnected from our negative habits and tendencies the more we observe them, and when we are distant from them, we become more free to act differently.
To give an example, how many times have we become so completely angry or frustrated that we literally wanted to grab the nearest thing to us (e.g. a remote control, a phone) and chuck it across the room. Sometimes, we actually do this! Other times, we actually have the object in hand, and we even may make the arm motion to begin to throw it, but then something stops us in our tracks. We might have the thought, "I can't throw this, I'll have to spend $250 replacing my new I-Phone!" Somehow, we had a moment of clarity. We were able to intervene. We were able to, for a very, very brief moment, distance ourselves from our anger and have a moment of rational clarity. Now, the question is,
why were we able to intervene?
We were able to intervene because we briefly became more observant of our situation. We took a look at the situation in a broader context. No longer was it simply "Me and my anger" but it became "Me, my anger, my phone, my money, my future need to replace my phone if I break it." In other words, we distanced ourselves from the situation, even if only slightly. Sure, we might just go back to being really frustrated, but we must not forget that moment of clarity. The more observant we become, the more moments of clarity we will have like this. How often do we change the channel when it reaches a commercial without even thinking about it? Do you even know why you changed the channel, or has it become so instinctively natural for you to do so that you haven't even realized that there was anxiety present? "Oh, this channel doesn't satisfy me anymore, I desire something else."
So, the first step is to drive home the importance of increasing self-awareness. Increasing self-awareness is a skill that is developed through continued practice. As we become more self-aware, and as we gain more clarity and insight, then we can begin to find ways to replace negative habits of thinking and acting with positive ones. Increasing self-awareness which results in clarity and insight develops
hope for recovery, and hope for a better future when we realize that positive change is possible. From hope stems motivation, from motivation stems positive intention to do better and think better which will reap positive results. This is the path to recovery.
TL;DR: Understanding the importance of increased self-awareness leads to...
Motivation and intention to increase self-awareness leads to...
Increased self-awareness leads to...
Increased clarity and insight leads to...
Hope leads to...
Motivation to do better and think better leads to...
Positive habit formation leads to...
Positive results and recovery