A client expresses dissatisfaction with their treatment progress. What should the counselor do?

When a client expresses dissatisfaction with their treatment progress, the most effective approach is to engage them in a discussion about their concerns and collaboratively consider any necessary adjustments to their treatment goals. This method validates the client's feelings and fosters a supportive therapeutic relationship, which can empower the client and improve their investment in the treatment process. By actively involving the client in these discussions, the counselor can better understand the specific issues the client is facing, whether it’s in terms of the therapeutic techniques, pacing of the treatment, or the relevance of the goals set.

Moreover, making changes in treatment goals based on client feedback ensures that the therapy remains client-centered, which is fundamental in addiction counseling. This approach not only addresses the client's current state of dissatisfaction but also promotes ongoing dialogue about their needs and aspirations, allowing for more tailored and effective therapeutic interventions. This collaborative practice enhances the therapeutic alliance and can lead to better treatment outcomes as the client feels heard, valued, and more engaged in their recovery journey.