If a client is not making progress after several months, what should the therapist do first?

Engaging in a discussion about the potential for a change in therapist with the client is a critical and ethical approach when a client is not making progress after several months. This option emphasizes the importance of collaboration and communication between the therapist and the client. It allows the therapist to gather valuable feedback regarding the client's feelings about the therapeutic relationship, their experiences in therapy, and their current needs. By involving the client in this discussion, it reinforces their autonomy and ensures that they feel heard and respected.

Additionally, exploring the option of changing therapists can open up new opportunities for the client. Sometimes, a different therapeutic approach, style, or personality fit can significantly impact the client’s progress. This is a better alternative than unilaterally making changes or terminating services, as it promotes a supportive and client-centered process.

Other options, such as changing therapy goals without consultation, terminating services immediately, or referring the client to another agency, do not prioritize the client's voice in the decision-making process and can undermine the therapeutic relationship. Each of these alternatives could potentially leave the client feeling disregarded or confused about their treatment path. By choosing to discuss the possibility of changing therapists, the therapist demonstrates a commitment to the client's well-being and active participation in their own therapeutic journey.