your response more or less echoes my views. I firmly beleive that the therapist giving the client a gift is not a good idea. Allowing the client to borrow something as an anchor would be another matter. I think the issue of the client giving the therapist a gift is a murky one, where is the line drawn? A thank you note, card, is one thing a gift is another even at Christmas. The therapist must be careful of what is accepted and be willing to check out the client's reason for the giving. Phone call between sessions must be a boundary set at the beginning of therapy, to allow phone calls and then to arbitrarily decide it wasn't such a good idea will not help the clint/therapist relationship. It is an issue that needs to be discussed with each client and this does not mean that the boundaries will be the same for each client. The therapist must know his/her limits and stay with those. This may mean that a particular client will be given more leeway for calls between sessions than another. The purpose of the calls, thier benefit to the client etc. must be considered. When the therapist is in doubt, then, he/she can raise any concerns with the client. Frequent phone calls may not mean dependence - it depends on the client's issues/situation.How is the client using these phone calls to help him/herself? Is the client putting in the effort and work needed to help self? What resources does the client have available outside of therapy? What is the client dealing with at present?
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