While various interventions are possible, various outcomes depend upon the co-creation between the therapist, client, and environment. Naturally, a professional only intervenes with skills they have trained in and have been supervised (by someone who is qualified) using .
In truth, the tone of you letter suggests, to my reading, that you are outside of your competency level with this person. I strongly urge you to "learn" techniques with clients who have less at stake and whose issues and treatment are not as unfamiliar to you. Eventually you can and will expand your skills, perception, and intuition to wider areas of client situations. For now, you might consider 1) setting very small goals for this client (and for yourself), 2) referring this person to another therapist, or 3) seeking face to face supervision with someone who has traveled this territory many times competently (regardless of approach).
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