I would echo some other comments. i beleive it is essential to well grounded in your model. In any model, mine is psychoanalytic it is possible to reach a form of impasse with a client. Such a difficulty can only be thought about in regular clinical case discussion and/or supervision.
A Psychoanalytic model has a theoretical place for the presence of the supervisor in the treatment process.
The question of impasse can also lie in the limitation of the therapist, either through the lack of training or personal analysis.
It is clearly not ethical to attempt to work with a degree of disturbance if you do not have adequate training or expereince.
it's called clinical governance.
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