It's important to remember that every individual and therapeutic relationship is unique, so responses may vary based on the specific context and the therapist's approach. Here are a few possible ways a therapist might handle this situation:
Validate the patient's feelings: The therapist might start by acknowledging the patient's discomfort and validating their feelings. They could say something like, "I hear that looking at me feels uncomfortable for you, and that's okay. We can explore what's behind this feeling together."
Explore the reasons behind the request: The therapist may gently inquire about the reasons behind the patient's discomfort. This exploration could help shed light on underlying emotions, triggers, or past experiences related to complex trauma.
Normalize the experience: The therapist may explain that discomfort with eye contact is a common response for individuals who have experienced complex trauma. They might emphasize that the therapeutic space is safe and non-judgmental, and it's okay to express such feelings.
Adjust therapeutic approach: Depending on the patient's needs and therapeutic modality, the therapist might adapt their approach to ensure the patient feels more comfortable. For example, they might allow the patient to look away during difficult moments or utilize alternative techniques that do not rely heavily on eye contact.
Discuss therapeutic goals and boundaries: The therapist could have an open conversation with the patient about the therapeutic goals and how eye contact may be beneficial for the healing process. At the same time, they should respect the patient's boundaries and not force anything that might be retraumatizing.
Consider alternative communication methods: The therapist might explore other ways of communication that make the patient feel more at ease, such as using written exercises or creative expressions like drawing.
Revisit the issue in future sessions: If the patient is open to it, the therapist may periodically check in on the topic of eye contact and explore any changes or progress together.
Remember, the therapeutic relationship is built on trust, empathy, and collaboration. The therapist should strive to create a safe environment where the patient feels heard, respected, and supported. If you are a patient facing this issue, discussing your feelings with your therapist openly can help them better understand your needs and tailor the therapeutic approach accordingly.