When a patient asks their therapist what they think about them, the therapist's response should be handled with care and professionalism. Therapists typically follow ethical guidelines and best practices to navigate such situations. Here are some general principles that therapists may consider when responding to such a question:
Empathetic and non-judgmental response: The therapist should provide an empathetic and non-judgmental response, acknowledging the patient's feelings and concerns.
Focus on the therapeutic relationship: The therapist can explore with the patient why they want to know their therapist's thoughts about them and how this information might be helpful in their therapeutic process.
Transparency about therapy process: The therapist can explain that the focus of therapy is on the patient's thoughts, feelings, and experiences rather than on the therapist's personal opinions.
Reframe the question: The therapist can redirect the focus of the question back to the patient and inquire about what the patient thinks or feels about themselves in the therapeutic context.
Discuss feelings and emotions: The therapist can explore any emotions that arise for the patient in response to not knowing the therapist's thoughts, as this may be an opportunity to delve into important themes in the therapy.
Boundaries and limitations: Therapists should be mindful of maintaining appropriate boundaries and avoiding self-disclosure that may compromise the therapeutic relationship or the patient's progress.
Therapeutic alliance: Reinforce the importance of the therapeutic alliance and trust between the patient and therapist in the therapeutic process.
It's essential for therapists to be cautious about providing personal opinions or judgments as it can influence the patient's progress and hinder the therapeutic process. Instead, therapists aim to create a safe and supportive environment where patients can explore their thoughts, feelings, and behaviors openly.
Please note that therapeutic approaches and guidelines may vary depending on the therapist's theoretical orientation and the specific situation. If you're a therapist or a patient seeking guidance on this matter, it's best to consult with a mental health professional directly for personalized advice.