Trust between a counselor and client

Counselors must overcome barriers to trust in order to begin effective patient treatment

counselor client trust

After a diagnosis has been established but before any therapy begins, the rehabilitation counselor must establish trust with his or her patient. One of the critical skills learned in a degree program in psychology is interpersonal communications.

The ability to relate to and gain the trust of the person suffering from a disability is one of the first hurdles of the rehabilitation process. In some cases, the rehabilitation counselor is embarking on a several month or year-long relationship, one that involves every aspect of the patient’s life. According to BioMed Central Health Services Research, patients that trust their healthcare provider are more likely to follow through with their prescribed treatment plan.

The rehabilitation counselor establishes trust through empathy, consistency, and reliability. While trust must be earned over time, rehabilitation counselors begin by establishing a rapport with a patient, including getting to know the individual on a personal level. Empathy is the ability to relate to someone who is suffering without feeling sorry for them. It means conveying a sense of compassion without pity or judgment.

Counselors must be consistent in their moods, communications and behaviors. Keeping things simple and predictable for a patient suffering from a disability is the best way to accomplish this. They learn to ask patients questions about themselves, maintain eye contact, and actively listen to their answers. Showing up on time, following through on promises, and being dependable even under adverse circumstances are all part of being reliable and trustworthy.

Counselors also learn not to immediately assume that they have a patient’s trust. When patients don’t respond well, rehabilitation counselors remain kind, and refrain from anger or returning unpleasantness. No one – including counselors - fully comprehends how others are feeling, how much pain they are in, or what other emotional issues are causing them to be unhappy at that moment.

Barriers to trust are both physical and emotional. Someone dealing with the loss of their legs, for example, is going to have emotional barriers, depression, anger, and other frustrations. Someone with a mental disability might exhibit paranoia, dementia, distrust of the counselor and strangers, and other psychological barriers. Brain injuries often cause disassociation, hostility, and aggressive behavior. And paralyzed patients will have feelings of helplessness, which creates fear, and therefore distrust.

Gaining the trust of children is yet another skill for rehabilitation counselors to master. A child who was battered will have emotional issues around trusting adults. Disabled children may not fully understand what a disability really means, and may be subjected to intense pressures to “fit in” as they return to school. Children with learning disabilities or developmental disabilities do not process emotions as others, often requiring additional mental health counseling. Above all, consistency is especially important when dealing with children. (see also Childhood Developmental Psychology).

As the process of establishing trust evolves, the rehabilitation counselor will employ different strategies to maintain relationships and motivate patients. It requires the ability to be flexible, patient, and honest throughout the duration of the treatment plan. It means working hard to understand the patient, identifying each individual’s physical and psychological barriers to trust, and finding ways to overcome them.

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  • With 100,000+ students, it's the largest private, nonprofit university in the nation.
  • Since 1971, its mission has been to develop Christ-centered men and women with the values, knowledge, and skills essential for impacting tomorrow’s world.
  • Offers over 230 programs online, from the certificate to the doctoral level.
  • The student-faculty ratio is 25:1, and 42.3% of its classes have fewer than 20 students.
  • The average freshman retention rate, an indicator of student satisfaction, is 76.5%.
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  • With 100,000+ students, it's the largest private, nonprofit university in the nation.
  • Since 1971, its mission has been to develop Christ-centered men and women with the values, knowledge, and skills essential for impacting tomorrow’s world.
  • Offers over 230 programs online, from the certificate to the doctoral level.
  • The student-faculty ratio is 25:1, and 42.3% of its classes have fewer than 20 students.
  • The average freshman retention rate, an indicator of student satisfaction, is 76.5%.
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  • Accredited
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  • Ranked #23 in National Universities in the 2014 edition of Best Colleges from U.S. News and World Report.
  • Founded in 1834, its 340 acre campus is located in Winston-Salem, N.C.
  • Its student-to-faculty ratio is 11:1, and 58.6% of its classes have fewer than 20 students.
  • The average freshman retention rate is 94%.
  • Its stated mission is “to educate the whole person, graduating students who seek purpose-filled lives while building a community dedicated to serving humanity in the spirit of our motto, Pro Humanitate.
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  • Ranked #23 in National Universities in the 2014 edition of Best Colleges from U.S. News and World Report.
  • Founded in 1834, its 340 acre campus is located in Winston-Salem, N.C.
  • Its student-to-faculty ratio is 11:1, and 58.6% of its classes have fewer than 20 students.
  • The average freshman retention rate is 94%.
  • Its stated mission is “to educate the whole person, graduating students who seek purpose-filled lives while building a community dedicated to serving humanity in the spirit of our motto, Pro Humanitate.
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  • Accredited
  • Online Programs
  • Financial Aid
  • Transferable Credits
5 Programs in
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  • 95% alumni satisfaction rate.
  • Currently holds more than 500 professional alliances, including 19 of the top Fortune 100 companies.
  • Potential students may preview a free, one-week mini course to get an accurate impression of the student experience.
  • Courses are taught by expert faculty, with 86% of professors possessing a doctoral degree.
  • Offers credit for prior experience and learning, as well as scholarships, accelerated programs, and several other ways to help reduce tuition costs.
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  • 95% alumni satisfaction rate.
  • Currently holds more than 500 professional alliances, including 19 of the top Fortune 100 companies.
  • Potential students may preview a free, one-week mini course to get an accurate impression of the student experience.
  • Courses are taught by expert faculty, with 86% of professors possessing a doctoral degree.
  • Offers credit for prior experience and learning, as well as scholarships, accelerated programs, and several other ways to help reduce tuition costs.
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  • Phoenix Career Services™ help students find careers that match their interests & map out a personalized career plan.
  • Mentorships & networking opportunities available through Alumni Association of 800,000+ graduates.
  • Flexible start date and class schedules.
  • 100+ locations and online options.
  • Offers special military rates and special advisors who have a military background.
  • Students can earn credits for applicable military training and education.
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  • Phoenix Career Services™ help students find careers that match their interests & map out a personalized career plan.
  • Mentorships & networking opportunities available through Alumni Association of 800,000+ graduates.
  • Flexible start date and class schedules.
  • 100+ locations and online options.
  • Offers special military rates and special advisors who have a military background.
  • Students can earn credits for applicable military training and education.
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  • Online Programs
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  • Formed in 2001, it has 28 locations across the United States.
  • Offers customized blend format of online and campus classes.
  • Extensive activity in the local campus communities.
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  • Formed in 2001, it has 28 locations across the United States.
  • Offers customized blend format of online and campus classes.
  • Extensive activity in the local campus communities.
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  • Good for Working Adults
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  • Ranked among the Best Online Graduate Business Programs and Education Programs in 2015 by U.S. News & World Report.
  • Financial aid is available for students who quality, with more than $1,000,000 through 10 scholarships.
  • Offers 24/7 student services, including financial aid help, course registration, and career counseling.
  • Students may opt in for a two week, risk-free trial period.
  • Active-duty military, veterans, and Veteran’s Administration employees can save 15% on tuition.
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  • Ranked among the Best Online Graduate Business Programs and Education Programs in 2015 by U.S. News & World Report.
  • Financial aid is available for students who quality, with more than $1,000,000 through 10 scholarships.
  • Offers 24/7 student services, including financial aid help, course registration, and career counseling.
  • Students may opt in for a two week, risk-free trial period.
  • Active-duty military, veterans, and Veteran’s Administration employees can save 15% on tuition.
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  • Lets undergrad students try classes before paying any tuition.
  • In a 2013 survey, 83% of students said they would recommend the university to others.
  • Most degree-seeking online and campus-based students are adult learners with families and students who work while pursuing higher education.
  • Average class sizes is 18 for undergraduate and 13 for graduate-level courses.
  • Founded in 1937 in Davenport, Iowa as the American Institute of Commerce (AIC).
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  • Lets undergrad students try classes before paying any tuition.
  • In a 2013 survey, 83% of students said they would recommend the university to others.
  • Most degree-seeking online and campus-based students are adult learners with families and students who work while pursuing higher education.
  • Average class sizes is 18 for undergraduate and 13 for graduate-level courses.
  • Founded in 1937 in Davenport, Iowa as the American Institute of Commerce (AIC).
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  • Good for Working Adults
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  • Listed on the President’s Higher Education Community Service Honor Roll in 2013, for the sixth consecutive year.
  • Designated a 2015 Military Friendly School by Victory Media for the 4th consecutive year.
  • Accredited by the Western Association of Schools and Colleges (WASC).
  • Main campus located in Chicago, Illinois with additional campuses in Southern California, Washington D.C., and online.
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  • Listed on the President’s Higher Education Community Service Honor Roll in 2013, for the sixth consecutive year.
  • Designated a 2015 Military Friendly School by Victory Media for the 4th consecutive year.
  • Accredited by the Western Association of Schools and Colleges (WASC).
  • Main campus located in Chicago, Illinois with additional campuses in Southern California, Washington D.C., and online.
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  • Good for Working Adults
  • Online Programs
  • Flexible Scheduling
  • Financial Aid
1 Programs in
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Indiana Wesleyan University is an evangelical Christian comprehensive university that is committed to liberal arts and professional education. U.S. News & World Report ranks Indiana Wesleyan University as "one of the best Master's universities in the Midwest."

Indiana Wesleyan University is an evangelical Christian comprehensive university that is committed to liberal arts and professional education. U.S. News & World Report ranks Indiana Wesleyan University as "one of the best Master's universities in the Midwest."

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  • A member of The Russell Group of 24 UK research-led universities.
  • Ranked in the top 1% of higher education institutions worldwide.
  • Teaches students are from over 160 countries worldwide.
  • Holds full accreditation with degrees widely recognized internationally.
  • Degrees pursued online will look the same as degrees pursued on campus.
  • Its Royal Charter has allowed it to independently award bachelors, masters, and doctorate degrees since 1903.
  • Over 6,000 international students on campus.
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  • A member of The Russell Group of 24 UK research-led universities.
  • Ranked in the top 1% of higher education institutions worldwide.
  • Teaches students are from over 160 countries worldwide.
  • Holds full accreditation with degrees widely recognized internationally.
  • Degrees pursued online will look the same as degrees pursued on campus.
  • Its Royal Charter has allowed it to independently award bachelors, masters, and doctorate degrees since 1903.
  • Over 6,000 international students on campus.
Show more [+]
  • Online Programs