What is the recommended approach when disagreements arise with a client?

• A. Avoid the topic
• B. Address the issue openly and collaboratively
• C. End the session
• D. Report to supervisor immediately

Answer: (B)

Disagreements with a client are best handled through open, collaborative dialogue. This approach respects the client’s voice and supports shared decision-making, which helps maintain trust and aligns with recovery-focused practice. When a disagreement arises, acknowledge the difference, invite the client’s perspective, calmly share your view, and work together to explore options. Aim for a plan that fits the client’s values and goals while staying safe and appropriate, with a clear check-in to monitor progress.

Supervision or escalation is appropriate when there are clear safety concerns, boundary violations, or policy issues, but the first and most effective step is to address the topic openly and collaborate on a solution. Avoiding the topic or ending the session abruptly can undermine trust, and jumping straight to supervisor involvement without attempting collaborative resolution can disrupt the therapeutic relationship.