Overview:
Clinicians cannot escape eventually working in challenging client situations or with challenging clients. Personality disorders, substance use, suicidality, and boundary issues can be common sources of stress and uncertainty for some clinicians. This workshop will introduce key factors that can make cases and clients challenging and introduce learners to strategies to manage themselves in the face of client resistance and other difficulties. Explore the use of Motivational Interviewing skills to “roll with resistance”, the power of validation and empathy, and how clinicians demonstrating mastery of their own internal experience with challenging clients is pivotal to building confidence and success. The reality of imposter syndrome will be shared to encourage learners to adopt more balanced viewpoints of their skills, contributions, and work.
Diversity Issues: There will be significant diversity in the different types of challenging client situations that will be discussed in this workshop. Clients who have personality disorders, present as resistant to interventions, and those who struggle with appropriate professional boundaries will be featured so that learners can gain perspectives and recommendations on how to adjust their responses to these diverse situations. In addition, diversity will be addressed by discussing key recommendations for working with silent, manipulative, demanding, and unreliable clients.
Objectives:
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Explain behavioral patterns and core characteristics of challenging clients and identify two specific interventions to use with clients who are unresponsive, disengaged, emotionally labile, or easily angered.
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Appraise one’s own style of managing clients who are silent, manipulative, resistant, and demanding and identify two areas of clinical reflection and growth.
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Describe at least three common unhelpful clinical responses to challenging clients that are not person-centered.
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Evaluate and implement three strategies such as Motivational Interviewing and culturally-informed tenets that are useful in working with clients who have personality disorders, are suicidal, or have substance abuse issues.
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Identify at least two professional areas of countertransference and list one method of addressing countertransference with challenging clients.
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Discover new confidence by identifying two skills in managing imposter syndrome and appropriately handling challenging clients and situations.
Course materials are only available to enrolled students.
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Diane Bigler, LCSW, LSCSW
Diane Bigler is a highly respected and accomplished Licensed Clinical Social Worker with over 25 years of experience in the mental health field. With a diverse background that includes clinical positions as an outpatient and in-home therapist, clinical supervisor, and administrative positions such as Program Director and Coordinator, Diane has a wealth of experience and expertise. In addition to her clinical work, Diane is an Adjunct Professor of Social Work at the University of Kansas School of Social Welfare, where she serves as a Field Liaison and Field Instructor. She is passionate about supporting the development of new clinicians and has a reputation for providing top-notch professional development opportunities. Diane is also a well-regarded trainer, both locally and nationally, on a wide range of mental health and workplace development topics. She has worked with both clinicians and corporations to provide training and support in areas such as communication, conflict resolution, and stress management. Her unique blend of clinical expertise and workplace development knowledge makes her a sought-after trainer in the field.
National Approvals
eCare BHI, as the accredited and approved sponsor, maintains responsibility for all the programs and must abide by each board’s continuing education guidelines.

Professional Counselors — The National Board for Certified Counselors (NBCC)
E Care Behavioral Health Institute has been approved by NBCC as an approved Continuing Education Provider. ACEP No. 6703. Programs that do not qualify for NBCC are clearly identified. E care Behavioral Health Institute is solely responsible for all aspects of the programs.

Addiction Professionals — NAADAC, the Association for Addiction Professionals (NAADAC)
E Care Behavioral Health Institute is officially on file with NAADAC, the Association for Addiction Professionals (NAADAC) as an Approved Education Provider. They are formally known as NAADAC Provider #139138. Please note that E care Behavioral Health Institute is solely responsible for all aspects of the program.

Social Workers — Association of Social Work Boards (ASWB)
E Care Behavioral Health Institute, #1706, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. E Care Behavioral Health Institute maintains responsibility for this course. ACE provider approval period: 06-03-2020 – 06-03-2026.

CE Broker
CE Broker is a continuing education tracking system in which licensees track their compliance and report their completed CE hours credit (CE Broker Tracking #50-33336)
State Approvals
States that Accept ASWB-ACE Approved Providers |
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Alabama | Alaska | Arizona | Arkansas | California | Colorado | Connecticut |
Delaware | District Of Columbia | Florida | Georgia | Hawaii | Idaho | Illinois |
Indiana | Iowa | Kansas | Kentucky | Louisiana | Maine | Maryland |
Massachusetts | Michigan | Minnesota | Mississippi | Missouri | Montana | Nebraska |
Nevada | New Hampshire | New Jersey | New Mexico | North Carolina | North Dakota | Ohio |
Oklahoma | Oregon | Pennsylvania | Rhode Island | South Carolina | South Dakota | Tennessee |
Texas | Utah | Vermont | Virginia | Washington | West Virginia | Wisconsin |
Wyoming |
States that Accepts NBCC Approved Courses: |
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Alabama | Alaska | Arizona | Arkansas | California | Colorado | Connecticut |
Delaware | District Of Columbia | Florida | Georgia | Hawaii | Idaho | Indiana |
Iowa | Maine | Maryland | Massachusetts | Missouri | New Hampshire | New Jersey |
New Mexico | Ohio | Oregon | Pennsylvania | Rhode Island | South Carolina | South Dakota |
Tennessee | Texas | Vermont | Virginia | Washington | Wisconsin |
- Nevada CPC’s and MFT’s accept ASWB-approved training
- North Dakota Board Of Counselor Examiners LAPC and LAPCS accept ASWB approved training
- Rhode Island Board of Mental Health Counselors and Marriage & Family Therapists MHC’s accept ASWB approved training
- Texas Behavioral Health Executive Council LPC and LPCS accept ASWB approved training
- Utah Division of Professional Licensing – CMHC’s accept ASWB approved training
- Washington State Department of Mental Health MHC’s accept ASWB approved training
- Wisconsin Council on Mental Health LPCS accepts ASWB-approved training
States that Accept NAADAC Approved Providers |
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Alabama | Alaska | Arizona | Arkansas | Delaware | Hawaii | Indiana |
Kentucky | Maine | Massachusetts | Minnesota | Montana | Nevada | New Jersey |
New Jersey | New Mexico | North Carolina | North Dakota | Oregon | Rhode Island | Tennessee |
Vermont | Virginia | Washington | West Virginia | Wisconsin | Wisconsin | Wyoming |
States that Accept APA Approved Providers |
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Alabama | Alaska | Arizona | Arkansas | California | Delaware | District Of Columbia |
Florida | Georgia | Idaho | Illinois | Indiana | Iowa | Kansas |
Kentucky | Louisiana | Maryland | Massachusetts | Minnesota | Mississippi | Missouri |
Montana | Nebraska | New Jersey | New Mexico | North Dakota | Ohio | Oklahoma |
Pennsylvania | Rhode Island | South Carolina | Tennessee | Utah | Vermont | Virginia |
Washington | West Virginia | Wisconsin | Wyoming |