NICABM – Successful Strategies to Make Your First Sessions Great
Description of Successful Strategies to Make Your First Sessions Great
Making First Sessions Great
How To Make Your First Sessions Great So Effective That Your Clients Leave Full Of Hope, Commitment To Change and Motivation To Do The Work
More than 20 percent of clients won’t come back for a second session.
That’s why first sessions really matter.That first meeting with a new client can determine whether or not they continue with treatment.
So how do we make sure our first session is so powerful and so effective that our clients leave with hope, commitment and motivation to do the work?
We asked 17 top experts to tell us what they think about when approaching a first session. What are their goals? How do they start? How do they work with the challenges that first sessions present? What are the warning signs they look for?
They shared their insights and strategies – ones that you can apply to your work with clients today.
What you will learn in Successful Strategies to Make Your First Sessions Great
- Planting Seeds for Success in the First Session
Lynn Lyons, LICSW Ron Siegel, PsyD- One simple but effective pre-session communication that can prime your work for success
- How to have clients leave your first session brimming with hope and confidence
- One adjustment to your initial client assessment that can boost engagement and motivation
- First Sessions with Challenging Clients
Marsha Linehan, PhD Ron Siegel, PsyD Rick Hanson, PhD- A first session compatibility check to gauge proper practitioner/client fit
- The crucial empathic connection that can defuse a client’s initial defensiveness
- One change to a behavior-modeling technique that can save your client from feeling criticized
- How to present feedback so the client doesn’t fall prey to harmful self-blame
- How to Manage a Client’s Expectations for Treatment
Christine Padesky, PhD Rick Hanson, PhD- An immediate way to remedy a new client’s unrealistic expectations for therapy
- One approach to address a client’s low motivation (and turn it into a more fruitful first session)
- What a Client’s Nervous System Needs in the First Session
Stephen Porges, PhD Kelly McGonigal, PhD- The specific parts of your clinical environment that may be triggering your client’s defensiveness
- How white noise generators can actually drive up your client’s fear and arousal
- One way your voice can open the portal of presence and engagement with a new client
- How to Foster Greater Client Disclosure for More Accurate Diagnoses
Shelly Harrell, PhD Ron Siegel, PsyD- How to dilute the power dynamic in a first session so the client feels comfortable taking risks
- How to work with the hidden cultural factors that may be sabotaging your first session
- One simple question at the beginning and end of a first session that can lead to more accurate diagnoses
- How to Address Common Warning Signs in the First Session
Ron Siegel, PsyD Zindel Segal, PhD Rick Hanson, PhD- Three warning signs that can derail a successful first session
- Why a client’s oversharing in a first session may signal a potential early dropout
- How to disarm the first sign that a client may be idealizing your work
- A Body-Focused Approach to a Successful First Session
Pat Ogden, PhD Kelly McGonigal, PhD- How a new client’s body movement can reveal hidden sources for healing
- One way to uncover and expand actions of hope that may be trapped in the client’s nervous system
- An important reframe in the first session that can help increase a client’s agency in their healing
- One way to broaden a client’s “aspirational window” so they leave the first session with a sense of hope
- Key Skills to Alleviate a New Client’s Feeling of Vulnerability
Dan Siegel, MD Kelly McGonigal, PhD Richard Schwartz, PhD- How to keep a client’s social engagement system from thwarting the first session
- Nine practitioner behaviors that can directly affect clinical outcomes
- How to fend off attacks from a client’s most vulnerable parts when they turn protective
- How to Build Hope in the First Session
Bill O’Hanlon, LMFT Rick Hanson, PhD- A counterintuitive way to immediately connect clients to feelings of hope and possibility
- How to expand a client’s capacity to see beyond their problem and into a better future
- A first session approach to help shift a client’s negative mindset
- Strengthening a New Client’s Commitment to Therapy
Rick Hanson, PhD Kelly McGonigal, PhD- The “three pile” approach to a first assessment that can reveal untapped opportunities for healing
- Two unconscious judgments when we first meet someone that can block a therapeutic connection
- Why your client’s issue may stem from a “scaling” problem (and how to boost their commitment to improve it)
- How Your Opening Question Can Set the Tone for Success
Ellyn Bader, PhD Rick Hanson, PhD- How to phrase your initial greeting so it becomes a litmus test of the client’s motivation
- A practical strategy to help clients self-assess problematic behavior (and boost accountability)
- How to transform a tension-filled first session with couples into a positive commitment to problem-solving
- How to help clients “buy in” to doing the important work in your treatment plan
- Building a Strong Therapeutic Bond That Will Last Beyond the First Session
Bill O’Hanlon, LMFT Joan Borysenko, PhD Kelly McGonigal, PhD- How to connect a new client’s talents to beneficial therapeutic experiences
- The conversational shift that marks the exact moment a client is ready for change
- Two important questions at the end of a first session to verify you (and the client) are on the right track
- Two Ways to Work with an Underlying Medical Issue in the First Session
Ron Siegel, PsyD Dan Siegel, MD Joan Borysenko, PhD- The important first step when a client’s issue may have an underlying medical problem
- A vital query to help pinpoint the exact way a client’s problem is keeping them stuck
- The five integral components of meaning to help shift a new client’s mindset about their experience
About NICABM 
We proudly provide continuing education for practitioners who are dedicated to being the best in their craft. Our goal is to develop programs that connect you with the top experts and the latest strategies in the field, to help you achieve better outcomes, more quickly with each of your clients.
Experts
Course Director – Ruth Buczynski, PhD
Dr. Ruth Buczynski is a licensed psychologist and founder and president of The National Institute for the Clinical Application of Behavioral Medicine (NICABM). NICABM helps physicians, nurses, psychologists, social workers, and counselors – practitioners who have some of the most significant and life-changing missions on the planet – provide cutting-edge, research-based treatment strategies to their patients. For more than 25 years, NICABM has offered accredited training and professional development programs to thousands of practitioners worldwide.
LYNN LYONS, LICSW
Author of Anxious Kids, Anxious Parents: 7 Ways to Stop the Worry Cycle and Raise Courageous & Independent Children, clinical social worker and psychotherapist specializing in anxiety in adults and children.
MARSHA LINEHAN, PHD
Creator of Dialectical Behavior Therapy (DBT); Professor of Psychology, Adjunct Professor of Psychiatry and Behavioral Sciences at the University of Washington and Director of the Behavioral Research and Therapy Clinics.
STEPHEN PORGES, PHD
Developer of Polyvagal Theory; Distinguished University Scientist at the Kinsey Institute at Indiana University Bloomington and Research Professor in the Department of Psychiatry at University of North Carolina Chapel Hill.
SUE JOHNSON, EDD
Creator of Emotionally Focused Therapy (EFT); Founder and Director of the International Centre for Excellence in Emotionally Focused Therapy.
RICHARD SCHWARTZ, PHD
Founder of Internal Family Systems (IFS) and The Center for Self Leadership.
PAT OGDEN, PHD
Pioneer in Somatic Psychology; Founder and Director of Sensorimotor Psychotherapy Institute (SPI); Co-founder of the Hakomi Institute; Author of Sensorimotor Psychotherapy: Interventions for Trauma and Attachment.
SHELLY HARRELL, PHD
Licensed psychologist specializing in multicultural and community psychology; Professor of Psychology in the Graduate School of Education at Pepperdine University.
RICK HANSON, PHD
Senior Fellow of the Greater Good Science Center at UC Berkeley; New York Times bestselling author of Hardwiring Happiness and Buddha’s Brain.
JOAN BORYSENKO, PHD
Founder of Mind/Body Health Sciences LLC; Author of New York Times Bestseller Minding the Body, Mending the Mind.
RON SIEGEL, PSYD
Assistant Professor of Psychology, part time, Harvard Medical School; Author of The Mindfulness Solution: Everyday Practices for Everyday Problems and Sitting Together: Essential Skills for Mindfulness-Based Psychotherapy.
KELLY MCGONIGAL, PHD
Health psychologist and lecturer at Stanford University; Author of The Upside of Stress: Why Stress Is Good for You and How to Get Good At It and The Willpower Instinct: How Self-Control Works, Why It Matters, and What You Can Do to Get More of It.
BILL O’HANLON, LMFT
Co-developer of Solution-Oriented Therapy; Psychotherapist, speaker, and author of Do One Thing Different: Ten Simple Ways to Change Your Life.
ELLYN BADER, PHD
Co-creator of The Developmental Model of Couples Therapy; Co-director of The Couples Institute.
STAN TATKIN, PSYD, MFT
Founder of the PACT Training Institute and developer of a Psychobiological Approach to Couple Therapy (PACT).
CHRISTINE PADESKY, PHD
Co-founder of the Center for Cognitive Therapy in Huntington Beach, California; Co-creator of Strengths-Based CBT; Co-author of Mind Over Mood and Collaborative Case Conceptualization.
DAN SIEGEL, MD
Executive Director of the Mindsight Institute; Co-Director of UCLA’s Mindful Awareness Research Center; author of Mindsight: The New Science of Personal Transformation and The Mindful Therapist: A Clinician’s Guide to Mindsight and Neural Integration.
ZINDEL SEGAL, PHD
A founder of Mindfulness-Based Cognitive Therapy (MBCT); Professor of Psychology at the University of Toronto.
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