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(p. 103) Additional Considerations 

(p. 103) Additional Considerations
Chapter:
(p. 103) Additional Considerations
Author(s):

Amy Weisman de Mamani

, Merranda McLaughlin

, Olivia Altamirano

, Daisy Lopez

, and Salman Shaheen Ahmad

DOI:
10.1093/med-psych/9780197500644.003.0008
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date: 27 January 2021

This chapter discusses topics and obstacles not otherwise examined in previous chapters. For example, the chapter highlights research addressing whether clinician–client match on race/ethnicity and/or other cultural beliefs and values impacts therapy efficacy. More specifically, the chapter addresses how to deal with challenging families and clients, including those that are unmedicated, highly symptomatic, and/or who endorse delusional thought content. The difficult challenge of what to do when one or more family members wishes to distance themselves from their relative with mental illness is also addressed. Suggestions and skills that can be used for these and other difficult situations are discussed. Excerpts and example quotes are also provided for addressing difficulties such as inconsistent attendance, homework incompletion, or other difficulties that may be encountered during therapy.

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