One challenging case involved a client with severe anxiety and depression. The client was resistant to traditional therapy methods. I adapted my approach by incorporating mindfulness techniques and peer support groups. Over time, the client began to open up and engage more in sessions. This case taught me the importance of flexibility and tailoring therapy to the individual's needs, rather than a one-size-fits-all approach.

Client confidentiality is paramount in my practice. I strictly adhere to HIPAA regulations and maintain secure electronic records. I also educate clients on the importance of confidentiality during our initial sessions. Additionally, I have a clear protocol for handling any potential breaches, ensuring that client information is never compromised.

Building rapport starts with active listening and empathy. I create a safe, non-judgmental environment where clients feel heard and understood. I also use open-ended questions to encourage clients to share more about their experiences. Regular feedback and check-ins help me gauge the therapeutic relationship and make adjustments as needed.

Ethical dilemmas are addressed by consulting the ethical guidelines of my licensing board and seeking peer consultation when necessary. I prioritize client welfare and informed consent, ensuring that any decisions are made with the client's best interests in mind. Transparency and clear communication are key in resolving ethical issues.

Managing stress involves regular self-care practices such as mindfulness meditation, exercise, and hobbies outside of work. I also set clear boundaries between work and personal time to prevent burnout. Peer supervision and ongoing professional development help me stay grounded and maintain a healthy work-life balance.