Building rapport involves active listening, empathy, and establishing trust. I start by creating a non-judgmental space where clients feel safe to express themselves. Using open-ended questions helps me understand their perspectives better. I also share relevant personal experiences to connect on a human level, ensuring that my interactions are client-centered and focused on their needs and goals.

In crisis situations, my priority is to ensure the client's immediate safety. I would calmly assess the situation, possibly involving emergency services if necessary. I would also provide immediate support, such as grounding techniques or crisis intervention strategies, to help stabilize the client. Post-crisis, I would document the incident and adjust treatment plans accordingly to address the new challenges.

My approach to developing a treatment plan is collaborative and evidence-based. I begin by conducting a thorough assessment to understand the client's mental health history, current symptoms, and personal goals. From there, I select interventions that align with their specific needs, such as cognitive-behavioral therapy or dialectical behavior therapy. The plan is regularly reviewed and adjusted based on the client's progress and feedback.

Maintaining ethical standards is paramount. I adhere strictly to HIPAA regulations and professional codes of ethics. Confidentiality is upheld unless there is a risk of harm to the client or others. In such cases, I consult with colleagues and supervisors to determine the best course of action while minimizing any breaches of confidentiality. Regular ethical training and peer reviews also help ensure compliance.

I have extensive experience with telehealth, which requires adapting traditional therapy techniques to a digital format. I ensure sessions are just as effective by using secure, reliable platforms and maintaining a structured environment. Pre-session checks for technical issues and client readiness are crucial. I also focus on non-verbal cues and use interactive tools to enhance engagement and therapeutic rapport.