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Helping Difficult and
 Challenging Clients:  

A Cognitive-Behavioral Approach

presented by

Aldo R. Pucci, MA, DCBT

in collaboration with

Cross Country Education, Inc.

Coming to a city near you...

September, 2005

September 13 -- Colorado Springs, CO
September 14 -- Denver, CO
September 15 -- St. Lake City, UT

Interested in the NACBT presenting an in-house
 training program? 
Click Here.

Understanding and Helping the Difficult Client

All mental health professionals encounter from time to time clients whom they consider "difficult" or "challenging". Therapy does not progress as quickly as we would like for the client (and for us!). Good clinicians continually look for new methods to get through to difficult clients in the shortest amount of time possible.

To help difficult clients, the clinician must first understand them. This seminar will further your understanding of the reasons clients are difficult and challenging by presenting the reasons, from a cognitive-behavioral perspective, for less-than-ideal response to therapy. You will learn how to separate excuses from reasons, and how to dispute the most stubborn thoughts that keep people from developing healthy, rational thoughts, feelings, and behaviors.

This seminar will teach you how to apply cognitive-behavioral therapy to your most difficult cases. You will also learn how to keep yourself from being frustrated when client’s are difficult and challenging.

The presenter welcomes attendees to consult with him concerning the application of his approach at any time after the completing the seminar.

CEU’s available for counselors, psychologists, social workers, and alcoholism and drug abuse counselors.

To register, or for more information,
 contact Cross Country Education at:


If you would like this seminar to be presented in your area, contact Aldo Pucci at 1-800-853-1135.

Course Content

Reasons Clients are Difficult and / or Resist

– In-depth presentation of the reasons people have difficulty benefiting from therapy or resist change.

– How to Identify Your Clients’ Reasons for Resisting or Having Difficulty Benefiting from Psychotherapy

– How to Help Clients Identify their Reasons for Resistance

The Systematic Cognitive-Behavioral Approach to Dealing with Difficult Clients

- The Initial Assessment

- Assessing Problematic Thinking

- Setting Goals

- How to engage the client to commit to therapy and homework assignments

- Conversational hypnosis techniques that help set the stage for therapeutic success

- The Emotional ABC’s and Reflex Thoughts

- Teach Clients the CBT Theory of Emotional / Behavioral Disturbance

– How to Identify Pervasive Core Beliefs and How Eliminating Them Significantly Facilitates Progress

- The Rational Questions to Identify Irrational Thoughts

- Teach Clients to Identify Their Own Irrational Thoughts

- The Common Mental Mistakes and how to eliminate them

- Teach Clients how to recognize and eliminate common mental mistakes

- The Importance of, and How to, Practice (Stages of Emotional Re-Education)

- Teach Clients a host of excellent techniques to develop new thoughts and behaviors

- The Rational Action Planner

- Teach clients how to turn their old, undesirable reactions to new, desirable ones.

- Rational Emotive Hypnotherapy

Rational Emotive Hypnotherapy is another technique to help people change the way they think through the use of hypnotherapy. While not a necessary part of therapy, hypnotherapy is utilized because the client does not need to believe what is said to them when in a hypnotic state for the suggestions to be effective. An introduction to Rational Emotive Hypnotherapy will be provided. Learn when to utilize this technique.

– How to End Therapy

– How to encourage long-term, if not permanent, results

Application of Cognitive-Behavioral Therapy to Specific Difficult Problems

- Suicidal Ideation, Chronic Depression, Severe Anxiety, Borderline and other

Personality Disorders, and Schizophrenia and other Chronic Mental Illness Depression - Addressing Attendees’ Additional Disorders of Interest

Application of CBT Approaches to Attendees’ Case Examples

Would you like the NACBT to present at
your company, hospital, or mental health center?

If you would like the NACBT to present an in-house training program,
feel free to contact the NACBT at


or e-mail us at

and a representative will be happy to discuss options with you.

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Aldo Pucci, DCBT

Dr. Maxie Maultsby
Dr. Michael Rosenbaum
Dr. Michael Edelstein
Dr. Nando Pelusi
Dr. Ed Jacobs
Dr. Rex Gatto
Dr. Mariusz Wirga
Dr. Michael DeBernardi
Dr. Carl Simonton
Dr. Dennis Gilliams
Dr. David Burns
Robbie Greenfield, M.A.
Dr. Paul Hauck
Dr. Jim Perryman
Bill Borcherdt, ACSW

Sign Our

"Please be advised that my NACBT certification was one of the factors in my being elected Foreign Affiliate in the British Psychological Society."

-- Joe Roberts



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