The Five "don'ts" we are taught in therapy training: giving advice

As I embark on another trimester of teaching Cross Cultural Aspects of Psychology at Golden Gate University, I want to touch upon five “don’ts” we are taught in providing therapy that may clash with cultural norms, as identified by Dr. Derald Wing Sue in his lectures. The first "don't" on the list is giving advice.

In Counseling Psychology, we are often taught not to give advice due to the possibility of removing agency from the client or making them dependent on the clinician as a source of answers. However, many cultures have an expectation that the clinician is the expert and may seek advice as a part of therapy. As a clinician, it is important to strike a balance between the two.

To combat the possibility of giving "stealth advice," I remain transparent with my clients. I help them understand how therapy works and identify options from which they can choose. I also help separate the signal from the noise, which is where my expertise comes in handy.

I might say something like, "When we are taught therapy, they tell us not to give advice. However, I know that it can sometimes be hard to see your options. As I am listening to your story, I see some of those options. Can I share them with you?"

In the end, I don't get a vote--and I often say just that to clients--but part of what I do is help clients simplify an issue to make better decisions. I try to key off what the client identifies as options and help them move forward on their journey.

What do you think about this approach? Share your thoughts in the comments!

First posted on LinkedIn