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Let’s talk about non-compliant clinicians for a change.
These are clinicians who:
Don’t acknowledge or respond to client feedback.
View clients as passive consumers, not collaborators.
Treat pushback as disobedience rather than valid anxiety or fear.
These are clinicians who:
Don’t acknowledge or respond to client feedback. View clients as passive consumers, not collaborators. Treat pushback as disobedience rather than valid anxiety or fear.
Discourage clients from sharing their opinions. Pathologize disagreements and mistrust and view them as disordered. Prioritize obedience over safety. Dismiss lived experience as irrelevant rather than crucial expertise.
Weaponize clinical language to dismiss their clients (“histrionic traits”). Disregard possibility of bias or prejudice in care. Don’t consider or reflect on the role of medicine in retraumatizing clients.
Many clients who are labeled “non-compliant” in a mental health setting are actually reacting to a very hostile, invalidating therapeutic relationship.
Yet we never examine where these clinicians might be getting it wrong.
Yet we never examine where these clinicians might be getting it wrong.
The assumed authority of mental health providers is doing real harm to folks living with MI.
When we cast doubt on clients — pathologizing their reactions to unsafe therapeutic relationships — we make it more difficult for them to receive unbiased, compassionate care.
When we cast doubt on clients — pathologizing their reactions to unsafe therapeutic relationships — we make it more difficult for them to receive unbiased, compassionate care.
Clinicians: Self-reflect before assuming a client isn’t “complying.” Get curious about how to rebuild safety and interrogate what “compliance” means/stems from (ableism).
Folks with MI: You are allowed to EXPECT BETTER! You deserve the best possible care.
Folks with MI: You are allowed to EXPECT BETTER! You deserve the best possible care.
This goes for any medical professional, really, not just in the mental health field. No one is immune to recreating the oppressive forces that already threaten the wellbeing of those on the margins. Particularly with powerful institutions.
It’s not your fault. I promise.
It’s not your fault. I promise.
