What is a therapeutic response to a confused client who believes their arms are "turning to stone"?

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A therapeutic response in this context would involve acknowledging the fearfulness of the client's situation. When a client expresses a belief that their arms are "turning to stone," they are likely experiencing significant distress and possible symptoms of psychosis. Validating their feelings helps the client feel heard and understood, which is crucial for building trust and rapport in the therapeutic relationship.

By acknowledging their fears, you show empathy and can encourage the client to express more about what they are experiencing. This response also gives you an opportunity to assess the situation further and provide appropriate support. It sets the stage for potentially discussing their feelings and beliefs in a manner that could help them feel less isolated in their experiences.

While providing logical explanations or trying to redirect the conversation may seem practical, they do not address the emotional component of the client’s distress. Dismissing the comment outright could further alienate the client and compound their confusion and fear. Acknowledging their feelings, therefore, is an essential part of therapeutic communication that fosters a more supportive environment.

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