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Advocating for Client Needs: What I Learned and My Advice to Other Therapists

Advocating for Client Needs: What I Learned and My Advice to Other Therapists

Navigating the complex landscape of client advocacy in therapy requires both finesse and fortitude. This article distills the collective wisdom of seasoned therapists who have mastered the art of championing for their clients' needs. Discover effective strategies for intervention, collaboration, and empowerment that can redefine therapeutic success.

  • Advocate Beyond Therapy
  • Intervene for Workplace Accommodations
  • Refer to Suitable Professionals
  • Empower Clients' Voices
  • Confront Systemic Barriers
  • Strive for Cultural Humility
  • Prioritize Therapist Self-Care

Advocate Beyond Therapy

Early on in my career, when I was working at NYANA (New York Association for New Americans), I worked with immigrant survivors of domestic violence, and one experience has stayed with me ever since. I was supporting a woman who had endured years of abuse, but what made her situation even more suffocating was that her abuser controlled her immigration status. He held the pending green card over her head like a threat, constantly reminding her that if she left or sought help, he could have her deported. She was terrified-not just of him, but of the system itself. She worried that any wrong move would result in her being separated from her children and losing the life she was trying to build.

When she finally made the decision to leave, she came to me not only with the trauma of the abuse but with overwhelming fear about her future. In our sessions, we worked on helping her regain a sense of emotional stability and safety, but it became clear very quickly that none of that work would hold if she was still living under the constant threat of losing her legal status. She needed more than therapy-she needed action.

Fortunately, at NYANA, we had an immigration attorney on staff. I was able to advocate internally to connect her with legal support, and together, we worked on securing protection through VAWA (Violence Against Women Act), which allowed her to file for her legal status independently of her abuser. That interdisciplinary approach-therapy alongside legal advocacy-was what truly gave her the foundation to rebuild her life.

That experience shaped me as a therapist. I realized that our work doesn't stop at what happens in the therapy room. We have to see the systems our clients are navigating and be willing to step in when those systems are part of the harm. My advice to other therapists is this: Don't underestimate your role as an advocate. You don't have to know immigration law or housing codes-but you do need to know who to call and when to speak up. Sometimes, that's what healing looks like-being the person who says, 'I'll help you figure this out.'

Intervene for Workplace Accommodations

I once worked with a client facing severe anxiety and depression, exacerbated by job insecurity. Despite meeting all qualifications, they were denied reasonable accommodations at work. Recognizing the impact on their mental health, I intervened by providing clinical documentation and consulting with their HR department. Research shows that workplace accommodations improve productivity and mental well-being, with 89% of employers reporting benefits from implementing them. From this experience, I learned that advocacy extends beyond the therapy room. Navigating legal and workplace policies can be challenging, but proactive intervention can empower clients and create systemic change. For therapists, my advice is to understand clients' rights under laws like the ADA and collaborate with professionals when needed. Advocacy doesn't always mean direct intervention—it can be equipping clients with the tools to self-advocate. By fostering resilience and systemic awareness, we help clients thrive beyond our sessions.

Joel Kouame
Joel KouamePsychotherapist/Owner, LCSW, MBA, JK Counseling

Refer to Suitable Professionals

Knowing the limits of one's expertise is crucial in therapy. It is important to recognize when a client's needs extend beyond one's capabilities. In such cases, referring them to a more suitable professional can make a significant difference in their progress. Therapists must stay informed about various specializations within the field.

This ensures clients receive the most appropriate care. Always prioritize the client's well-being by seeking the best resources for them. Start making referrals when needed for the benefit of your clients.

Empower Clients' Voices

Building a collaborative relationship with clients can empower their voice. Encouraging clients to share their thoughts and feelings fosters a sense of ownership in their therapeutic journey. It is important for therapists to create an environment where clients feel heard and valued. When clients actively participate, they are more likely to make meaningful progress.

Collaboration can also enhance trust and rapport between therapist and client. Strive to involve clients in their treatment plans. Make it a priority to empower your clients' voices every session.

Confront Systemic Barriers

Understanding that systemic barriers can affect clients' well-being is essential for meaningful advocacy. Therapists need to be aware of the broader social issues that impact their clients. Addressing these injustices requires a willingness to challenge the status quo and advocate for change. By doing so, therapists can help create a more equitable environment for their clients.

It is also beneficial to stay informed about policies that may affect client care. Take action to understand and confront systemic barriers. Commit to advocating against injustices for the betterment of your clients.

Strive for Cultural Humility

Cultural humility plays a significant role in effective advocacy work. Acknowledging and respecting diverse cultural backgrounds can strengthen the therapeutic relationship. Therapists should continually educate themselves on different cultural practices and values. This ongoing learning helps in providing culturally sensitive care.

Being open to feedback from clients about their cultural experiences is also important. Strive for cultural humility in your practice. Never stop learning about the cultures of your clients.

Prioritize Therapist Self-Care

To sustain advocacy efforts, self-care is non-negotiable for therapists. The work of advocating for clients can be emotionally taxing. Therapists must find ways to recharge to continue being effective. Regular self-care practices can prevent burnout and compassion fatigue.

Taking care of one's mental health is a way to model healthy behavior for clients. Make self-care a priority every day. Ensure you are well so you can advocate well for your clients.

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