General, Articles

July 4th, 2019

What is the meaning of patient silence?

By Marie Hartwell-Walker, Ed.D.

Midway through a session, Grace, age 24, says she just doesn’t want to talk anymore – and doesn’t. Joe, age 15, enters your office and slumps in a chair, legs spread apart, arms crossed, head down, hidden under the hood of his sweatshirt. “Hello,” you say. He grunts. You are in a couple’s session. The louder Mike gets, the quieter Evie becomes. He piles statements and accusations like cordwood. She goes silent. Kiisha has been doing well during the first 3 months of therapy. Today, she is looking more down than usual. Answers to your questions are in monosyllables. She [More]