ABSTRACT
This chapter focuses on handling collateral problems, difficult clinical situations not related to direct interactions with patients. These collateral problems include dealing with family members, especially when they present as a self-righteous or divided front. In general, power struggles must be avoided, and verbal aikido is recommended to defuse opposition. People hear best when someone starts by agreeing with them. Relieving guilt is always a therapeutic intervention. When having to confront opposition, practitioners are warned to expect counterattacks, retreats, or diversions. Training the office staff in supportive psychological strategies is effective for increasing patient satisfaction. It is important to recognize that staff members also need to feel competent and connected, and to adopt enlightened expectations for oneself. Twelve rules for practitioner survival, derived from clinical experience, are offered. Finally, a structure for achieving self-forgiveness when mistakes have occurred is outlined.
