Client Relations and Behavioral Coaching
Client Relations and Behavioral Coaching
This domain tests rapport, communication, behavior-change theory, and adherence. The exam expects collaborative coaching: evoke the client's reasons for change rather than lecturing.
Core rules
- Use motivational interviewing: open questions, affirmations, reflections, and summaries (OARS). Reflect ambivalence instead of arguing.
- Match interventions to the stage of change: precontemplation, contemplation, preparation, action, maintenance. Relapse is a normal part of change.
- Support autonomy, competence, and relatedness (self-determination theory). Collaborative goal setting improves buy-in.
- Write SMART goals: specific, measurable, achievable, relevant, time-bound. Start small enough to protect self-efficacy.
Worked example
A client says, 'I know I should eat better, but I'm not ready.' This is contemplation. Reflect: 'You see a reason to change, and you also feel pressure.' Ask what small step feels possible this week. If the client chooses one vegetable at lunch, affirm autonomy and set a review date. Do not launch into a meal plan.
Traps
Do not use the expert trap, shame, or fear appeals. Do not set goals for the client. Do not ignore culture, budget, or mental health. Do not treat a lapse as failure or stop documenting progress.