> Competency 3: Treatment Strategies for Working with Clients with an FASD > 5e. Counseling Strategies: Boundaries
Competency 3: Treatment Strategies for Working with Clients with an FASD
Counseling Strategies, Continued
It is important to establish a trusting and honest relationship while maintaining
boundaries. Persons with an FASD often lack social skills and may make inappropriate
comments, ask inappropriate questions, or touch the counselor inappropriately. To
set boundaries, it may help to have the client walk through the rules and expectations
and demonstrate expected behavior. Frequent role playing can help the client learn
to apply concepts and figure out how to respond to various situations.
Persons with an FASD frequently experience difficulty with memory, so it is important
to review rules regularly. It is much more effective to limit the number of rules,
review them repeatedly, and role play different situations in which the person will
need to recall the rules. Repetition is key. Assuming that a person with an FASD
can remember because he or she has, or appears to have, a normal IQ is a mistake.
FASD causes brain damage that can affect the ability to recall or apply rules.