Be versatile. Yesterday you expressed self-confidence and pride in your work while in session. Your client came into the session distressed and severely dysregulated. Noticing this, and without missing a beat, you walked her through some relaxation techniques as well as some mindfulness meditations. Assisting her to experience some sense of calm and peace. 

Instead of being self -critical in regards to what makes a good therapist, there is value in evaluating what makes good therapy. Within that lens I believe it is best practice to be able to notice what the client needs and, therefore, know what to provide your client. I believe an aspect that makes good therapy is the ability to balance the agenda for the session and flexibility to meet the needs of your client. It is also important to be aware of verbal and nonverbal cues as to what the client might need. Once you are aware of your clients’ needs, then turn to your toolbox and try using the tools and techniques that are at your disposal. Observing and knowing what the problem is by listening to the themes and noticing the body language is a great talent that all therapists should learn to develop. Now of course due to your client’s presentation, you may not know exactly what size socket will work, but you do know you need a wrench, not a hammer. 

Consider your tool box as a clinician. I encourage you to continue to know what tools you have in your toolbox, be greatly familiar with them, and only when you know and master your existing tools, do you expand slowly. Lastly, continue to lean on your observation skills, especially paying attention to nonverbal cues and the underline meaning of the content that your client is talking about. Simply ask what does my client need right now?