Which statement best describes the strategy to use when a client denies personal problems?

• A. Direct confrontation
• B. Giving up
• C. Encouragement
• D. Reframing

Answer: (D)

When a client denies personal problems, reframing is the most effective strategy because it preserves rapport while gently shifting perspective. Instead of arguing or labeling the denial as a flaw, reframing offers a different lens that connects the client’s behaviors to their goals or values, making change feel more achievable. This approach reduces defensiveness and invites self-reflection, which is crucial in nutrition counseling where small, manageable changes often lead to longer-term improvements. For example, if a client says they don’t have a problem with their eating, you might reframe by linking choices to goals they care about—energy for daily activities, better concentration, or weight goals—and suggest a small, concrete adjustment that aligns with those aims. Direct confrontation can trigger resistance, and simply encouraging the client without addressing the denial may miss the chance to shift their perspective. Reframing stays respectful, collaborative, and focused on practical steps the client can take.