If the client makes a conscious choice to deny the message, then the therapist can do nothing for them . . . except appeal to their subconscious. I don't know how to define the subconscious . . . perhaps the base of what makes us human . . . desire, passion, humor, sadness. Emotion. Perhaps the problem, when someone shuts down from help, is that they don't feel close to the therapist. Perhaps its their relative positions; perhaps race; perhaps any number of things. That is somewhat immaterial. Appealing to their emotions can get you past that. Tell a joke. Be funny. Disclose (carefully). At that point it may be possible to bypass their conscious and talk to their feelings. This process would probably take quite a few sessions, but it is a start.
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