High-Impact Therapeutic Relationships: 8 Must-Have Skills to Create Authentic Connections, Navigate Tough Conversations, and Repair Alliance Ruptures
- Speaker:
- Alexa Mulee, LMHC, C-DBT
- Duration:
- 3 Hours 03 Minutes
- Language:
- Presented in EN, subtitles in EN and FR, handouts in EN and FR
- Format:
- Audio and Video
- Copyright:
-
Sep 26, 2025
- Product Code:
- POS150286
- Media Type:
- Digital Seminar
Description
You’re already good at rapport – but are your clients still avoiding the hard stuff? Getting stuck in sessions that feel ‘nice’ but don’t move? Or dropping out quietly without real closure?
This training helps you move from good rapport to high-impact relational skill – so clients don’t just feel seen … they stay engaged and do the work that’s not always easy, but absolutely necessary.
In this advanced, practice-focused training, you’ll uncover subtle missteps even seasoned clinicians miss – and learn exactly how to fix them.
Renowned presenter and clinical expert Alexa Mulee, LMHC, C-DBT brings you eight powerful, easy-to-apply techniques to build trust and connection from the very first session – and sustain it, even through challenges.
Whether you’re meeting a new client, navigating resistance, or repairing a rupture in trust, you’ll walk away with strategies that help you:
- Create an atmosphere of safety and authenticity from day one
- Use empathy and validation to make clients feel truly seen and heard
- Handle difficult conversations without losing the therapeutic bond
- Adapt your style to honor diverse backgrounds and unique client needs
These tools aren’t just for your clients – they’ll transform how you experience therapy, making your work more engaging, effective, and fulfilling.
Register today for this essential training and become the clinician who doesn’t just offer therapy – but creates a space where real healing begins.
Credit
Program Information
Planning Committee Disclosure - No relevant relationshipsAll members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.
NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.
Continuing Education Information: Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your licensing board's rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval.
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.
Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.
For Planning Committee disclosures, please see the statement above. For speaker disclosures, please see the faculty biography.
Earn up to 3.0 CE hours. Please see below, for more details, as credit amounts vary by jurisdiction and profession.
PESI, Inc. is approved by the Canadian Counselling and Psychotherapy Association to offer continuing education for counsellors and psychotherapists. PESI, Inc. maintains responsibility for the program. This self-study activity is approved for 3.0 credit hours.
PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 3.0 self-study continuing education hours. Full credit statement at: www.pesi.com/cpa-statement

PESI, Inc., #1062, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: January 27, 2026 - January 27, 2029. Social workers completing this course receive 3.0 Clinical continuing education credits.
Course Level: Intermediate Format: Recorded asynchronous distance. Full attendance is required; no partial credits will be offered for partial attendance.
Canadian Social Workers: Canadian provinces may accept activities offered by providers approved by the ASWB ACE program for ongoing professional development.
This self-study activity qualifies for 3.0 continuing education clock hours as required by many national and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 3.0 contact hours. Expires: 09/11/2028.
Handouts
| File type | File name | Number of pages | |
|---|---|---|---|
| Manual - High-Impact Therapeutic Relationships (2.4 MB) | 18 Pages | Available after Purchase | |
| Manual - High-Impact Therapeutic Relationships - French (2.4 MB) | 18 Pages | Available after Purchase | |
| Manual - High-Impact Therapeutic Relationships - Italian (2.4 MB) | 18 Pages | Available after Purchase | |
| Manual - High-Impact Therapeutic Relationships - German (2.4 MB) | 18 Pages | Available after Purchase | |
| Manual - High-Impact Therapeutic Relationships - Spanish (2.4 MB) | 18 Pages | Available after Purchase |
Speaker
Alexa Mulee, LMHC, C-DBT Related seminars and products
Wise Mind Counseling, LLC
Alexa (Lexi) Mulee, LMHC, C-DBT, is a highly sought-after speaker and DBT instructor who has worked extensively with DBT in both inpatient and outpatient care settings for almost a decade. The owner and founder of Wise Mind Counseling in New York City, she focuses her work on DBT and offers a multitude of services, including skills groups, individual sessions, treatment teams, and phone coaching. Her expertise working with individuals dealing with borderline personality disorder, eating disorders and addiction. Known for her ability to make learning fun and accessible, Alexa has a knack for making even the most complex concepts feel easy to understand.
PESI is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organizations.
Speaker Disclosures:
Financial: Alexa Mulee has employment relationships with Wise Mind Counseling, LLC. and Inter-Care. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Alexa Mulee is a member of the American Counseling Association.
Additional Info
Program Information
Access for Self-Study (Non-Interactive)Access never expires for this product.
For a more detailed outline that includes times or durations of time, if needed, please contact cepesi@pesi.com.
Questions?
Visit our FAQ page at https://www.pesicanada.ca/faq or contact us at https://www.pesicanada.ca/contact-us.
Objectives
- Determine the components of establishing trust and connection with clients.
- Identify strategies to manage challenging client interactions while maintaining rapport.
- Use rapport-building techniques to honor diverse backgrounds and identities.
- Choose strategies for maintaining rapport over time, including techniques for repairing ruptures.
Outline
The What and the Why of Therapeutic Rapport
- Common challenges in building and maintaining trust
- The neuroscience of connection
- How safety and attunement impact client engagement
- Surface-level rapport vs deep, meaningful connection
The 8 Core Skills for Building Strong, Sustainable Client Relationships
- Lock in the Little Things
- Bridge Therapy to Real Life
- Let Your Face Speak Too
- Lighten the Load with Laughter
- Meet Them Where They Are
- Small Talk, Big Trust
- Be the Co-Pilot, Not the Captain
- Goal Wrangling
Clinical Considerations
- Rapport-busters: What not to do
- Tips to navigate tough conversations
- Balance empathy and professional boundaries
Rupture & Repair in Therapy
- The importance of clinician accountability
- Listen & validate … sincerely
- Co-create repair solutions
- Options for corrective experiences
- Limitations of the research and potential risks
- Case studies
Target Audience
- Counsellors
- Social Workers
- Art Therapists
- Marriage & Family Therapists
- Addiction Counsellors
- Psychologists
- Psychotherapists
- Case Managers
- Physicians
- Nurses
- Mental Health Professionals
Reviews
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