During a phone conversation, what is the most therapeutic response to a client expressing distress?

The most therapeutic response in this scenario is to ask the client, "What's happening right now that prompted you to call?" This approach is beneficial because it encourages the client to focus on their immediate feelings and the situation that is causing their distress. It allows the client to express their current emotions and thoughts, which can be therapeutic in itself. By prompting them to articulate what is happening in the moment, you help the client gain insight into their feelings while also validating their experience. This response fosters a supportive environment in which the client feels heard and understood.

In contrast, the other responses might not be as effective in providing immediate support. Asking if there’s anyone with them could shift the focus away from the client's emotions to their social support, making it less personal. Inquiring about what they think a situation means involves more interpretation and may not directly address their current feelings of distress. Asking how they usually handle similar situations may lead to reflections that are less focused on the present emotional state, potentially minimizing the urgency of their current distress.