Often therapists and clients fail to understand each other. The same way that the bedside manner of a doctor significantly affects the compliance and trust of the client, the various barriers to communication—lack of genuine curiosity about where the client is coming from; unrealistic or incongruent expectations; and failure to approach the whole person, not only the pathology exhibited—can significantly impact the effectiveness of therapy. Often clients do not fully understand the clinician’s explanation of what is needed and are unable to follow the advice given.