Why I Use the Term “Patient” Instead of “Client”

Early in my clinical training, I was told that using the term client instead of patient is beneficial to the therapeutic alliance. I was told that it equalizes the power dynamic in sessions and leads to beneficial outcomes. Interestingly, I cannot find a single study anywhere that proves, or even suggests, that this is true. No study could be found demonstrating using the term “client” over “patient” strengthens the therapeutic alliance, shortens treatment time or enhances the treatment in any meaningful way. If you are aware of such a study, please forward it to me using the contact feature. 

Let me tell you what is true: mental illness wrecks havoc on individuals, culture and economy. Depression is the leading cause of disability worldwide. Depression and anxiety disorders cost the global economy $1 trillion in lost productivity each year. In the United States, that is $193.2 billion in lost earnings each year. Heart disease and stroke, the leading causes of death in the United States, cost the economy $131 billion, about 30% less than anxiety and depression. In the era of COVID19, it’s only going to get worse. 

Despite the statistics cited above, mental illness is not being treated with the same attention, seriousness and respect that is given to physical illness. Therapists are not treated as well with insurance companies. In a way, we do this to ourselves because we call the people we work with clients, just like consultants and real estate agents. Meanwhile, there are countless studies to show that mental health can have physical effects on the human brain and body. 

Until society can appreciate mental health to the extent it appreciates physical health, and until I see scientific literature that suggests using “client” improves therapeutic outcomes, I am going to use the term patient. It’s worth noting that I have had patients who preferred to be called clients, and I have no problem doing that for them if they feel like it will help.  

If you reach out to me for coaching or consulting services, I will refer to you as a client. If you reach out to me for therapy, I will refer to you as a patient. If you are interested in being a client or a patient, reach out to schedule a free consultation. 

Book a free consultation with me here.