If someone you're paid to meet with each wk wants to meet more often, how do you explain the only reason you're saying no is because they're stressful

@MyTurn Then by all means ask. BTW , it sounds like this patient is either someone with a personality disorder or is on the ASD spectrum. I'm curious why she wants more intensive therapy. Just the fact that she came into a non private setting with a list of traits in therapists that she would or wouldn't see speaks volumes.
In my experience, part of my role as a therapist is to hold up A mirror to to certain patients and essentially say " this is how you're coming across to others and that's why they're treating you as they are." You have to be diplomatic and side with the patient's desire to be accepted and acceptable but in the long run you are helping her change and grow. This can actually be an opportunity to do some effective therapy. Good luck

I don't think I understand the question.

I can't figure out what you're trying to say? Lay out the problem clearly.

Ah. Much better. Are you a therapist? Stressful patients are the coin of the realm or else they wouldn't need therapy. Having said that, your clinical supervisor should be useful in helping you strategize ways to intervene. If not, you always have the option of recusing yourself and requesting the patient be reassigned to another therapist.

Have you considered referring them out?