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More Ways to Handle Awkward Situations

In the massage therapy profession, there is the potential for something awkward to happen. You’re dealing with clients who may be in pain or have a real need to reduce stress, and though you’re helping, these clients may feel particularly vulnerable.

The bottom line is that you and your clients are bound to run into situations that leave you both feeling less than comfortable. But there are ways to deal with these situations that won’t jeopardize the professional relationship you have with your clients. Here are a few more ideas to help you through these awkward moments.

You hear negative feedback from a client.

Use this mantra, suggests Suzanne Scurlock-Durana: “Nothing is really personal.” In fact, negative feedback may be an unexpected gift.

Alana Eve Burman, a licensed massage therapist in Boulder, Colorado, agrees. “My first reaction is to thank the client and then let them know I am sorry they didn’t like the work.” You should always make the client feel she’s been heard. “In almost any interpersonal relationship, this can shift the dynamic,” Burman continues.

Some of her best client feedback has come by just paying attention when the massage is over, explains Burman.  “I’ll ask them how they’re feeling and if they want to schedule again—you can get a lot of information that way,” she says.

Potential Response:

“I am so sorry this is a problem but I am really glad you shared it with me. Can you be a little more specific? I'd like to really understand your needs. [Listen] We need to do something about that. If you were in my place, how would you solve this problem? Is there anything else on your mind? My goal is to make you as happy as I can.”


Your client cancels appointments at last minute, is late, or “forgets” appointments.

This problem is a boundary issue that needs to be addressed quickly. "We need to educate clients from the first phone call of our boundaries and stay with them,” says Nina McIntosh, author of Educated Heart: Professional Boundaries for Massage Therapists, Bodyworkers and Movement Teachers.  “For example, 'If you don't give me 24 hours notice, I have to charge you for a cancelled session,'” she says.

And then, follow through! “Even with this policy, clients were surprised when I had to charge them for missed sessions,” says McIntosh. “People are concerned about making a client mad. But do you really want a client who is not respectful?”  

In fact, sticking to your boundaries may increase respect. “When clients are charged for missed appointments,” says Burman, “they take it more seriously.”

Sometimes other factors are at play, such as transference. Barp, for example, had a client who consistently missed appointments, and who was ill with the same illness as one of Barp’s family members.

 “She was pushing my boundaries, and I was having a hard time enforcing my policy because I felt bad for her,” says Barp. Finally, she realized this was helping neither of them. “I told her that I needed her to be respectful of my time and her time,” says Barp. She told her client she would charge her if she missed an appointment. “I really did enjoy working with her,” she says. “I just wasn’t clear with her from the get-go.”

Potential Response:

“You know, you've cancelled at the last minute several times now. I know that you are busy but when I lose an hour appointment, it costs me money. This is beginning to strain our therapeutic relationship. What do you think we can do? I would hate to have to start charging you for missed appointments.  I hope we can come to an understanding, because I really like working with you.”


A client talks incessantly throughout the session.

The lights are low and the music soft. The mood is perfect—and your client won’t stop talking. What do you do? Burman says it depends on the situation.

“Some people will talk because they feel they need to entertain you,” she says. “You can tell them that it’s OK for them to relax and unwind.”

Terrie Yardley-Nohr, author of Ethics for Massage Therapists, recommends taking three breaths with the client and redirecting the session back to its original intent. Remember, new clients may be nervous, and others just friendly, so moderate your irritation.

McIntosh agrees. “The main consideration is whether it’s helping the client relax, not whether it’s distracting you,” she says. “It’s their dime. They can talk, so instead of asking them to be quiet you might tell them to notice how tight they are getting when they talk.”

Speaking from experience, McIntosh says a client may simply be unwinding by talking. “I chatter for 20 minutes, and then they turn me over and I go to sleep,” she says.

Potential Response:

“Do you notice that when you talk your shoulders tense up? Can I do anything to help you relax? It's fine if you want to talk, but the complete benefits of the massage include letting your mind relax as well as your body.”