The caller is the subject of difficulty

 Common examples, in this case, are those of an alcoholic who comes under duress from his wife; a juvenile delinquent that is directed by the court to probation officer; a teacher that referred a student to a therapist or a school counselor

Such applications arise, usually, from distress of those who are related to the person and less because of the desire of the applicants themselves.  When you try to get, in such situations, the reason for appeal, the answer is that the duress is useful otherwise the applicant would not reach on his own personal initiative

As mentioned earlier, this situation is easy and fast to identify by asking the applicant what made him, in particular, seek treatment now. The answer of the applicant, in such a case, determines the intervention plan: will you work with the applicant that came under duress from others, or request that those who put the pressure on the applicant will come the next meeting together with him and then spread over their point of view about the difficulty