Exceptional people skills are necessary when working with first-time patients. There is an art to a thoughtful analysis. So many times in our efforts to complete the rigors of the documentation process we lose sight of all the inner-dynamics that are transpiring and if interpreted correctly, can bind the client /patient to us and to our treatment practice. None of us can afford the luxury of a poor treatment interview. Hectic pressures which are just a natural byproduct of a highly successful professional environment, force us to operate at an astounding pace. Our velocity when accomplishing demanding tasks does little to relax and reassure those who are slightly apprehensive when they first set foot inside our doors. This is especially true today when it seems as if patients and clients are more skeptical and distrustful of business entities than ever before. The importance of the way we handle the client / patient sets the tone for any and all therapeutic actions that follow. Broadening our scope of reference about the initial engagement process and incorporating some new insights will help to promote a more adaptive transition into our care. The first time we meet and greet a new client /patient we encounter a complex interplay of many variables. We start off with a simple gesture such as a handshake then we move on from the outstretched hand to the next stage of the introduction which is to convey as quickly and efficiently as possible, our competency. Depending on the sense of safety the client / patient experiences we graduate to the next level, which is to explain our intentions and begin the questioning process. Our interviewing goals change as we progress through the various stages of getting to know the client / patient better. A casual and fluid form of exchange slowly blends into elements of empathy expressed through statements or genuine concern and as a result of gestures that demonstrate our compassion. In only a few minutes we have communicated common kindness and through an attribution of sensitive qualities we have shown the new client / patient a real consideration for them that is so telling. If we are willing to make a thoughtful analysis of the new client / patient and carefully calculate how we can accurately reflect an enlightened provider then we can accomplish so much more than we can ever possibly imagine to both trusting and guarded personality types.