What came to my mind is my mom. She is a 'difficult' client.
I think her biggest thing is lack of responsibility.
She has her own t for 20 years now, and it works for her. Great!
But, when i was younger i invited her to a t apt to help our communication. My t taped the conversation between us and played it back to her. His point was to show that she was disregarding my emotions. And the only way he could get her to understand that, was to show her herself.
She yelled at him and walked out.
She was a difficult client.
Were good now tho. She finally embraced her lack of responsibility to an extent. We can atleast have a conversation and visit without yelling. Its all good now.

. It has taken 15 years tho. Her personal t must be doing something right.