**Trust, can't build rapport. Not emotionally aware to connect and express thoughts and feelings. Defensiveness. Lack of insight. Personality. Cyclical depression** - Poor prognostic indicators for basic counselling include: severe depression such that the client struggles to engage, serious difficulties for the client in forming a therapeutic contract; difficulty in articulating thoughts and feelings; high defensiveness; an entrenched belief that they are suffering from a physical illness, serious personality disorder and clear evidence of cyclical depression. - [[Book - Psychotherapy and Counselling for Depression 3rd Ed]]