What Therapists Say and Why They Say It, 4th ed, is one of the most practical and flexible books available to counseling students and professionals. The new edition includes several new techniques, as well as a robust section on the use of AI in counseling, continued expansion of telehealth counseling, and the use of robots and holograms in the counseling process. Transcripts show how to integrate and develop content during sessions, and practice exercises help readers develop, discuss, combine, and customize various approaches to working with clients. Specific additions have been added to address the use of technology in therapy, as well as basic core competencies expected for all therapists. "Stop and Reflect" sections have been introduced to chapters, along with guidance on the level of skill associated with each individual technique. What Therapists Say and Why They Say It is also arranged to help students and new professionals make clear connections between the skills they learn in pre-practicum, practicum, and internship with other courses in the curriculum—especially the core Council for Accreditation of Counseling and Related Educational Programs (CACREP) areas.