I have been working with clients who are really frustrating. One woman, for example, kept ‘cutting people off’ from engaging in conversation and I noticed that everyone wanted to avoid her. When I used the Evaluation of Social Interaction (ESI), I got a really clear picture of what was going on: She answered questions directed to others, frequently interrupted her social partners, and monopolized the discussion rather than encouraging others to engage. She also talked with a very loud voice, disagreed with her partners in a rude manner, and added way too much detail to her messages. But I could also see that she had some good social skills, for example, she turned toward and looked at her social partner. She just did not seem to be aware that others got really frustrated with her and wanted to avoid her. Now I have a much clearer picture of why. I can now open a discussion with her, and begin to develop a plan to help her develop better social interaction skills.