According to Ivey, Ivey, and Zalaquett, empathic confrontation is a not a distinct skill; it is a set of skills that may be used in different ways. The most common confrontation uses paraphrase, reflection of feeling, and summarization of discrepancies observed in the client, or between the client and her or his situation. However, questions and influencing skills and strategies can also lead to client change.

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Empathic confrontation involves multiple skills like paraphrasing, reflecting feelings, and summarizing discrepancies, but it can also include questioning and influencing strategies to facilitate client change.

According to Ivey, Ivey, and Zalaquett, Empathic Confrontation Is a Not