Step four and five, step four client receives this conveyance of recognition, and Step five, client provides feedback that the recognition has been received. The last two steps in the empathy cycle emphasize the subjective nature of empathy. No matter how accurately you believe you have understood the client's perspective, and no matter how effectively you believe you have communicated this understanding, empathy is incomplete. If the client does not feel understood, clients may provide direct feedback stating they feel understood. But this feedback is often less obvious. You should look for key nonverbal indicators of agreement suggesting that empathy has been received by the client, including head nodding, muscle relaxation, open posture, increased eye contact and and Increased readiness to speak.

Skills use to express empathy should be adjusted over the course of the interaction, if they are not recognized or not well received by the client