The types of interventions or techniques employed will depend on the assessment of the patient. If a more supportive approach is indicated, the techniques include alliance building, skills building, reducing and preventing anxiety, and awareness expanding. Examples of alliance building are expressions of interest, empathy, and conversational style, while examples of esteem building are reassurance, normalizing, and encouragement. Skills building includes advice, teaching, and anticipatory guidance; anxiety can be reduced by normalizing, reframing, and rationalizing techniques. Expanding awareness relies on interventions such as clarification, confrontation, and interpretation. However, interpretation is used sparingly in supportive psychotherapy, and when employed, it is used in a more general or inexact manner. In supportive psychotherapy, defenses generally are strengthened as opposed to expressive psychotherapy, where defenses are challenged so that more in-depth conflicts, feelings, and wishes become accessible to exploration.