When therapy works, and when it usually doesn’t

by Rod Smith

Therapy works:

  • When clients are highly motivated to grow
  • When clients are willing to take risks and do new things
  • When clients are willing to be vulnerable with the people with whom they share life
  • When clients are willing to face, rather than deny, necessary and inevitable loss
  • When clients establish a realistic view of what therapy can and cannot achieve and have realistic expectations of the therapist and the process.

Therapy will be an exercise in treading water and wasted expense:

  • When clients go through the motions of getting help without wanting either growth or change
  • When clients attempt to outsmart the therapist and therefore treat the process as a game
  • When clients have a distorted view of the power therapist have and an unrealistic view of what the process may deliver
  • When clients withhold pertinent information
  • When the therapist “pushes” or “pulls” clients against their will and in conflict with their abiding loyalties.

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