Success Factors

Why is therapy beneficial to some, but not to others? What makes a poor fit between client and therapist?

Many factors can contribute to treatment failure.

Practice Makes Perfect

“Homework” can include worksheets, readings, dialog scripts, mood charting, and other activities designed to aid the therapeutic process between sessions. However, it can be sidelined when people are leading busy lives. Clients may also feel uncomfortable or hesitant to try new strategies without their therapist present.

Lacking Rapport

Different therapists have their own personal histories, biases, and methods. Sometimes working cross-culturally works fine, but many people would prefer to have access to a therapist who understands their lived experience and culture, speaks their native language, and looks like them. Sometimes, at therapist’s communication style doesn’t mix well with the client’s. A client may also simply not like or trust their therapist.

Experience Makes A Difference

Therapists don’t have comprehensive training in all areas a client might need. Some specialize in treating depression, trauma, families, LGBTQ+ issues, or coping with a terminal illness. Because of the dire shortage of therapists, a client may not be able to access the level of expertise they need to experience improvement within their specific needs.

The Wrong Approach
Within the helping professions, there are many different types of therapy. Therapists must continuously evaluate the effects of therapy on their clients and flexibly apply a different methodology if the current one isn’t working. If a given therapist is unable to adapt, client progress can stagnate or regress.
Missing Motivations

Some people start therapy because they’ve been court-ordered or received an ultimatum. Some lose the motivation to change due to any of the factors previously listed in this article. Whatever the reason, the client must be adequately motivated to remain in treatment, and the best way to do this is to experience noticeable improvements over time.

WHAT DRIVES BEHAVIORS
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