10 reasons why psychological therapy may not work

The reasons that lead people to seek psychological therapy to resolve a disorder or overcome the discomfort they feel are different and varied. Many think it will be simple and they won’t have to tire themselves during the process, others will resist the change and others might be misdiagnosed.

In some cases, even go to psychological therapy it can be counterproductive (Worsen the problems presented by the person). Although a significant percentage of patients improve, others fail to meet their goals and drop out of treatment.

Ineffective psychological therapy

What are the reasons a person does not comply with the treatment? What sometimes causes patients to end the therapeutic relationship with the feeling that they have not achieved their goals? Here are the main reasons why psychological therapy may not work:

1. Lack of psychological resources of the patient

Is the intervention accessible to the patient? In other words, are you getting the tools you need to improve yourself properly? Can you use them? For example, it may be that a patient some type of psychological therapy is not working for him which requires great emotional involvement because their degree of emotional maturity is lower than what therapy requires.

Perhaps this patient needs some prior emotional training because he has not developed emotional intelligence skills. On the other hand, the patient may have low cultural or intellectual capacity which makes it difficult to treat.

2. The patient seeks to heal without effort or involvement

Psychotherapy involves a certain commitment on the part of the patient to be able to progress. Psychological disorders are not the same as a headache, that is, they require one. active patient involvement. If he does not perform the tasks or apply the strategies worked on during the sessions, he will hardly improve.

3. The patient does not accept the psychologist’s word

The patient may not accept that the psychologist tells him certain things. You also cannot accept who questions their beliefs or principles. If a person is defensive, it is difficult to persuade them to improve.

4. Lack of motivation on the part of the patient

This point has to do with motivation, because if the patient is not motivated it is difficult for psychological therapy to be effective. On the other hand, motivation can be lost if the treatment demands it. major lifestyle changes or when the treatment has a delayed effect. The psychological change is not immediate. This requires, most of the time, changes in approaches or deep-rooted habits, which means time and effort.

5. The patient needs another specialist

Therapy may not be ideal for the patient. There are people who work best with cognitive behavioral therapy and others, for example, with mindfulness. In other words, not all therapies are the same for everyone.

6. Resistance to change

the resistance to change it is a more or less conscious resistance. For example, the patient does not want to lose the treatment he is receiving or the psychological dependence, anticipates the negative consequences after the change, does not want the loss of payments or fears uncertainty.

7. The environment encourages the problem to persist

Certain environments or behaviors interfere with the patient’s recovery. For example, someone who wants to improve their drinking problems and has friendships that make them drink, will most likely have a hard time getting the most out of psychological therapy.

8. There are other issues that make recovery difficult

There may be a misdiagnosis on the part of the therapist because the patient has deeper problems. Additionally, there may be a situation that indirectly affects therapy, such as a bad job or a bad family situation.

9. Patient Misconceptions About Psychotherapy

Many misconceptions can hamper the psychological therapy process. For example, having low expectations of success or too high expectations for therapy, believing that results will be given quickly, thinking about going to therapy will negatively affect self-image, etc. People sometimes have one poor vision possibilities of action of the psychologist. The psychologist is not going to make his patient a happy person, the goal is that the patient has his own life, and that he has the knowledge, the means and the skills to improve his well-being and solve the problems he is facing. is confronted. .

In fact, there are myths and clichés about the profession of psychologist that we summarize in the article:

“The phrases psychologists hate to hear the most”

10. Poor therapist-patient relationship

It is very important that there is a good relationship communication and understanding between the patient and the therapist, which produces a good therapeutic alliance. If there are problems in the interpersonal relationship, the expected benefits may not occur. The cause of this may be a lack of understanding between the two, the attitude of the therapist or the patient, or simply that there is no feeling between the two and no relationship of trust occurs.

Leave a Comment