5 reasons why psychotherapy can fail

I have the impression of not moving forward, why? This is a question that patients ask us from time to time to psychotherapists. Of course, we are all different and this is what makes each session a challenge. When a patient feels they are not making progress no matter how much you attend intervention sessions, you should know how to pay attention to the signs that point to the causes. We will explore this topic below.

    Why can psychotherapy fail?

    First of all, it is important to understand that the process of psychotherapy is twofold: psychotherapist – patient. All psychotherapists work differently, They have their own style of therapy, varied knowledge, etc., and especially people who have a private life, with problems, emotions, their own idea and what happiness is, etc.

    However, regardless of the variability, there are some general factors that influence the success of psychotherapy. If they are absent, the progress will not be as expected or the intervention will fail completely resulting in disappointment, frustration, anger and above all feed a thought that is very common among people who have undergone therapy and which has not been effective. for them: the psychology doesn’t work, it’s a scam or the psychologist doesn’t work, it’s bad.

    Psychotherapy can fail because …

    I will mention a few reasons why a therapy process may fail, not be rewarding and succeed or generate too slow progress.

    1. Link therapist – patient / client

    For therapy to get off to a good start, it is essential to create a good relationship with the patient / client. This relationship should be strong, positive, and based on healthy empathy. Above all, it is important focus on everything related to the patient’s problem and his life in general. On the other hand, the patient must feel understood, at ease and accepted by the therapist.

    When this relationship has not been forged well and force therapy is taken care of, it can be the cause of the lack of progress. It is a more common situation in the care of adolescent and adult drug addicts or other similar disorders.

    2. Work methodology

    As I mentioned earlier, all therapists have their own style of therapy. Some work with approaches based on thought and behavior change, others have a more humanistic, person-centered approach … Therefore, the structure of their therapies is different.

    Some will start the session with a long interview, asking what thoughts are common in problematic behavior, and others with attentive and interested listening without taking notes, etc. On the other hand, there are therapists who are more organized, carry out an appointment control with the planned session and the material ready to work, others can be more improvised or let the patient set the pace of the therapy. .

    If treatment does not progress, it may be due to the therapeutic approach is not adapted to the patient’s problem, Does not make him comfortable, is very passive or very active, concentrates on tasks and the patient does not like performing them, the patient does not like the disorganization of the therapist, etc.

    I recommend letting the therapist know if there is anything about your therapy style that you are uncomfortable with. On the other hand, if you are a therapist, it is good to explain to the patient what therapeutic approach you are using.

    3. Reluctance of the therapist

    Sometimes patients or clients who have personalities or attitudes that the therapist is unable to digest or tolerate come to the consultation. It is a normal thing, it is a person who also has the feeling and has the right not to obtain the full acceptance of the patient as he is. When this happens, it is a good option to refer the patient / client to a colleague.

    4. Patient reluctance

    Like the therapist, patients may be reluctant to advance the professional, Show-negativists, provocative, boring, uncomfortable, unpleasant, uncooperative, desperate, etc.

    If the patient does not cooperate with their therapy process, they will not progress. This is a common thing in therapy; It is therefore important to inform the patient that it is necessary to collaborate in everything that is asked of him, from the tasks to the techniques that will be carried out at each session to the more general ones, thus to obtain significant advances.

    5. Some aspects of the therapist

    Sometimes when therapy is not progressing it may be because the therapist is not fully prepared to attend, out of fear, lack of confidence in their abilities, lack of interest in updating, to use the therapies. Ineffective and without a basis of evidence, because he doesn’t like his job but needs money, etc.

    So, it is good for patients to look for referrals, Ask the therapist if you have your bachelor’s degree, your credentials and college education in order, etc.

      Remember that …

      If you are a therapist and you feel that your patients are not showing great progress, take a detailed account of your sessions, analyze if your therapeutic approach is the best for the type of population you are caring for, trust them, do not do not bother and especially stay up to date because the field of clinical psychology is very wide.

      If you are patient, don’t be afraid to create a therapeutic bond, Trust your therapist and if you don’t like something, let it know. Therapists are there to support those who ask us, so be sure to collaborate with your therapy process as much as you can.

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