54. How Much Therapy is Necessary?

This week’s guest Adam shares his experience of seeing a therapist for five years without any noticeable benefit. When should clients – or therapists – start to wonder if it’s time to end the therapeutic relationship? As it turns out, there’s a lot of research suggesting that therapists need to do much more than simply wait for their approach to start working…including accepting the likelihood of treatment failure.

Thank you for listening. Support the show by becoming a monthly subscriber on Patreon to receive access to bonus episodes or by making a one-time contribution via PayPal.

Show Notes:

• Bergin and Garfield’s Handbook of Psychotherapy and Behavior Change
• Anticipating and Planning for the Duration of Counseling
• Dose-effect vs. Good Enough Level: A comparison of treatment length and maintenance of treatment gains at follow up using the Outcome Questionnaire-45
• Early Improvement as a Resilience Signal Predicting Later Remission to Antidepressant Treatment in Patients With Major Depressive Disorder: Systematic Review and Meta-Analysis
• What Clients Find Helpful in Psychotherapy: Developing Principles for Facilitating Moment-to-Moment Change
• Karl Tomm’s Collaborative Approaches to Counselling
• Very Bad Therapy: Website / Facebook / Tell Us Your Story