What kinds of psychotherapy are effective? - Quora
All therapies work….for someone.
The research still says it is the therapist and your rapport with them which seems to have the largest influence. That said, I had to hire a full time staff for my 24/7 inpatient program years ago. After getting through the basic résumé, I had each candidate write a one page paper on their therapy style. When they came in for their interview I had them be the therapist and I role played a pissed off druggy. Within a few minutes, over 85 % did not do what was on that sheet of paper. They slid into what style matched their personality when they got stressed. I identified which style they were really using and asked them to consider using it instead. Addicts could spot someone that was not congruent and drive a truck though them. I found the interviewee typically identified with the schools preference they happened to have trained under. They didn’t get the job.
In addition, I have found patients need different types of therapy over time. It is very hard to get someone to work in session week after week. Sometimes they just want to come in and tell their story. But I have had many people come in from other therapist who primarily used what I call the dream-whip nightmare of sweet agreement/ question. “And how does that make you feel” till the client wanted to scream. They didn’t offer skills or training. Realization only gets you so far. Others sell behaviorism as a rat-in-the-maze cure all until the rat is out of the maze and returns to previous patterns. Sociopaths learn to play rule-players like a fiddle. Some of the most credentialed people I have known where unethical or bad therapist as far as I was concerned. A number of people had such bad experiences they vowed never to try it again.
I am way too blunt for a number of people but it matches my style. I am not offended if they need to see someone else. There are some forms I prefer to use with certain patients as it will impact them better. During the initial interview I asses which style will probably get the job done most efficiently. When I was in training years ago, there was a woman therapist who had the mental strength of a wet noodle. I could not work with her but I saw her work magic with a woman that was so closed and sensitive. I knew there wasn’t another trainer the women would have risked and opened up to. You have to shop for therapy and therapist just like everything else in life.
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