How To Tell a "Good" Therapist From a Mediocre One

Bad Therapy

  • May make you feel cared about, but doesn't challenge you to see yourself more clearly or change behaviors that are inconsistent with your highest values.
  • Ignores or overlooks disturbing or destructive habits in order to maintain a conflict-free therapy environment.
  • Leaves you feeling judged, pressured, or manipulated into doing things that don't feel relevant or right for you.
  • Feels unsafe, unproductive, or unprofessional in some way.
  • Feels like it's meeting your therapist's needs more than your own.
  • Rehashes old issues and doesn't lead anyplace new.
  • Over or underestimates how distressed you are, so you feel pathologized or insufficiently supported.
  • Usually ends with phrases like: "Well, we're out of time... Should we set up our next appointment?"\

If anything jumps out at you after reading my lists, I'd talk to your therapist about your needs, concerns, or unmet expectations.

Most people go to see therapists when they're feeling vulnerable or confused. It's important to remember that therapists are just people. We have our own blind spots, fears, and varying levels of experience, comfort, and expertise.

Your therapist sounds nice. But what's most important is that you are getting what you need from your time together. If you have any doubts, concerns, or questions, bring them up at your next session. I would expect her to be willing to address those issues head on, without becoming defensive, and either change course, or refer you to someone who is more qualified to meet your needs.

Best of luck,

Betsy

3/2/2015 8:00:00 AM
Betsy Sansby
Written by Betsy Sansby
When you're really struggling, you need more than a good listener. You need someone who can sort through the details fast, and get you moving in a healthier direction as quickly as possible. You can expect me to: -- Ask direct questions -- Notice what others miss -- Tell you what I really think ...
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Comments
Clearly a therapist who represents a classical Analysis position has "missed the boat." As has any who have assumed a "one up, one down" relationship. Another consideration is whether the counselor assists the client with not just release of emotion, but the processing of this content in a helpful, therapeutic way. Finally, in agreement with the piece above, the therapist must act as an ally and facilitator. The client is not to be considered as merely a research subject or a student upon which one imparts information. Moreover, psychotherapy is much more than simple active listening; there must be something dynamic going on.
Posted by Dr. TCH
Woody Allen said, "After 25 years of therapy, my therapist said something that brought tears to my eyes. He said. "No Habla Englis."
Posted by jai
Your article is spot on and excellent! It is difficult to know that people are receiving "meh" therapy. What a waste!
Posted by Dr. Deborah Simmons
Okay so basically it sounds like I have to fire my therapist and find a new one as there is no way I'm bringing up these points or my general dissatisfaction. That's going to be stressful but I'm not making progress! She's going to tell me I'm not even healthy enough to make that determination. Thank you for sharing.
Posted by tmb

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