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Today I would like to touch on this topic: success and failure in the process of psychotherapy. The topic is quite delicate in my opinion. Having studied quite a lot of literature throughout my work, I came to the conclusion that it is difficult to find a description of those cases that failed. And so I wondered what this could be connected with. After all, as we know, negative experiences are no less important than positive ones. In my opinion, the success of therapy can be measured by the achievement of goals set at the beginning or during the interaction. The correlation of that life situation and the level of experiences before and after the work done will help to track the dynamics. The result will also be taking responsibility for your own actions, rather than using symptoms to avoid certain situations. A short deterioration in the condition, as a way to encounter difficult experiences that have been repressed for a long time, I would also classify as a positive dynamic. After all, it is the meeting and subsequent elaboration that leads to a deeper understanding of oneself. But if we talk about a sharp and long-term deterioration of the condition (such as an increase in emotional instability, worsening interpersonal problems, etc.), then I would rather classify this as difficulties in therapy. Deadlock situations, the influence of transference, technical errors of the therapist in initial consultations - all of this or each factor in particular can become the reason for such a failure as a sudden interruption of therapy by the client. For example, personal incompatibility plays a huge role in building a therapeutic alliance. If it is not there, then the client will perceive all interventions with negative feelings, which will ultimately increase the level of resistance until the therapy is interrupted. I would like to remind you that in the process of therapy no one is immune from mistakes (just like in life). But there are several things that can make a mistake not a causal failure, but just part of the process. The first thing I would like to emphasize is the therapist’s ability to create an environment for the spontaneous expression of his thoughts. And on the client’s side, this is an opportunity to talk about the therapy process as fully as possible. Second, the therapist understands that his capabilities are limited and that it is impossible to help all the clients who come to him. This can be difficult to admit. Nevertheless, conducting high-quality initial consultations gives a clear understanding of where and how further work will move and whether it is possible in this particular case. If necessary, the client will be redirected to a colleague. In any case, you need to understand that the process of psychotherapy is always about the interaction of two parties. And that the success of therapy will largely depend on the symbiosis of the professionalism of the therapist and the involvement of the client.

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