this post was submitted on 09 Oct 2023
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Showerthoughts
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You're right, still don't you think by the questions they ask or the subjects they bring up, some therapists are better or worse? The main thing I'm getting at is like wise Donald Rumsfeld said, there are known unknowns and unknown unknowns - without implementing a team of therapists (who don't know the other ones exist and with each you bring up the same subjects and anecdotes) you won't be able to compare them and determine whether you're getting amazing treatment or criminally negligent advice
People usually go to therapy for a reason. If you're 3-4 sessions in and there is no treatment plan with explicit goals to address the reason you're there, that's a bad sign. If you're in therapy for a while and don't feel like progress is being made, also a sign to address it directly with your therapist or move on to someone else.
Therapy is not going to be a measurable experience like you want it to be. The literature consistently shows the most common predictor of success in therapy is how well you get along with the therapist. Other evidence-based treatments (eg CBT, DBT, CPT) are geared toward specific symptoms, and not as useful for the "worried well"
It would also be against most therapists' ethical codes to treat you without directly communicating and coordinating with your other providers. If they find out you're in treatment with other therapists at the same time and hiding it, they would probably terminate services.
I appreciate the actual information. I had hoped among other things calling Donald Rumsfeld wise would give away that I'm not being entirely serious.
Oh, I quote Rumsfeld all the time and just thought we were jibing. Like Donald Rumsfeld always said, "I believe what I said yesterday. I don't know what I said, but I know what I think and I assume it's what I said."
Ah, got it! You go to war with the army you have.