According to a study conducted by BetterHelp and Ipsos.digital, 73% of people who have consulted mental health professionals have stopped at least one therapeutic follow-up. Among the reasons cited, 26% indicated that their goals were achieved, 21% found another therapist, and 47% completely gave up consulting. Additionally, 45% of those who interrupted their follow-up mentioned reasons related to the choice of therapist, including bad feelings (23%), lack of trust (18%), or a therapeutic approach that did not suit them (18%).
The study highlights the importance of building a strong relationship, known as a therapeutic alliance, with a mental health professional. This relationship relies on elements such as trust, shared goals, and an agreement on how to work together. Christelle Nahas, a clinical psychologist and director of clinical operations at BetterHelp France, states that changing therapists should not be perceived as a failure but as a way of choosing what is best for oneself. Trust, the feeling of being understood, and alignment on the subjects to be addressed contribute to building this alliance.
Signs that it may be time to change therapists include a lack of reliability, such as regular rescheduling or cancellation of appointments, which can shake the foundations of trust and hinder the formation of a real therapeutic alliance. A critical therapist who judges or misunderstands the client can prevent progress in therapy, as noted by Ann-Louise T. Lockhart, a certified pediatric psychologist and parent coach. Additionally, an insistent therapist who pushes the client to confide in areas they are not ready to discuss may indicate a lack of respect and understanding. Mental health professionals should provide recommendations but should not give directives on how to lead one's life.
The study underscores that the therapeutic relationship is a key factor in the effectiveness of mental health treatment. It suggests that individuals should feel empowered to seek a different therapist if they feel the current one is not meeting their needs. This process can be an important step in finding the right support and achieving long-term mental well-being.
Signs Indicating the Need to Change Mental Health Professionals
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