Coaching Information

Why Therapy Fails Sometimes


I saw a couple for marriage counseling this week, and when I asked them if they had ever seen anyone else for counseling they said they had worked with two other therapists. They had seen one therapist on and off a few years back. They had seen the other one only a few times. They couldn't even remember her name.

I asked what they had gotten from counseling, and much to my chagrin, came a far too typical response: "Nothing." Why doesn't therapy make an impact? Why do people who see a counselor week after week continue to be bogged down with the problems they initially came in with?

Sometimes the therapist just isn't very good. She may be supportive and understanding of her clients' problems, but her skills don't go far enough. She's unable to confront the woman who talks on and on or to tell the man he's out of line with his anger. Or that he needs to stop drawing attention to himself by butting in. Sometimes, too, the therapist is good at helping to identify the problem but is not skilled in coming up with suggestions as to what the person can do to change.

Counseling may also fail because the person going may only be interested in proving it's someone else's fault. Once the therapist hones in on what the person is doing to cause part of the problem, the individual cancels all future therapy sessions. Later on she can be overheard at a party saying how therapy doesn't work.

Sometimes therapy is seen as ineffective because the original goal for going cannot be achieved. For example, a woman is involved in a terrible marriage. She and her husband fight constantly, he runs around on her, he won't come to therapy, and because of religious reasons she's unwilling to get a separation or divorce. In this case the therapist is limited. He can help the woman explore what she gets from fighting. Perhaps it's a pattern she learned in childhood or a fear of closeness. The therapist can teach the woman how to pick her fights instead of engaging in every fight that comes along. He can teach her how to stay on the topic when she and her husband have a disagreement, which will limit the length and intensity of their fighting. And he can help her learn to identify other areas of her life where she will find fulfillment. He can certainly help her cut down the arguments in her marriage. What he can't do is stop the husband from running around.

Sometimes therapy is ineffective because the person going is not willing to put in the energy to make needed changes. He may be willing to come talk about the problem - shyness, loneliness, anxiety, difficulty on the job - but he's unwilling to do what it takes outside of the therapy session to make therapy effective. He won't put himself in a situation where he can meet new people. He refuses to update his skills so he can find a different job. He won't explore other jobs, and he refuses to talk to his boss about his unhappiness.

Therapy is a little like going to the doctor. You want to choose a doctor that has a good reputation. Once you go, you explore your symptoms with the doctor - when they first appeared, how long you've had them, what you've tried in the past. The doctor makes a diagnosis and prescribes treatment. You follow the treatment plan and take your medication. If the medication doesn't work, you work on another course of action. You continue to consult the doctor for other treatment plans or you try a different doctor until you get the problem solved.

Doris Wild Helmering is a St. Louis psychotherapist in private practce. She has written eight books, numerous magazine and newspaper articles on the topics of marriage, relationships and families. Doris guides her clents with calm and sensitivity and solution directed action plans. Visit Doris at http://www.doriswildhelmering.com/blog She'll make you want to change.


MORE RESOURCES:
Google

Boston Globe

John Pont, 80; coached Indiana to 1968 Rose Bowl
Boston Globe, United States - 17 hours ago
NEW YORK - John Pont, the personification of the football-coaching lifer who was best remembered for taking Indiana University to the 1968 Rose Bowl, ...


McGill announces coaching change
RDS, Canada - 11 hours ago
MONTREAL - Stewart McCarthey of Pierrefonds, Que., has been appointed as an assistant coach with the national champion women's varsity hockey team at McGill ...


Swimming coaching course to attract 40
DailyNewsOnline, United Republic of Tanzania - 5 hours ago
At least 40 participants are expected to take part in the swimming coaching course set to be held in Dar es Salaam from July 14 to 19. ...


Men's basketball: Sioux complete coaching staff
Grand Forks Herald, ND - 20 hours ago
He?s been named as a Sioux assistant coach, replacing Chris Johnson who left last week to become head coach at the University of Sioux Falls. ...
UND hires basketball assistants | KXNet.com North Dakota News KXMC
UND fills basketball coaching position In-Forum
all 9 news articles


New Vision

Lubowa considers retirement from coaching
New Vision, Uganda - 5 hours ago
By Swalley Kenyi FORMER SC Villa tactician Asuman Lubowa, who was recently relieved of his duties at the club, is mooting retirement from coaching club ...


PerthNow

Coaching Cats stress-free for Thompson
Sydney Morning Herald, Australia - 5 hours ago
"There wasn't too much to worry about," he said after watching his side dismantle finals aspirant Adelaide by 68 points at AAMI Stadium on Friday night. ...
Craig call for risky business Advertiser Adelaide
all 164 news articles


Melbourne Herald Sun

Andrew Johns and Laurie Daley the perfect NSW Origin coaching team
Melbourne Herald Sun, Australia - Jul 2, 2008
By Paul Kent | July 03, 2008 12:00am SITTING on the sideline, in tie and blazer, was NSW's answer to this latest coaching vacancy. ...
Bellamy to take time over Blues futures Sydney Morning Herald
No takers for NSW job as Fittler passes and Bellamy stays undecided League HQ
Player support for Bellamy Melbourne Herald Sun
Melbourne Herald Sun - League HQ
all 377 news articles


Former players enjoying coaching Bulls
News & Observer, NC - 18 hours ago
Durham Bulls hitting coach Gary Gaetti remembers what then-Boston Red Sox manager Jimy Williams told him when he decided to retire from baseball in 2000: ...


COACHING POSITIONS
Hartford Courant, United States - 18 hours ago
The following position Vocational Pos: Full-time floating Job Coach needed to work with adults with intellectual disability in vocational/ supported elderly ...


Washington Times

Luis Yanez describes coaching conflicts, plans to appeal his ...
KLTV, TX - Jul 2, 2008
AP - July 2, 2008 10:25 PM ET DALLAS (AP) - Light flyweight Luis Yanez tonight is firing back at US boxing coach Dan Campbell, claiming the coach's decision ...
Yanez to appeal removal from US boxing team The Associated Press
Yanez to appeal his removal from US boxing team Dallas Morning News
USA Boxing rebuilding with high Beijing hopes NBC13.com
The Associated Press - Dallas Morning News
all 152 news articles

Coaching - Google News

home | site map
© 2006