The most important lesson I’ve learned from decades of clinical practice, supervising other therapists, and from psychotherapy research is that there is no such thing as one size fits all when it comes to psychotherapy. Patients must feel comfortable, supported, and safe in talking about their experiences and feelings. They must believe that the therapist is interested in them, invested in helping them achieve their goals, and should feel that the therapist “gets them”. Studies have repeatedly and consistently shown that the single most important factor in predicting successful treatment outcomes is the relationship between therapist and patient. In other words, the most effective therapists are those who are responsive to their patients’ problems, needs, and goals. Rather than relying on a specific set of techniques, I adopt an integrative approach in which I help people achieve their goals, better understand what interferes, and help them master their problems so that they can live more fulfilling lives. The integrative theoretical framework that guides my clinical work, teaching, and research is control-mastery theory. More details about this theory can be found on my publications page and in my book, Transformative Relationships.
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