Self-Therapy For People Who ENJOY Learning About Themselves

This topic comes from an e-mail letter I received a few months back. I've only done some minor editing.

THE LETTER I RECEIVED:

What is the job of a therapist? To listen? Anybody can do that, and for free!

I've had two therapists that just stole my money.

What is the job of a therapist? Are they supposed to give advice or just sit there? Are they supposed to help you?

I want you to answer these questions!

MY RESPONSE:

This is a great question, and I do want to answer it clearly and thoroughly for you.

The basic answer is: A therapist's job is to help you to change the things you want to change.

So the first thing a therapist does it to ask you what you want to change, and this can sometimes be a very difficult first step.

For example: Some people come to therapists without wanting to change anything at all. Some clients are ordered into therapy by a court. Other people are also sent against their will (for instance when spouses insist that they get help under threat of a divorce.) These people may not want to change at all. They might even be furious that they have to be sitting there talking to the therapist. When people come to a therapist against their will, the therapist's job is to simply hear that they don't want to change, allow them to quit if they want to, and to also encourage them to consider that they can change and that they can make wise decisions about whether to work at their changes in therapy. So, the first reason you might have had a bad time with therapists is that maybe you didn't really want to be there in the first place, and the therapists were essentially "fishing around" to see if you would change your mind.

Another reason you might have had a bad time with the therapists is that there are many different kinds of therapy.

Some therapists are "non-directive." They believe that the best way to help people is to simply allow them to talk and gather insight about what they want to change and about their own abilities.

Other therapists are very "directive" (me, for instance). They are very free with their opinions and they have ongoing and sometimes quite intense conversations with their clients. They believe that change comes partly from "supportive confrontation" (pointing out things that they think the client should consider changing, while sincerely respecting their right to their own choices).

Maybe you ran into some "non-directive" therapists. If so, they certainly were not a good match for you since you want a therapist who interacts with you more.

That leads to yet another reason you might have had trouble with your therapists. The therapists simply might not have been a good match for you. Clients have to take responsibility for finding a therapist who is a good match, and for moving along to other therapists when they run into someone who doesn't feel right to them. (Some men don't work well with female therapists, or with males. People of different cultures might have widely different values than the therapist. Nobody is a good match for everyone.)

Another big problem that frequently happens has to do with addictions. People who are strongly addicted to alcohol or drugs often have to overcome these addictions first before they are good candidates for therapy. Since the addiction is so strong, they often come to therapy with a chip on their shoulders and are very well prepared to defend their right to continue drinking or using. The therapist knows that they can't get better very fast without first giving up their crutch. But the client believes he needs his crutches. So they tend to go round and round without appearing to get anywhere for a while. (What's actually happening during all this time is that the client's trust in the therapist is building very slowly.)