This week's guest Adam shares his experience of seeing a therapist for five years without any noticeable benefit. When should clients – or therapists – start to wonder if it's time to end the therapeutic relationship? As it turns out, there's a lot of research suggesting that therapists need to do much more than simply wait for their approach to start working…including accepting the likelihood of treatment failure.

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Show Notes:

• Bergin and Garfield's Handbook of Psychotherapy and Behavior Change
• Anticipating and Planning for the Duration of Counseling
• Dose-effect vs. Good Enough Level: A comparison of treatment length and maintenance of treatment gains at follow up using the Outcome Questionnaire-45
• Early Improvement as a Resilience Signal Predicting Later Remission to Antidepressant Treatment in Patients With Major Depressive Disorder: Systematic Review and Meta-Analysis
• What Clients Find Helpful in Psychotherapy: Developing Principles for Facilitating Moment-to-Moment Change
• Karl Tomm's Collaborative Approaches to Counselling
• Very Bad Therapy: Website / Facebook / Tell Us Your Story