The single best predictor of whether a person will benefit from psychotherapy is how miserable the person is when he first presents for treatment. And on some level, this makes sense. While life can always get worse, if you're going through a particularly difficult moment, it's actually more likely to improve if you make a change. This is called regression toward the mean. However, it works the other way as well. In this episode, I discuss the trap of a B- life.

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