Wednesday, April 27, 2011

How to Determine the Length of Therapy

Many times clients want a sense of how long they will need to be in therapy. Of course they have the freedom to leave at any moment or session that they choose to never return again- thus, it depends predominately on them. However, for those that entrust the wisdom of therapists there should be a distinction made between those clients that are highly motivated to change and those that are simply appeasing others. For the latter I would suggest less than one session and for the former, an agreed upon time frame can be useful when trying to target goals. This can hold people accountable for trying to genuinely create change outside the therapy walls. However, for those that appreciate the ebb and flow of therapy and the uncertainties in life that keep structured work from always making sense, a time frame may not be a useful concept. In the age of Quick Fixes, it is good practice for therapists to suggest the possibilities that can exist in short and long term treatment. This can then be paired with a client's desire for a timetable or not. I do think their is a place for establishing a time frame- however, this can put an unnecessary pressure on both client and therapist alike. What makes more sense is to have a timetable to take stock of the process of change as oppossed to the achievement of specific goals. The nature of goal setting can be quite productive, so long as it allows for the flexibility to shift gears if the therapy calls for such.

Cheers,

Bryon Remo
Licensed Marriage & Family Therapist
Southbury, CT

Specializing in Couples and Adolescent Issues.

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