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by starpilot 2399 days ago
I suspect the amount of non-responsive patients is greatly downplayed by most therapists. Obviously they have a strong incentive to do so. From SSC:

> I work in a clinic with about ten therapists. Some are better than others, but all of them are competent. I send my patients to them. In a few hundred patients I’ve worked with, zero have had the sudden, extraordinary, long-lasting change that the therapy books promise. Many have benefited a little. A few would say that, over the course of years, their lives have been turned around. But sudden complete transformations? Not that much.

> When I try all the exciting new therapies on them, they just sort of nod, say that this sounds like an interesting perspective, and then go off and keep having symptoms. It’s very rude!

https://slatestarcodex.com/2019/11/20/book-review-all-therap...

He goes on to talk about how CBT success rates have been falling, seemingly due to the wearing away of its novelty-induced placebo. As a chronic depressive, my "temporary" 20-year-old problem (if you had cancer for 20 years, would you like people to call it "temporary"?), this is the most relatable and reasonable article I've ever read on the subject.

1 comments

It's so hard to find the other side of the argument for therapy, I appreciate your links!

The advertising for CBT as an entry point for therapy is over valued. Therapy should really advertise more effectively as a social role rather than going deep into the task oriented stuff.