Researchers from Harvard Medical School had provided a guideline for the psychotherapists as well as the patients in order to prevent patients from dropping out of therapy sessions.
Surveys show that nearly half of people who begin psychotherapy quit, dissatisfied, against the recommendation of their therapist. It's a big problem for both patient and therapist, and, in group therapy, for other group members.
The September issue of the Harvard Mental Health Letter reports on recent research about dropout and what therapists can do to prevent it. Useful steps include these:
Patient selection: Screening patients can help therapists distinguish the best course of action for a patient and recognize ahead of time when a patient is more likely to drop out and might do better placed elsewhere.
Preparation: It can help some patients if they know what to expect in therapy. This may be especially important for group therapy, where a patient may be more intimidated by a lack of privacy and control.
Short-term or time-limited therapy: Therapy that has a fixed end point may encourage a sense of urgency and purpose in patients and reduce the opportunity for leaving early.
Negotiation: The therapist and patient should agree ahead of time on what the patient hopes to accomplish and how to work toward that goal.
Motivational enhancement: Promoting confidence in the ability to change and creating a climate that encourages commitment to change may help patients who aren't yet willing or ready to change.
· Establishing the therapeutic alliance: The key feature of all successful psychotherapy is a strong working relationship between the patient and the therapist. There is no formula for achieving it, although warmth, empathy, respect, and interest are always important. If the alliance is not formed quickly, it may never develop at all.
The Harvard Mental Health Letter discusses these and other helpful steps in more detail, explaining that because there is no single answer, clinicians should try multiple approaches.