When psychotherapy hurts: what we know about clients' negative experiences
Psychotherapy has been proven to help – but not every experience with it is healing. An overview article by Z. Vybíral, T. Řiháček, P. Borovička, and B. Oglese summarizes how clients describe negative experiences, how often they occur, who is more at risk, and what this means for practice. The term "negative experiences" encompasses everything from temporary worsening of symptoms to feelings of misunderstanding to boundary violations from the client's perspective. Although therapy helps most people, long-term reviews show that approximately 5-10% of clients experience an increase in symptoms after therapy and that client dissatisfaction has long been neglected in clinical studies. This is precisely what the team from the Center for Psychotherapy Research at INPSY focused on.