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A thread of the posts by @cait.bsky.social. They read as follows:
I had my first talk therapy session with my new therapist and she hit me with the “you’re very self-aware” ☹️
not the “pleasure to have in class” of therapy
that’s right, I know all the tools and have developed countertools so they no longer work. welcome to thunderdome
My understanding is that it’s the best method we have at the moment, but might still be ineffective for as much as half of all patients who undergo it.
So, yeah, it kind of sucks, but no other intervention has a better body of evidence behind it. Our understanding of mental illness is unfortunately just very limited.
I seem to recall that, consistently, the quality of the therapeutic relationship is the most important factor for improvement. In other words, get a therapist you like rather than one specialized in a certain branch of therapy 🤷♀️