“When psychotherapy works. . .” But in my case it didn’t. I thought my situation was an anomaly, until I got online and found others for whom it didn’t work, and even instead caused other, sometimes worse problems. I was in and out of therapy for over 50 years. I read about therapy, believed in it, even when it didn’t work with a given therapist. “Try another” was the recommendation sometimes. “Dig deeper in yourself and work it out with the therapist” was another. I tried both strategies until the last therapist terminated me after 6 years saying she didn’t “have the emotional resources” to continue. There may, of course, be many reasons to blame me for the failure of therapy. But the fact is that I presented myself for treatment, tried to be as honest and committed to the process as I could. And it failed. I BELIEVED in therapy and maybe that in itself was a problem. A believe without sufficient foundation. It was a belief that ultimately proved false, providing me with what turned out to be false hope and for which I paid large amounts in co-payments and sometimes out of pocket fees. Therapy itself promoted that belief and did not help me overcome it. I’ve done enough research now to know that the rates of failure and ineffectiveness of therapy are not insignificant. And I’ve seen a few studies about the types of harm that therapy can do. But none of that was given to me in order to help me make “informed” consent to “treatment”. Psychotherapy may be an alternative to psychiatry. But it is NOT an alternative which consistently WORKS and without a risk of additional, sometime significant, harm.