Is My Therapy Going Right?

I got a question via email last week about how to tell when therapy is working. Here it is, along with my answer:

I have been in psychoanalysis to treat emotional abuse for 4 years now, and am still in a really bad place. I exploded in anger and stopped talking to my mother, father, family and friends only writing to them to wish them dead in horrible ways. Then I burst into tears a few times realizing my friends do care and love me. But I am still feeling bad despite having been crying a lot in the past year and having a much better relationship with friends and family. I feel confused and lost. I wonder whether I should change therapists as after 4 years I still feel “like shit” and cannot work properly. Many thanks.

Thanks for your question; I’ll do my best to give you an answer based just on the little bit that you’ve told me. I get that at the moment you feel “like shit” as you’ve had 4 years of psychoanalysis and still cannot work properly, so you’re wondering if your therapy is going right or whether you should change therapists.

How do you know if therapy is really working?

How do you know if therapy is really working?

The first thing I’d say is it sounds as if you’ve made a lot of progress over those 4 years: You got in touch with your inner rage when you exploded in anger; then you set a no-contact boundary when you stopped talking to your mother, father and family; then you communicated to them honestly how you felt as best you could; then you released some grief when you burst into tears a few times realizing that your friends do care and love you. You healed more grief about your family too, so you have been crying a lot in the past year. After all of that you have a much better relationship with your friends and family.

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