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With all this well-intentioned exhortation to seek mental health help, I sometimes wonder if the reason people don’t is that mental health is a market of lemons. I personally suspect a randomly picked mental health pro out of the phone book is more likely to harm then help.
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Probably the most important note we’ve published on Epsilon Theory, certainly the bravest. By @WRGuinn. Thank you, Rusty. epsilontheory.com/mental-toughne
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a lot of therapy outcomes research out there. a small amount (5%) of ppl "deteriorate," but nobody asking anymore IF therapy works--evidence of efficacy is overwhelming. the right Qs are WHY does it work and why outcomes haven't improved in the last 30 yrs.
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Do these studies control for self-selection, survivorship bias, and most importantly, variance in provider quality? I’m sure therapy works — under lab trial conditions holding provider quality at a high standard. Not so sure about Podunk U. strip-mall therapy world.
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Interesting you chose “where you received your credential” to be a proxy for “how good a mental health professional you are”. Points imo to a deeper problem in US society beyond just healthcare.
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Outcomes research suggests that 1) level of training, 2) school where training occurred, and 3) years of experience have little to no effect on outcomes. Best predictor of good outcome: quality of therapeutic relationship.
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