Jan 27

At first glance, one might think that Therapy Revolution: Find Help, Get Better, and Move On without Wasting Time or Money is slamming the psychotherapy field. However, upon closer inspection of his book, Therapy Revolution, you will learn that Zwolinski, a nationally and internationally licensed psychotherapist and addiction specialist, is suggesting that, as with any field, there are legitimate, competent players who follow best practices for therapists, as well as unethical persons who prey on persons who already are struggling with emotional issues.

In his book, the author encourages clients to empower themselves, by learning how to find help, get better and move on with their lives without getting caught up in “therapy addiction.” According to Zwolinski, many clients are trapped in bad therapeutic situations that not only aren’t helping them get better, but may actually be doing them more damage both emotionally and financially.

Zwolinski says that successful therapy must include five “fundamental ingredients.”
1. The therapist must be a motivated, experienced professional.
2. The therapist must use evidence-based treatments; that is, proven methods and techniques.
3. Therapy must be carried out in a reasonable treatment time frame.
4. The therapist’s hourly fee and the entire cost of the course of treatment must be fair and reasonable.
5. The patient must be a motivated patient.

In the interest of ensuring the client has control over his or her own therapeutic experience, the author has included several checklists throughout the book that can be used by the client in all stages of the therapeutic process – from selecting a therapist to determining when it is a time to move on. The author also includes a number of case studies that assist the client in recognizing what is considered good and acceptable therapeutic treatment, and identifying “red flag” situations where violations and ethical breaches have occurred.

These “red flag” situations are discussed in greater detail in the chapter, “Experienced, Ethical, Competent, and Caring – or Not.” Some are more obvious than others – the therapist is constantly late, has no empathy, behaves unprofessionally or blames the client. Some “red flag” situations are a bit more insidious, and thus, may not be easy for the patient to recognize right away. For instance, the author warns clients of therapists who are manipulative or dishonest, stating, “If a therapist tries to cover up failings or errors, especially if he says his failings or errors are actually “part of your therapy,” this shows he lacks foundational morals.”

Zwolinski also explains that while a client should be able to trust his or her therapist, this does not give the therapist license to use “emotional blackmail” to control his clients, who already are vulnerable:
“By the use of emotional blackmail, a person aims to control another and/or force another to do what the perpetrator wants by subtly or overtly threatening consequences, such as inducing overwhelming guilt in the victim.”

Another “red flag” situation is when the therapist begins to blur the boundaries of what is considered an ethical client/therapist relationships.

“When a therapist’s and patient’s lives intersect in some kind of relationship outside of therapy . . . this is a no-no. Having a professional or interpersonal relationship with a therapist is confusing, at best, and can possibly cause severe emotional suffering.”

Therapy Revolution is a book that is intended to help clients learn to advocate for themselves, establish ethical client therapist relationships and take responsibility for their therapeutic experiences, according to Zwolinski, who states, “By being a savvy consumer of therapy, you have learned how to actively be involved in healing yourself. Now that’s good therapy.”

Richard M. Zwolinski, LMHC, is a nationally and internationally licensed psychotherapist and addiction specialist, who has been practicing therapy for more than twenty years. He is a New York State-licensed mental health counselor.

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