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Old Feb 24, 2011, 08:37 PM
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sunrise sunrise is offline
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Member Since: Jan 2007
Location: U.S.
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Yes, I think it is possible to make progress with 1 hr per week. I think motivation is important and also how much you are willing to do outside of session. Often, in session we dredged up painful stuff or puzzling stuff or novel stuff, and then I was left on my own to process for a week. I would write in my journal a lot, try to detect what was going on inside of me, if I was feeling anything, what it was, what did it mean, etc. If I never thought about what we did in therapy outside of therapy and what it all meant, then I would have made very slow progress. Also, my T is willing to go fast if the client is able. We did EMDR which is one of the faster methods for working on trauma and this was helpful. Along the way we also did ego state therapy and delved into my past quite a bit, but kept our eyes on the prize, which was getting me to come to terms with the end of my marriage and to end it. This was all hard work, but T was good about keeping me on track. If difficult stuff came up that was distracting us, and T judged it to be something that could wait until after the marriage, then he would say "I promise you that when we are all done with this (marriage), you can come back to this, and I will help you." My T is also very skilled. In contrast, my first T and I made little progress in 9 months so I quit--she was just not that good. My current T and I formed a bond very quickly. That made it easier to do hard work. Looking back, I think I was pretty good at trusting him (although at the time it didn't seem so!), and I think maybe above all else, this can help you move more quickly through therapy. Because if you don't trust your T, it is hard to reveal the hard stuff, and progress then comes in baby steps.

So I would say if you want to make fast progress, to put a lot of effort up front into building the relationship and coming to trust your T.

Another way to go faster is not to feel like you have to tell your T a lot of the "events of the last week", unless really relevant to your therapy arc. In my most intense phase of therapy, T and I never talked chit chat at all; we just got right to it. Now we are in a more relaxed phase, and often chat for a while to start things off.

Suratji, I think your question is a really good one to discuss with your therapist. He may have ways to help you move along more quickly, or can help you keep your main goal in mind (if that is what you want). He may also have a few different techniques to help with specific problems, and can steer you towards the faster techniques, if he knows that is key for you. He can also give you suggestions on what you can do outside of therapy to help you make swifter progress.
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"Therapists are experts at developing therapeutic relationships."
Thanks for this!
Suratji