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Why I have stayed with therapists beyond the point at which I believed there were good possibilities at hand: I hoped I was wrong. I thought they might know something I didn't (and I couldn't know if this was true because of the cagey way they avoided discussion of what secrets they may or may not have about their diagnosis, prognosis, or treatment plans for me). I wasn't confident I could find anyone better based on what I'd seen to date in the industry.

. . .
Mainly though, it's the cognitive dissonance. It is so very hard to accept that a person who is charged with helping you, whom you are paying to help you, whose ability to help you is something that you have spent considerable time, effort, and heart on already, can't or won't. It can be absolutely monumental heartbreak, and if one already arrived at the therapist's door in a state of heartbreak, of breakdown, dealing with acceptance instead of dissonance can represent a shot at a breakdown the likes of which one has only limited chances of overcoming. This I know.