I just had a discussion with my general physician. The idea that keeps recurring is that I should believe in improvement to improve. She does in my opinion cast all previous experiences - including some horrible outcomes of therapy - aside. My answer to that is that I will believe in improvement when it is there. So far I dont see it, not now, not in the near future. If she points out small improvements, it is discouraging as well as, at this pace, it will take maybe thirty years before I can start living. Anyway, this whole discussion feels as if believing in improvement is a necessary condition for improvement and that I wont improve if I dont believe in something, even thought the whole therapeutic establishment has taken my belief from me.

I wonder ... Is it necessary to believe in improvement to improve? And what is it exactly that I should believe in?