Is it possible for therapy to be effective if the client dislikes the therapist?

If it's a matter of simple dislike, I think some therapy can still be effective, if the client is willing to tolerate the dislike. It probably is more feasible in non-relationship based modalities. I mean some people find CBT from a workbook effective and there's no personality involved at all. But I think it has to be simple dislike, not mixed up with other perceptions. I think respect and a certain degree of confidence in competency are necessary.

In medicine, surgeons are notorious for their lack of bedside manner, but if they're highly competent in surgical skills, the operation will be successful. But I would want a different kind of competency in a GP, so a poor bedside manner would be a deal breaker for me.


Bottom line, life is short, Ts are a dime a dozen, and I wouldn't want to spend an hour a week with someone I actively disliked.

For me personally I wouldn't be able to do therapy with someone I didn't like. I think that would make it uncomfortable to open up to the person. I have enough trouble opening up to one I do like at times.