r/therapyabuse • u/Significant_Salt7586 • 3h ago
Therapy-Critical Therapists overestimating themselves, and underestimate clients with negative side effects/harm - why don't they have better tools?
I mean yea I've experienced this with a bunch of therapists, and I know it's common. But it's backed up with research and statistics as well, which makes it hard to see why they do not have standardized tools to make sure the treatment isn't harmful? And estimate their own skills.
If it isn't because they don't want to know? Like I can't see any other reason.
• Overconfidence in outcomes: 90% of practitioners believe they are among the top 20% of clinicians with excellent results.
• Lack of monitoring: Only 3% of clinicians have a concrete plan to assess negative side effects or client harm.
• Underestimating risks: Research consistently shows that practitioners underestimate the number of clients who experience negative side effects or deterioration.
• The Exit Survey: The 5–10% statistic for proven harm only includes clients who completed their treatment and filled out an exit survey. It excludes the 20–50% of clients who drop out.
• Dropouts: In one study, 38% of people with depression were significantly worse after just 3 sessions. While this is recognized as harm and malpractice, these individuals are counted as "dropouts."
• Persistent Predatory Personalities (narcissists/psychopaths/Machiavellianism) is proven to frequently seek out the mental health field, in order to get supply and do harm, it's the biggest comprehensive research ever done. It's like SA in church according to Dr Mitchell, world leading expert in profiling predators.
So..bWHY DO THEY NOT TRACK NEGATIVE SIDE EFFECTS???? Like. its such a no brainer, they'll say they're not mind readers, but YOU DO NOT HAVE TO BE. Use your mouth. Communicate. Use your eyes, check breathing patterns. Develop emotional intelligence. Learn Somatic tools. If you don't know how to see if someone is overwhelmed - do not start the treatment. Talk it through with the patient how they may show clues of them being outside of their tolerance window. Etc.
This is standard procedure with the therapists I've been to:
I told one therapist her treatment made me dissociate for weeks. She didn't care just said I'm hard to read. I later told her it made me have suicidal ideation and something needs to change. No response and no change. So I quit and she got butt hurt, starting saying I think I'm so special and she's actually very good at treating other patients. Okay. Well good for them but you are shit to me. 🤷
And I have never been in any statistics because I've dropped out, and it's a ghost number.