Effective Psychotherapy

I want to know that I am helping my clients, which is why I am so pleased that the numbers show that my clients tend to do very well in treatment.

Tracking Client Outcomes

The outcomes below display the average client experience in my practice. It is important to keep in mind that an individual client’s experience with me may be very different from what is shown here.

To learn more about the outcome measures I use, click here.

Client Retention and Treatment Duration

I do my best to get clients to engage and to work efficiently. The data show that I am doing just that.

  • 99% of my clients return for a second session

  • 93.2% of my clients attend three or more sessions

  • 50% of my clients attend 8 or fewer sessions.

  • On average, my clients attend 10.9 sessions

Of course, connecting with clients and working quickly means nothing if clients don’t get better. Fortunately, not only do the numbers show that my clients get better, they also show that they are satisfied with their work with me.

Average Outcome Rating Scale Scores

Client outcome (vertical) by session number (horizontal)

This table tells a story of improvement.

  • Session 1: Client scores are barely above the “clinically distressed” cutoff

  • Sessions 2-5: Client scores have risen, indicating a higher level of well-being

  • Sessions 6-20: Clients scores continue to improve, showing they are in an enhancement stage of treatment

This table displays data from my clients who attend fewer than 20 sessions. I limited the results to these clients because long-term clients (i.e., > 20 sessions) are less common in my practice and their treatment curves look different. On average, long-term clients experience a 23% improvement in their outcomes and score significantly above the clinical cutoff (ORS = 33.22).

Average Session Rating Scale Scores

Client satisfaction (vertical) by session number (horizontal)

This table shows that my clients are getting what they want out of therapy.

  • Client satisfaction with our work together increases throughout treatment

  • Highly satisfied clients are more likely to do well and engage in the treatment process

  • My average client satisfaction scores are 5-6 points higher than those reported in other studies (e.g., Hafkenscheid et al., 2010)

Pursuing Excellence

Not all therapists are as effective as others. The most effective clinicians track client data, collaborate with others, and commit to daily attempts to grow their clinical skill set (Miller et al., 2018).

I seek to become a better therapist by behaving like the best clinicians in our field. I take an evidence-based approach to treatment that includes outcome monitoring each session, ongoing consultation each week, and a systematic approach to improvement each day. The way I practice is an industry exception, not the norm, and it helps assure that I am providing state-of-the-art care for my clients.