Therapists report alliance ruptures in 37–56% of early sessions.
I’d have said “hardly ever” about mine.
Am I kidding myself?
therapymeetsnumbers.com/i-do…
Until recently, if you’d asked how often my clients and I hit a rupture, I’d have said: hardly ever. My data seemed to agree.
Then I read the research. Now I’m beginning to wonder.
therapymeetsnumbers.com/i-do…
Not a dig at individual therapists — most of what we do is genuinely remarkable. But a 72% "helpful" figure across the profession is worth sitting with. Thoughts?
therapymeetsnumbers.com/how-…
72% found therapy helpful. 76% would recommend it. Flat on last year. If you're a practitioner, does that number match what you'd hope to see from the profession?
therapymeetsnumbers.com/how-…
72% found therapy helpful, 76% would recommend it. Numbers from BACP's latest public perceptions survey and basically unchanged since 2025. Genuinely — is that a number we're comfortable with?
therapymeetsnumbers.com/how-…
Would you book a hotel rated 7.2/10?
That's roughly where therapy sits in BACP's latest public perceptions survey. Here’s what the numbers actually say:
therapymeetsnumbers.com/how-…
72% of people who've had therapy found it helpful.
76% would recommend it.
Sounds fine — until you flip it. That's 1 in 4 walking away without a clear "yes."
Would those odds convince you to try therapy?
therapymeetsnumbers.com/how-…
Does brief therapy yield better outcomes?
How can this be - the higher my average sessions per client, the poorer my outcomes. Any thoughts on why? therapymeetsnumbers.com/does…
All very depressing, but doesn’t it rather suggest that as individual therapists we need to do much more in terms of evidencing our impact? I’ll take on an AI therapist any day of the week on the basis of my outcome data. Bring it on!
Replying to @Glennademeter @SusanChubb1 @Sam_Arkim @stopthemachine7 @NarcAware @stonesister7 @DamianHastie @RealBristolNews @mattprescott @anabl18 @TheBMA @TheLancet @PatientVoicesUK @SocialistNHS @DefendourNHS @NHSMillion @GreenJennyJones @LonGreenParty @CarolineLucas @labourlewis @carolvorders @PeterStefanovi2 @mrjamesob @MarinaPurkiss @danielgoyal @AndrewMeyerson @AlisonGeorge10 @docrussjackson @BlayneyDeborah @shady_inf0 @WriterJackWhite @BACP @prof_standards @NHS @YouTube @MHI_Charity @TheMixUK @crisis_uk @AIatMeta @CrisisTextLine @NAOorguk @VentureBeat @BPSOfficial @UKCP_Updates @BritPsyCouncil @GoodLawProject @ChtyCommission @NCA_UK @Therapy_Numbers @betterhelp
"Human therapists, like other care workers, could soon be among the lowest-paid workers in the economy."
Artificial Intelligence and the future of NHS Talking Therapies, January 10, 2025
mentalhealthaction.uk/2025/0…
Does brief therapy yield better outcomes?
The higher my average sessions per client, the poorer my outcomes. Why?
How secure are your online notes?
This horror show concerns a platform that was grossly negligent in its security. I would touch anything that doesn't feature two-factor authentication at the very least. theguardian.com/technology/2…
Does brief therapy yield better outcomes?
Looking at my outcome data over 5 years, I’m seeing the higher my average sessions per client, the poorer my outcomes. How can this be?
therapymeetsnumbers.com/does…
Does brief therapy yield better outcomes?
It surely makes sense that more sessions yield better outcomes, right? My improvement rates over the past five years, however, suggest otherwise.
therapymeetsnumbers.com/does…
Our survey shows practitioners who use their ‘felt sense’ to estimate how many of their clients improve rate their outcomes as worse than those with actual data. Ideas on why? therapymeetsnumbers.com/how-…
According to our survey psychotherapists reckon they get better outcomes than counsellors. What are your thoughts? therapymeetsnumbers.com/how-…
How many of your clients get better? We asked you to say what proportions of your clients improve, stay the same, and deteriorate. You told us, and we compared your responses to a 2012 study and to some established benchmarks. This is what you told us.
bit.ly/44JXMfk
Our survey closes shortly! What proportion of your clients improve, stay the same, and deteriorate? How do we compare with others? We’ll publish results in our next blog...
therapymeetsnumbers.com/how-…
What proportion of your clients improve, stay the same, and deteriorate? Our brief, anonymous, survey will compare responses to a study from 2012. We'll publish the results in a further blog.
therapymeetsnumbers.com/how-…
What proportion of your clients improve, stay the same, and deteriorate? Our brief, anonymous, survey will compare responses to a study from 2012. We'll publish the results in a further blog.
therapymeetsnumbers.com/how-…

