Psychotherapy Results and Insurance

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companies require either the therapist, or the patient, or both, to demonstrate that the therapy is helping the patient, in an attempt to make the therapist accountable. Some therapists object because they do not feel talk therapy can be quantified. Others object saying it's a breach of patient confidentiality.
Some experts acknowledge that we have little solid knowledge about which approach will be best for any given patient. The article cites one patient who has found that therapy helped him significantly. He can state why he thinks it works: he had difficulty expressing anger, and the therapist deliberately angered him, and "I just woke up; it was like the Big Bang for me."
Experts acknowledge that they need more information but question whether the best approach is to try to quantify such a spontaneous, interpersonal interaction, especially one taking place over a period of months. The debate is heated and not settled ...

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