The quality of the therapeutic alliance is one of the largest predictors of successful therapy. What doesn't help with building rapport? 25 minutes of paperwork to begin every session. Today's guest Meredith shares her challenges in working with a therapist who failed to convey appropriate messages of empathy but felt very strongly about the positive impact of collecting sticks from the ground.

Show Notes:

• American Foundation for Suicide Prevention: Give a Gift

• The Harmful Effects of Psychotherapy: When the Therapeutic Alliance Fails

• Therapist shortage, or saturation? Depends on who (and how) you ask

• Synchronous Telehealth Technologies in Psychotherapy for Depression: A Meta-analysis

• Best Practices in the Online Practice of Couple and Family Therapy