Both clients and clinicians overestimate the effect of therapy. Explain the possible reasons for this.
Also consider how the placebo effect and regression toward the mean influence therapy.
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And I would also consider the effects of home remedies, and social communications. Sometimes one of these make you "feel" better, and that is the desired end usually....even if it is imagined. Sometimes, looking for a magic wand ends in finding something you can tout as a magic wand. No wonder, a great many people get their medical advice on Facebook, just getting it makes them often feel better. And medical doctors just love folks who come to them with their own internet diagnosis, and cures for it.
So the answer for the question, is that Medicine and therapy is an Art, not science, and as such, people behold the beauty and value of art individually in individual perspectives. What a describer may order, is not the Art that suits the patient's needs, sometimes the patient just needs attention and therapy to the Self image, and it has nothing to do with the actual therapy. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1125994/