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NYC Psychotherapist Blog

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Tuesday, July 11, 2023

Developing Insight in Therapy Isn't Enough to Make Lasting Change

There's a common misconception that if you develop insight in therapy, the insight alone will bring about lasting change.  But this isn't true (see my article: A Common Myth About Therapy: Therapy is All Talk and No Action).

Insight Isn't Enough to Make Lasting Change

Insight alone doesn't bring about change. Insight can help you to understand the problem, which is a good first step.  But you need a lot more than insight, especially when you want to make a major change.

Mind-Body Oriented Psychotherapy Combined With Action on Your Part Can Bring About Lasting Change
As I've written in a prior article, mind-body oriented therapy is also known as Experiential Therapy.

Experiential therapy, including EMDRAEDP,  Somatic Experiencing and Parts Work, provides a window into the unconscious mind (see my article: Experiential Therapy and the Mind-Body Connection: The Body Offers a Window Into the Unconscious Mind).

Experiential Therapy can facilitate change on an emotional level rather than just on an intellectual level.  This means an emotional shift, which can be transformational when it is combined with taking action.

The emotional shift can be in how you feel about yourself, your problems and the necessary steps needed to make lasting change (see my article: Experiential Therapy is More Effective Than Talk Therapy).

Are You Willing to Do the Work in Therapy to Make Lasting Change?
Over the years I've received many calls from people who have been in therapy with other therapists for years but who haven't changed. 

Often they'll say that they gained a lot of insight into their problems and their therapist was nice, but their problems remained the same.

In most cases these clients talked about their problems and the therapist helped them to make the connection between their personal history and their current problems. For most of these clients this was a good start, but that's where it ended.

Insight Isn't Enough to Make Lasting Change

How Contemporary Psychotherapy Has Changed
For the most part, contemporary psychotherapy no longer involves clients free associating to a neutral therapist who barely says a word the whole time. 

Contemporary psychotherapy is much more interactive these days with an active therapist and an active client.

Clients who want to make lasting change need to be willing to do the work. Beyond developing insight, this means taking steps--no matter how small--to make changes.  

I think many people don't realize that working on making changes in is a major commitment  in time and effort in weekly therapy.  

Unfortunately, there are some people who believe that the therapist is the one who does something to bring about the change they want.  But that's not how therapy works. 

In collaboration with your therapist, you have to be willing to make a plan so you can take steps to make changes (see my article: Making Changes Requires Taking Action).

Are You Feeling Stuck in Your Therapy?
If you're currently in therapy and you're feeling stuck, as a start, talk to your therapist so you can both assess how and why you're stuck (see my articles: How to Talk to Your Therapist When Something is Bothering You About Your Therapy and Overcoming Obstacles to Making Changes).

Sometimes there's a part of you that wants to change and another part that doesn't. This isn't unusual. Ambivalence is common for clients in therapy (see my article: Overcoming Your Fear of Change).

An effective way of working with these different aspects within you is to work with a therapist who does Parts Work Therapy, which is also referred to as Ego States Therapy or Internal Family Systems (see my article: How Parts Work Therapy Helps to Empower You).

Aside from talking to your current therapist, take time to assess your own willingness to take action.  If you're not ready to take any steps, you might not be ready to make changes at this point in your life.

If you continue to feel stuck after you have talked to your therapist and you have done your own personal assessment of your willingness to take steps to change, you can consult with another therapist who works in a different way to understand how another type of therapy might help you. 

Sometimes an adjunct therapy, like adjunctive EMDR therapy, can help to enhance the work in your current therapy (see my article: What is Adjunctive EMDR Therapy?).

When you attend an adjunct therapy, you remain with your current therapist and also work with an adjunctive therapist. 

Assuming your current therapist is willing, you provide consent to both therapists to share information about your therapy so they can collaborate on the work.

Being proactive in your own change process can be an empowering experience.

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 or email me.