Abstract
Mental health counselors and therapists are in the business of helping people to change, but humans rely on the consistency of their convictions to help them negotiate the many challenges of life. Even when people’s convictions and actions prove optimally ineffective, people will hold to their beliefs to retain some sense of control over their lives. Other factors, including common diagnostic and treatment approaches and third-party payment systems, can also impede the process of change. In this column and one to follow in another issue, we present common obstacles to therapeutic change, with some suggestions for how to overcome those challenges. The first column will include four of the eleven obstacles that the authors have identified after many years in private and community mental health settings.
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