Is Continuous Therapy Ethical and Beneficial in Managing Chronic Issues?

While the prevailing norm in mental health care is to provide short-term therapy and terminate treatment once goals are met, some individuals find that ongoing therapy is essential for managing chronic conditions like depression and anxiety. This article explores the ethical and practical considerations of continuing therapy for those dealing with persistent mental health issues and ongoing stressors.

Is Therapy About Cure or Support?

A frequent statement from therapists is that therapy can continue as long as clients are willing to pay. For individuals like myself, who have been in therapy for 15 years and see it as a vital component of my well-being, the concept of therapy as a continuous journey makes perfect sense. While it may seem unconventional to those accustomed to short-term solutions, ongoing therapy can provide a stable foundation for emotional management and personal growth.

The Benefits of Long-Term Therapy

Those who have been in therapy for extended periods often report that it enables them to maintain stability, foster connections, and experience a more fulfilling life. Quality of life is paramount, and for many, the quality of life improvement brought about by therapy justifies its continuation. Despite the challenges, such as financial constraints or societal pressure to terminate treatment, the benefits of therapy can be profound.

Research and Continuous Struggle with Depression

It is well-established in mental health research that depression can be a recurring condition. The DSM-5 recognizes this by allowing clinician specifiers such as "seasonal pattern" or "persistent depressive disorder." Traditional therapies aim to achieve short-term goals, but for those with chronic conditions, ongoing psychotherapy can be crucial for managing symptoms and improving overall well-being.

When Does Therapy Become Less Effective?

There are instances where therapy may become less effective, particularly if the client struggles to apply the skills learned in therapy to real-life situations. When this happens, it is essential to reflect on one's own resistance to change and consider whether an alternative therapist may be a better fit. If the relationship between therapist and client becomes too social and the boundaries blur, the therapist is ethically bound to work towards termination, ensuring that the client receives the best possible care.

Conclusion

Therapy is not just a cure but also a support system. For those dealing with ongoing depression, anxiety, and stressful situations, continuous therapy can be a lifeline. While insurance companies and societal norms may prefer short-term solutions, the long-term benefits of maintaining a therapeutic relationship can significantly impact quality of life. Whether therapy is a necessity or a luxury, it is a personal decision that should be based on the individual's progress and the well-being it brings.