Hi, everyone. It's Dr. Niagara again. Our next episode of Psychology Unplugged. Thanks, as always, to all of our

new and long-term listeners continue to reach out. I was able to get a hold of a lot of people this

week and it will interact, and there's some people coming from long distances in the next few weeks and months to see me for neuropsychiavals.

So I appreciate your continued support and interest and continue to send me topics.

Over the last few weeks, you know, I try to do this organically, but also systematically.

One thing that kind of came up from even people I was doing neuropsychiavellous with

and people I've emailed or talked to, there was this kind of common theme of, you know, therapy, it's not

working. So I guess I wanted to explore what are possible, I mean, I talk so much about

to get a neuropsychivel, the efficacy of cognitive therapy, but there's also,

you know, a lot of people by self-reports to say, hey, something's not working. So I decided to,

you know, go to try to find some, some data in terms of what are some you know what's the explanation for this

because you know psychotherapy is so much a part of at least um you know western culture really

occupies a big you know cultural space here it's we have tv shows about it we have movies about

it we we see people you know whether it's law and order, you see in, in shrinking with

Harrison Ford, real therapy is not this, this, it's strange thing.

And it's perceived as this, this, this, this, you know, pathway to, you know, emotional

healing and personal growth and, and, you know, there's ahas and, you know, this transformative experience.

But what, what I found was kind of interesting. This guy, Michael Lambert, who he kind of found, like, therapeutic outcomes are what he found attributed to four major factors.

The first one was like, you know, patient factors, you know, your motivation, the environment, resilience.

That accounts for about 40 percent.

The therapeutic alliance, the relationship somebody has with their provider,

that counts about 30%.

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