18/10/2026
In this article, author Enrico Gnaulati writes “there is a psychotherapy drop-out crisis that the general public is largely unaware of and that the mental health field apparently overlooks.”
“Estimates of the number of people who discontinue psychotherapy after starting hover around 28-33 per cent, with well upwards of half doing so within the first few sessions.”
“Admittedly, there are those people for whom a brief course of therapy aimed at symptom reduction is both preferred and satisfactory. However, it appears that such individuals are in the minority. A recent survey sponsored by the Psychotherapy Action Network (PsiAN) of more than 1500 adults in the U.S. found that 88 per cent prefer therapy that may take longer because it helps you manage your symptoms and also addresses the root cause of problems.”
“All this begs the question: How much psychotherapy does the typical person need presenting with some combination of anxiety, depression, difficult personality traits, and life distress, to obtain meaningful and lasting change?”
“The median number of sessions received by people entering psychotherapy falls somewhere between seven and nine.
Two research studies point to 30-50 sessions of psychotherapy being linked with significant and sustained alleviation of depression, compared to active, less intensive treatments. The median 7-9 sessions most people typically receive when they pursue psychotherapy falls woefully short.”
What accounts for this underutilization?
“Obviously, there are the material and logistical reasons that people cite for discontinuing: cost/financial hardship, inadequate insurance coverage, transportation issues, scheduling conflicts.”
“But there is something more pivotal and overlooked that explains why most people discontinue psychotherapy.”
Read what it is, in the full article by Enrico Gnaulati: https://www.madinamerica.com/2026/10/the-hidden-psychotherapy-drop-out-crisis/
[Psychotherapy, therapy, counselling, research, psychology, medicine, therapist]
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