This was a question that was asked on Quora and this is how I answered it:
I don’t believe there is one answer as there are many types of therapists out there as well as many types of patients.
If someone is truly depressed or has another type of situation where they have lost their sense of self, maybe their hope of ever achieving whatever life goals they had, they most likely will have the one-dimensional view of themselves as being not good enough, unlovable, whatever it is that they have come to believe about their situation.
On the other hand, there are many very functional clients who have great insight into their issues and they are able to see the hope and with that understand that there is more than one perspective from which to view themselves. They mainly need help putting different things together to better understand where they are and better choices they can create for themselves going forward.
In terms of therapists, there are many who are ready to diagnose their patients and never allow them to have an identity other than that diagnosis which is a shame because at least from my 30 years in the business of mental health the great majority of my clients have been able to let go of the underlying causes to the symptoms that got them the diagnosis moving on to constructive fulfilled lives. I had a client ages ago who was told she would always need antidepressants though they never helped her, only gave her a bunch of really frustrating side effects. Turned out that the symptoms of depression she showed were due to heavy metal damage, leaky gut, a genetic problem she received from both sides of the family – she needed supplements to help her to develop the serotonin, dopamine, GABA her body was unable to do for her, to have her leaky gut repaired, and the heavy metals got out of her body. No amount of therapy or antidepressants was going to help her. I referred her to an integrative doc to help her with these issues.
There are other therapists who understand that one is not their diagnosis and do everything in their power to help their patients overcome whatever needs to be overcome healing the traumas, getting out of negative relationships and environments to be free to move on with their lives as an example.
The bottom line is that it would be doing everyone who is a part of the field of mental health to put everyone in. the same boxes as each is individual bringing their own experiences, abilities, and understanding to the process.
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