A lightbulb moment

Q: "How many Psychologists does it take to change a lightbulb?" A: "Only one, but the lightbulb has to want to change". Do you know anyone who needs to see a Psychologist? I sometimes get phone calls from concerned friends and relatives asking me to work with someone they know "...who really needs to talk to someone". The first question I ask is how the friend feels about it: do they agree that there is a problem, and do they agree that talking to a Psychologist will help? Often, the motivation to change actually sits outside the person who has the 'problem'. 
Doctors do not have this problem to the same degree, because most medical treatment is done 'to' or 'on' their patient. Your surgeon does not need you to help him make the incision!  But for psychologists, the patient must be an active partner in the treatment process; rather than me doing it 'to' you, we must do it together. This subtle difference actually has huge implications for the whole process. When you go to the GP, how often are asked about your motivation to attend? When was the last time your doctor invited you to comment on your diagnosis? For psychologists, your active involvement, through contributing your own ideas and efforts, is essential for changes to occur, and is the only way ensure they last. 
So, if you have a friend in need, who is a friend indeed, then you may simply have to wait and watch while they work out what 
they want to do about their difficulties. If you want someone to change, first consider if they want the change as much as you do. 
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