Evidence from tracking client’s progress at each session

"Andrew's evidence of recovery/improvement is a staggering 88% (of all he sees for two or more sessions) - a match for the very best of national data (of all therapists nationwide for which there is data)."

For over four years now, virtually all of my clients have evaluated their progress at each session of therapy, by completing a short questionnaire. This gives an objective measure of their emotional health/distress over the previous week and so evidence of progress in the counselling.

Over 85% of clients who come for two sessions or more of counselling (and therefore provide a measure of change) show significant improvement or complete recovery.

• 85% is a very high number compared to the many studies undertaken for all types of counselling.
• This can give you real confidence and hope if you are considering making contact.
• These results give me confidence and this transmits to my clients and helps the healing process.
• During therapy, we can together monitor progress - and so know when there is little or no improvement and then change tack if necessary.
• At the end of therapy, we can see the extent of progress and improvement - which may surprise you.

The graph below shows the results of clients scoring how they felt at the beginning of at least two sessions. This gives a comparison of before and after changes. The results have been collated from completed evaluations of 250 clients during the last three years.

Do you see the green dots on the green background? These are the clients who improved by a significant amount (more than 5 points) or completely recovered (to a score of less than a score of 10). These green dots are over 85% of the total.

There are a few dots (red and green) close to the sloping central line. These are the clients who did not change over the therapy by a meaningful degree. Many scored a little better and a few scored a little worse.

Those dots closer to the right side represent clients who came to me highly distressed while those toward the left hand side were less distressed at their first session.

There is just one red dot on the red background. This means that over this period, there was one client who was feeling significantly worse at the final session. Fortunately her level of distress both before and after was quite low.

The CORE system of evaluation is used:

Green dots on green background = significant improvement.
Green dots on white background = modest improvement.
Red dots on white background = worsened modestly.
Red part of the graph = worsened significantly.

The horizontal measures the CORE score at the first session.
The vertical measures the CORE score at the final session or from follow up.
Scores below 10 measure good emotional health and recovery.

• From 10-15 is mild distress
• From 15-20 is moderate
• From 20-25 is moderately severe
• Above 25 is severe



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Return from Evidence to Feeling better Counselling
Return from Evidence to Counselling





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