Research shows that there are wide variations in psychotherapy outcomes. It also shows that who your therapist is matters more than the type of therapy you receive. This is because so much of therapy’s effectiveness depends on the quality of the therapist-client relationship. What characterizes effective therapists? Two important qualities are empathy and the ability to form and maintain a good working alliance with clients. Clients are good judges of these qualities. Do you feel your therapist understands you? Do you feel you and your therapist are working together toward common goals? If not, let your therapist know how you feel. Any relationship can go off track and what’s important is whether it can be put back on. If it can, you and your therapist will both have learned something important. If it can’t, it might be time to consider a change.