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Writer's pictureThe Reston Letter Staff

How Therapy "Works"

By Hayley Sherwood, Columnist




I often hear the claim that "therapy doesn’t work," and I want to set the record straight. Traditional medical professionals, such as physicians and nurses, receive years of training to treat general or specialized areas of the body. These providers often see upwards of 30 patients per day, spending about 10 to 15 minutes with each one. Many of us maintain long-term relationships with our medical providers, who may care for us and our families for decades.


I have immense respect for the medical profession and feel deeply grateful to the many professionals in this community who have cared for me personally and for my patients facing physical challenges like migraines, chronic pain, autoimmune diseases, addiction, and sleep disorders.


Medical professionals come with a range of interpersonal skills and limitations. For example, you might encounter an exceptional physician with limited bedside manner, whose expertise in treating a specific condition outweighs their ability to engage warmly with patients. In these cases, the relationship with the doctor is secondary to the treatment and care they provide—personality can feel like a “bonus.”


In contrast, therapy revolves around the therapeutic relationship. Therapists typically meet with clients for 45 to 60 minutes weekly or biweekly. Like medical professionals, therapists come with various credentials—Ph.D., Psy.D., LCSW, LPC—each representing unique training and experience. Therapy "works" only if you feel connected to and psychologically safe with your therapist.


What does that mean? Much like dating, you may not "click" with the first or even the second therapist you meet. A skilled clinician will encourage you to reflect after your initial sessions. Ask yourself: Do you feel heard and validated? Do you feel comfortable being honest about your current struggles and vulnerable about your past? If the answer is no, that therapist may not be the right fit for you.


Finding a therapist with availability can be challenging, but persistence is often worth it. Start by exploring behavioral health providers within your insurance network or using therapist referral resources like the American Psychological Association (locator.apa.org) or Psychology Today (psychologytoday.com). You can also ask your primary care provider, a trusted medical professional, or a friend for recommendations. If you or someone you love needs immediate mental health care, please call 911 or visit the nearest emergency room.


Psych’d to see you next month! - Dr. S.


Dr. Hayley B. Sherwood is a longtime Clinical Psychologist in Reston/Herndon. To learn more,

please visit her website at www.oakhillpsychological.com. Please visit the About Us section on our website to learn more about our team of therapists!

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