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I'll start with a direct response, because otherwise I suspect my answer may come across as too ... complex.

> How can I trust a therapist that has a financial incentive to keep me seeing them?

The direct response: I hope the commenter isn't fixated on this framing of the question, because I don't think it is a useful framing. [1] What is a better framing, then? I'm not going to give a simple answer. My answer is more like a process.

I suggest refining one's notion of trust to be "I trust Person A to do {X, Y, Z} because of what I know about them (their incentives, professional training, culture, etc)."

Shift one's focus and instead ask: "What aspects of my therapist are positives and/or lead me to trust their advice? What aspects are negative and/or lead me to not trust their advice?" Put this in writing and put some time into it.

One might also want to journal on "How will I know if therapy is helping? What are my goals?" By focusing on this, I think answers relating to "How much is my therapist helping?" will become easier to figure out.

[1] I think it is not useful because both because it is loaded and because it is overly specific. Instead, focus on figuring out what actions one should take. From here, the various factors can slot in naturally.





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