Quick summary: check out www.scottmiller.com -With all the political talk about healthcare reform sometimes we can miss the idea of reforming the healthcare which is already in place. The current trend in psychotherapy is and has been (for about a decade) to find a ‘one size fits all’ ‘empirically based or evidence based intervention’ which can be standardized and implemented consistently by all mental health practitioners… sounds somewhat reasonable in theory especially if psychotherapy is to be looked at as a purely medical intervention. So what is the problem? Ironically scientific investigation has proven that the evidence-based trend is unhelpful (the trend will not improve therapeutic outcomes – note: outcomes were already very good before the trend)… and having worked within a mental health center I would suggest that the trend is horribly hurtful as it wastes an unthinkable amount of money, time, and emotional and physical energy. Whoever came up with this trend seemed to overlook all the science related to therapeutic outcomes, which show (and had shown even prior to the evidence based movement) that the technique and the theory used by the therapist is almost irrelevant to successful psychotherapy outcomes (some studies find no relevance others suggest theory and technique accounts for about 8% of outcome).Therapy will not advance if it is continued to be managed as such… fortunately there is exciting research about what does impact outcomes – feedback and adaptability. Would you prefer a therapist who used one way of helping everyone or a therapist who specifically catered their therapy to serve the specific and unique needs of each individual client? Is there one universal answer to the question, “how can I help you,” as it is related to therapy?