Thanks for feedback Garçon. I totally agree you have to accept you have a problem before you can get better. And this is why I do mention Mentalisation-based-treatment as one particular therapy if a person is too unwell to form relationships, or has no insight (which in many cases sadly is the case). However, there are varying degrees of illness; just as therapy can make a person better it can also make a person worse, for example if it’s the wrong sort or a bad fit. There’s often a belief, therapy will “Solve” the problem which is something the individual, family and even the therapist cling too. This belief often causes further damage, by creating unrealistic expectations. The whole point of the article is show it’s the quality of a relationship (therapeutic or otherwise) is a catalyst for change and can influence outcome, and even spark recovery. Not always, not often but sometimes.