Professional Values Here are some of the areas that I believe are important for successful psychotherapy It is clear that the relationship between the patient and the therapist is vital in the treatment process. However, individual situations may exist that could contribute and get in the way of developing a good working relationship. Nevertheless, it is my belief that there are several key ingredients that contribute to establishing the relationship and help make the patient feel safe, comfortable, and facilitate meeting the patient’s goals. Some of these ingredients are listed below. Trust Trust is the intangible glue that forms the bond of the relationship. Trust comes about when the patient is respected, all session information is kept confidential, the therapist shows empathy, sincerity, and exhibits professional skills. Confidentiality When talking about sensitive and private issues, the confidentiality of everything discussed must be maintained. It is the therapist's ethical responsibility to make confidentiality and the patient's safety a priority as mandated by state law. This includes making the patient aware of the risks involved in using insurance to pay for psychotherapy services. Empathy When talking about feelings and matters that are important to the patient, the therapist must become an empathic listener. In other words, the therapist must place himself in the patient's 'shoes' to gain a better understanding and a full appreciation of the patient's situation. Sincerity A therapist should convey a sincere interest in wanting to help the patient. Skills Competence and therapist's skills are an important element. However, if the most skilled therapist lacks the ability to engage in the relationship, build trust through confidentiality, empathy, and sincerity, therapy can become a cold and unpleasant experience. If therapy deteriorates and becomes a negative experience, meeting the patient’s goals can be hindered.