Adverse Effects of Psychotherapy

Context and relevance. Not ignoring possible negative results of psychotherapy, Russian researchers mainly pay attention to clinical side effects. They only mention psychological side effects of psychotherapy. Therefore, negative psychological effects mentioned by overseas authors have been still waiting for their interpretation. Objective. The objective of this research is an analysis of psychotherapy side effects. Methods and materials. As a research method, we involved the analysis of research data from randomized controlled trials, systematic reviews, and reviews of meta–analyses. The search was made through Medline, PsycINFO, Embase, ProQuest Dissertations, Web of Science, Theses Global, and the Cochrane Library. We preferred PsycINFO and PubMed articles and publications from last 5 years. Results. There are psychotherapy side effects if contraindications to interventions have been ignored. Psychotherapy side effects depend upon factors of the therapist, patient, and therapist–patient relationship. The cultural context and experience of previous psychotherapy also matter. A negative result manifests itself with clinical symptoms and psychological consequences. Psychotherapy interpersonal effects include divorces and break–ups, narrower social circle, and proneness to conflict. Psychotherapy intrapersonal effects include affective loadedness caused by revived traumatic memories, higher stress, and anxiety. Conclusions. The patients’ focus on intense negative feelings in psychotherapy causes affective loadedness in them with the deficit of psychological resources and leads to the appearance of side psychological effects.