We don’t live alone and our behavior is guided by internal thoughts and social envioronment

Traditional psychotherapy entails the notion that therapeutic dialogue between the client and the therapist/counselor in some ways get internalized in client’s mind in ways that allows  the client to change one’s thinking and behavior outside the therapy situations. While this may be true for many who have the capacity to internalize such experiential encounters, by demonstrating their capacity for  “adaptive behaviors” in their daily lives, and by engaging in activities  such as work, family, recreation, hobbies, and other mind stimulating activities, but for many having persistent and long-term psychological problems, who are continually “pre-occupied with their “problems,” and show varying degree of difficulties in “adaptive functioning,” (including in areas of working and long-term memory, problem solving skills, sustaining attention to tasks or problem solving, effective social communication, etc.), this capacity for internalization and in the ability to translate such encounters into thinking and behavior change from therapeutic encounters to outside the sessions  may be compromised, and there is a need to ensure provision of therapeutic prompts in their milieu environment to ensure benefits from such therapeutic encounters. Awareness of our social environment, practice of mind stimulation activities in our daily life,(through work of any kind,paid or volunteer,  recreation, hobbies,  family and social interactions, practice of spiritual faith, etc.) and ability to do reflective thinking and being open to incorporating feedback from others, etc., are some of the  elements of our “adaptive behavior strategies” that we all employ in our daily lives. When this capacity is compromised,  the ability to internalize from therapeutic encounters  to effect changes in one’s behavior and thinking outside the the therapy session may also be impaired, limiting the positive generalization effect from therapy sessions to the outside world. Success of any psychotherapy endeavors, including mind stimulation therapy, must in some ways, ensure that therapeutic prompts are built into one’s social and therapeutic milieu, requiring active collaboration with “significant other people,” and the milieu environment of the client, to effect enduring positive changes and to maximize effect of any therapeutic encounters for people with long-term and persistent psychological problems.