Therapeutic Alliance Tensions and Repair in Psychotherapy Practices

Therapist Inclusion Criteria: * regulated health professional * in good standing with a Canadian provincial regulatory college * scope of practice includes psychotherapy * ability to add 3 or more new, English speaking clients to caseload over 6 to 9 months * ability to obtain timely permission to conduct research from therapist's employing institution or health group when applicable Exclusion Criteria: * none Patient/Client Inclusion Criteria: * 18 years of age or older * will participate in psychotherapy sessions in English * will see the study-affiliated therapist for a minimum of 6 sessions in the next 6 months Exclusion Criteria: * already seeing another therapist * diagnosed with a neurocognitive disorder * diagnosed with a psychotic disorder * expressed suicidal behaviour in the past six months as assessed by their participating therapist