One of the most important elements in therapy is active participation. When you seek therapy, the therapist can guide you in understanding and addressing your issues, but they cannot fix everything. You have to put in the work yourself. The quality of the client's involvement in psychotherapy is a significant determinant for the outcome, as Orlinsky, Rønnestad, and Willutski emphasised in 2004. In other words, the more committed and actively engaged the client is, the more likely they are to experience positive changes in their life.