A common question asked by psychiatric patients in psychiatric clinics is, “Can I be cured? Is it difficult to cure my illness?” It is usually difficult for psychologists to answer this question right away because there are many factors that determine the prognosis of psychological illness. One of the most important factors is the patient’s motivation to heal; the more motivated, determined and persistent the treatment, the greater the likelihood of cure. The second factor is the patient’s harmony with the symptoms of the psychosis. The more the patient adapts to the symptoms and the less rejection of the symptoms, the more difficult it is to cure. The first step is to increase the dissonance between the patient and the symptoms before moving on to the real treatment of the psychosis. The third determinant, is the severity of the psychopathy. Typically, schizophrenia responds very poorly to psychotherapy and can be considered largely unsuitable for psychotherapy, with some supportive psychotherapy at best. Among the patients who are suitable for psychotherapy, borderline psychological disorders are the most difficult to treat, and even if the patient is very cooperative, the course of treatment takes more than three to five years. Neurological disorders are relatively easier to treat, but usually require more than 300 hours of psychotherapy. The fourth determinant is the duration and age of onset. The first onset of the disease and the age of the patient are good, the onset of the disease within one year and in adolescence is the best time for treatment, the duration of the disease is more than three years, and the age of more than 45 years of psychiatric patients, the treatment difficulty is significantly increased. The fifth determinant is whether the patient has a “psychological mind”, in other words, whether there is a certain comprehension, lack of the necessary comprehension ability, psychotherapy will be difficult to carry out, psychological disease is also difficult to cure. The sixth determining factor is the patient’s dependence. The stronger the dependency, the more difficult it is to cure. Once you have fully considered the five factors mentioned above, you can answer the question, “Can my psychological illness be cured? Is it difficult to cure my psychological disease?” This is the question. Not only psychological patients lament that “psychological disease is difficult to treat”, but also some psychologists, privately, believe that psychological disease is indeed difficult to treat. So, why is it so difficult to treat psychological illnesses? It turns out that this is determined by the special nature of psychological disease. The core problem of psychopathy is some persistent and unresolved “inner” pain, which the patient can feel, but it is an invisible thing that no one can see or touch, and people can’t take it out, move it away, or remove it with a knife, even with drugs, it can’t be completely eliminated. Psychotherapy techniques have the ability to reproduce the patient’s problems in the psychotherapy room, but treatment is still very difficult because, according to research, psychopathy, on the one hand, hinders the patient’s adult life, on the other hand, it is also a compromise of psychological conflict, in the case of limited ability, it has a certain protective effect on the patient, eliminating the “psychopathy” is also the same as eliminating the protection, making the patient The elimination of “psychopathy” is also the same as the elimination of protection, so that the patient has to face greater pressure, and will naturally encounter resistance from the patient. The third reason why psychopathy is difficult to treat is that psychopathy occurs in adulthood, while its formation begins in childhood, which has already laid a solid foundation for the creation of psychopathy, and the psychopathic state has already become part of the patient’s habits and personality. When psychotherapy touches it, it also touches the habits and personality that a person has developed since childhood, and the person instinctively refuses to change the habits and personality that have been formed for many years, so psychotherapy always encounters strong resistance from the patient himself. This is the most striking difference between psychotherapy and other kinds of treatment – the patient comes to seek treatment on the one hand, and subconsciously resists it on the other. This is like a patient who pulls the doctor’s hand and asks for treatment with one hand, while the other hand pushes the doctor away and refuses treatment. The patient’s unconscious resistance makes psychotherapy difficult, and the patient’s or the doctor’s ignorance of the resistance will make treatment even more difficult.