Facilitated therapy vs. home practice -- which actually changes things?

Facilitated sessions produce deeper, more sustained therapeutic change in my experience -- but that's specifically when the facilitation is high quality and focused on specific material. The preparation and integration support make those sessions do work that home sessions don't. Home sessions have their own value -- freedom, comfort, ability to repeat -- but they don't always do the deep excavation that a good facilitated experience can.

Something I've noticed: home sessions plateau. After a while you know what you're going to encounter and you start going to familiar places. A skilled facilitator takes you somewhere you wouldn't have gone alone, partly through the relationship and partly through their experience with what other people have found in similar territory.

The cost argument is real though. A single Oregon licensed session costs what I spend on home practice in two years. For sustained work, home practice is the only financially accessible option for most people. I think the honest answer is: facilitated is more efficient, home practice is more accessible. Both have their place depending on your resources and what you're working on.