Deliberate Practice (DP) is widely associated with positive outcomes in skill-based contexts, prompting an investigation into its role in psychotherapists' management of challenging therapy...Show moreDeliberate Practice (DP) is widely associated with positive outcomes in skill-based contexts, prompting an investigation into its role in psychotherapists' management of challenging therapy scenarios for possible future implications into therapist training. This study delves into the intricacies of challenging therapy situations as recounted by psychotherapists and examines the influence of Deliberate Practice (DP) on the themes of these situations and therapists' sentiments. A total of 254 participants engaged in the study via an online survey, facilitated by various psychotherapy organizations, each representing different therapeutic frameworks. The survey, utilizing a mixed-methods approach, encompassed closed and open-ended questions. Participants DP levels were assessed using the Deliberate Practice Scale, while thematic analysis provided a rich comprehension of the qualitative data. The results indicate that there is no relationship between the number of hours a participant spent in DP and the themes they describe as challenging. Next to this, a relationship between confidence and number of hours in DP was found. The nature of the relationship revealed that the more hours a participant spent in DP, the less confident they were. Participants regardless of their DP engagement, described similar themes as challenging. However, a negative relationship between confidence and DP hours surfaced, prompting speculation about potential explanations such as impostor syndrome, burnout, and perfectionism. This correlation underscores the complexity of psychotherapists' experiences and asks for further in-depth exploration.Show less