The Session Rating Scale is designed to measure which aspect of therapy?

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The Session Rating Scale is a brief, client‑rated check of the therapeutic alliance in a single session. It focuses on how the client perceives the connection with the therapist, whether they agree on goals, how collaborative the session felt, and how helpful or meaningful the session was. Because it targets the quality of the therapeutic relationship and the joint work in that moment, it best reflects the strength of the alliance between client and therapist. This is different from measures of medication adherence, family involvement, or cognitive functioning, which assess separate areas of treatment or functioning. Monitoring alliance with the SRS helps predict engagement and progress, guiding therapists to adjust their approach if the bond or collaboration feels weak.