All interventions either drug, talking cures or operations will have successes and failures. Often this is affected by the skill of the carer and also the willingness of the client or recipient.
As a male doctor accepting counselling was difficult. Why could not I sort out my problems myself?!!! My male pride suffered.
I have used counselling twice. The first time was not related BFS but to work and other personal stresses. If nothing else it enabled me to have "time out" and to start a reflective process. It also gave me some practical advice for my problems from the "experience" of my counsellor. It may have worked even better if I had told her everything that was going on!! It was still I feel very useful and I was priviledged to have such caring support.
When my BFS cause acute anxiety problems this year, I again was refered to specialist neuropsychologist. She understood some of the problems I was having due to the knowledge base of a doctor interacting with my symptoms. I was given some helpful relaxation exercises which
I used to give me those time out moments again and still find useful if awake at night. For example after being woken from sleep last night at 3:30am about a very sick patient, I lay in bed with my twitches going full blast (tried exercising yesterday) and used the technique to stop my mind ruminating on the symptoms. Worked well for me.
So I have found counsellors useful despite a cynical start
Hope any of you that try it have good experiences and try to start with an open mind. Learn as much as you can and keep the parts that are most helpful. Allow your counsellor to know as much as you are comfortable. I still wonder whether I should have been more open the first time.
Best of luck
CJH