Therapeutic alliance refers to the relationship between therapist and patient. The forging of a strong therapeutic alliance is believed to be of primary importance for therapeutic change. It is the co-operation between therapist and client in the therapeutic process; the bond between patient and therapist. A strong Therapeutic alliance is believed to contribute significantly to a positive therapeutic outcome. Moreover, Therapeutic alliance is a caring relationship that unites a therapist and a client in working to solve the client's problems.