December 8, 2024
What to Do if Therapy Isnt Working or Helping what to do if therapy isnt working or helping What to Do if Therapy Isnt Working or Helping 30068bcd 9d2c fcf2 1026 2f00d1c8c020

Therapy can be a transformative tool for improving mental health, relationships, and self-worth. However, it’s not uncommon to feel like you’re not getting the results you want from your sessions.

Recognizing this is essential. It allows you to adjust things moving forward and ensure your mental health treatment needs are met.

Why Therapy Might Not Be Effective

Therapy is deeply personal, and it doesn’t work the same way for everyone. If you aren’t experiencing the benefits of therapy or you’re not satisfied with your progress, don’t give up. It might just be time to examine your journey a little more closely.

Once you identify why therapy isn’t helping you, it’s easier to make tweaks and adjustments to get better results. There are many factors to consider when looking at the efficacy of a therapeutic plan.

Therapist-Client Relationship

Your relationship with a therapist is crucial to getting the most out of therapy. You need to trust and feel comfortable with anyone you work with — if you don’t, you won’t see the progress you want, even if you know how to talk to a therapist.

One of the primary reasons your current therapist might not be a good match is because their experience doesn’t align with your needs. In studies, therapeutic outcomes improved when participants worked with the right therapist who had a strong history of treating their primary concerns.

Other reasons your therapist might not be a suitable match can include: different values, communication styles clash, personality differences, no connection, a sense of being judged, and feeling misunderstood.

It’s important to consider the therapeutic relationship before writing therapy off. You may even have a bad therapist, but evaluating your relationship can provide clarity.

Different Approaches to Therapy

There are many approaches to therapy, including (but certainly not limited to): cognitive behavioral therapy (CBT), psychoanalysis, exposure therapy, and Eye Movement Desensitization and Reprocessing (EMDR) therapy.

The best type of therapy will depend on several factors, like comfort level, goals for treatment, and personal preference.

What works for one person may not work for another. Therefore, it’s important to be flexible, patient, and willing to try different methods if the first one doesn’t suit your needs. “It is a good idea to let your therapist know that a certain practice or tool is not working for you,” says Dr. Karmen Smith LCSW DD.

Importance of Therapy Goals

Goals are essential in therapy. Without defining clear objectives, your efforts can feel directionless and even unproductive.

Your therapy goals serve as your roadmap for every session. They help you measure progress and provide a sense of achievement.

Lack of goals, or having goals that are too vague, can cause frustration and a sense that therapy doesn’t help. Over time, this can make you question if the energy and cost you’re putting into treatment is worth it.

External Factors

External factors can always influence how much progress you make in therapy.

Life stressors like your job, relationship issues, financial difficulties, or your emotional state can all distract you from fully engaging in and getting the most out of therapy.

These factors can create a challenging environment for therapy to be effective. Addressing these external issues may be necessary to make meaningful progress in therapy.

Resistance to Change

Even if you’ve decided to seek therapy, you might subconsciously resist the change that you’re trying to make. Change is hard.

Maybe you skip sessions, are reluctant to fully open up, avoid specific topics, or refuse to do the assigned tasks between sessions.

Change means being open and willing to confront discomfort, which you might resist at first. It’s a natural reaction, but overcoming it is crucial.

Monitoring Progress in Therapy

One of the best ways to know if therapy is working for you is by monitoring your progress.

If you’re not making progress, therapy might not be working. Dealing with the same issues repeatedly without improvement means you should consider why this may be the case.

You dread your sessions: If you feel unmotivated to go to your sessions, it might be an indicator that something isn’t right.

A good therapist-client relationship is crucial for getting the most out of treatment. Not connecting with your therapist can drastically reduce the effectiveness of therapy.

If your sessions aren’t focusing on what’s most important to you, this can lead to frustration. Don’t be afraid to discuss how you feel with your therapist.

Steps to Take if Therapy Isn’t Working

If you feel like therapy isn’t working, it’s important not to give up. Take the following actionable steps to redirect your journey.

Try talking to your therapist. Communicating openly about your concerns is an excellent first step.

Reassess your therapy goals with your therapist to ensure they’re still relevant, realistic, and attainable. New, clear, measurable goals can give you a new focus and direction.

Different approaches can have vastly different impacts. The therapeutic modality being used may simply not be the right approach for you.

Not every therapist is a good match for every client. If you feel the relationship isn’t offering the results you need, consider switching therapists.

Sometimes, therapy isn’t enough on its own. Group therapy, support groups, or even medication might be necessary for effective treatment. Combining these approaches can offer the best results.


If therapy isn’t working, being proactive and addressing concerns can help turn the situation around.

Whether you discuss your concerns, reassess your goals, try a different therapeutic approach, or find a new therapist, finding a way to see growth in your journey is crucial.

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