What to Do if Therapy Isn’t Working or Helping— Talkspace

Published on: 26 Aug 2024


Therapy could be a transformative, highly effective instrument for bettering psychological well being, relationships, and your sense of self-worth. It can provide profound insights and offer you coping instruments to enable you navigate something you’re coping with. 

Research reveals that for most individuals, remedy is helpful. That stated, it’s not unusual to really feel such as you’re not getting the outcomes you need out of your work. Recognizing that is important as a result of it permits you to handle and modify issues as you progress ahead along with your remedy periods. If remedy isn’t serving to you, you would possibly want a special kind of remedy, a brand new therapist, or to handle different root causes. 

Whatever the explanation for remedy not working, it’s essential to consider your considerations so your psychological well being therapy wants could be met. Continue studying to discover why you won’t be getting the outcomes you need, the indicators remedy isn’t working, and what you are able to do to course right. 

Reasons Why Therapy May Not Be Helping

Therapy is deeply private, and like medicine, it doesn’t work the identical means for everybody. If you aren’t experiencing the advantages of remedy or you’re not happy along with your progress, don’t surrender. It would possibly simply be time to study your journey just a little extra carefully. Once you determine why remedy isn’t serving to you, it’s simpler to make tweaks and changes to get higher outcomes. There are many components to take into account when trying on the efficacy of a therapeutic plan.

Your therapist is probably not a superb match

Your relationship with a therapist is essential to getting essentially the most out of remedy. You want to belief and really feel comfy with anybody you’re employed with — if you don’t, you received’t see the progress you need, even if you know the way to speak to a therapist. 

One of the first causes your present therapist won’t be a superb match is as a result of their expertise doesn’t align along with your wants. In research, therapeutic outcomes improved when individuals labored with the appropriate therapist who had a powerful historical past of treating their main considerations. 

Other causes your therapist won’t be an acceptable match can embody:

  • Different values
  • Communication kinds conflict
  • Personality variations
  • No connection
  • A way you’re being judged
  • Feeling such as you’re misunderstood
  • Resentment or hesitation about going to your appointments

You could also have a dangerous therapist. Nonetheless, it’s vital to take into account the therapeutic relationship earlier than writing remedy off.

The remedy strategy doesn’t fit your wants

There are many approaches to remedy, together with (however definitely not restricted to):

  • Cognitive behavioral remedy (CBT) 
  • Psychoanalysis 
  • Exposure remedy 
  • Eye motion desensitization and reprocessing (EMDR) remedy 

The greatest kind of remedy will depend upon a number of components, like consolation stage, targets for therapy, and private desire. What works for one individual could not work in any respect for you. This means it’s vital to be versatile, affected person, and keen to attempt a number of completely different strategies if the primary one doesn’t fit your wants. 

“It is a good idea to let your therapist know that a certain practice or tool is not working for you. The overall therapy may be beneficial but perhaps the tools or homework may not be yielding results. If the therapist asks you to journal your thoughts on a consistent basis and writing is more stressful than therapeutic, have that conversation. There are many tools that can be used, finding the right one can be fun.”

– Dr Karmen Smith LCSW DD

Unclear remedy targets

Goals are important in remedy. Without defining clear goals, your efforts can really feel directionless and even unproductive. Your remedy targets are your roadmap for each session, they usually enable you measure progress. Lack of targets, or having targets which are too obscure may cause frustration and a way that remedy doesn’t assist. Over time, this could make you query if the vitality and value you’re placing into therapy is value it. 

External components

External components can at all times affect how a lot progress you make in remedy. Life stressors like your job, relationship points, monetary difficulties, or, sarcastically, your emotional state can all distract you from totally partaking in and getting essentially the most out of remedy. 

Resistance to change

Even if you’ve determined to search remedy, you would possibly subconsciously resist the change that you simply’re making an attempt to make. Maybe you skip periods, are reluctant to totally open up or be clear along with your therapist, keep away from particular matters, or refuse to do the assigned duties you’re supposed to full between periods. You could even really feel anxious emotions about remedy. Change is difficult — being open means being susceptible and keen to confront discomfort, which you would possibly resist at first. 

Signs That Therapy is Not Working

One of one of the best methods to know if remedy is working for you is by monitoring your progress. There are a number of indicators that therapy isn’t working in addition to it ought to. 

  • You’re not making progress: It doesn’t matter what you’re looking for remedy for — if you’re not making noticeable progress over time, remedy won’t be working. If you’re repeatedly coping with the identical points and don’t see any enchancment, you must take into account why this can be the case. Progress could be gradual, and remedy takes time, however you must see some ahead motion and optimistic change. While outcomes can fluctuate from individual to individual, it’s good to have a tough concept of how lengthy remedy ought to take.
  • You dread your periods: If you are feeling unwilling or unmotivated to go to your periods, it may be an indicator that one thing isn’t proper. Therapy could be troublesome, and it’s usually emotionally exhausting, however it shouldn’t be one thing you actively dread. You would possibly really feel this manner due to a therapist mismatch, their strategy not becoming your wants or consolation stage, or unresolved resistance to the method itself.
  • You don’t join along with your therapist: A superb therapist-client relationship is essential for getting essentially the most out of therapy. If you don’t belief your therapist, you suppose they don’t perceive you, or you are feeling uncomfortable or judged by them, will probably be nearly unimaginable for you to totally interact within the course of. Not connecting along with your therapist can stop you from expressing your self and sharing your deepest considerations, drastically decreasing how efficient remedy can be.
  • Your wants aren’t being addressed: Sometimes, remedy doesn’t handle your points. If you are feeling like your periods aren’t specializing in what’s most vital to you, this could lead to frustration. Don’t be afraid to focus on how you are feeling along with your therapist if the course of your work wants to change. 
  • You really feel worse after your periods: It’s frequent — and even regular — to really feel emotionally drained or upset after a session. You’re discussing and exploring complicated matters that may be painful. However, if you’re consistently feeling worse after each session however don’t have any type of decision that reveals progress, the method is probably not working for you.

What to Do if Therapy Isn’t Working

If you are feeling like remedy will not be working, it’s vital not to surrender. Take the next actionable steps to redirect your journey so you may get extra out of it.

Communicate along with your therapist

Try speaking to your therapist. Communicating brazenly with them about your considerations is a superb first step. Remember that therapists are skilled to deal with suggestions, and most are keen to modify their strategies if they know you’re not getting what you want.

Reassess remedy targets

It’s attainable {that a} lack of progress could be due to unclear or outdated remedy targets. With your therapist, reassess your goals to guarantee they’re nonetheless related, life like, and attainable. You would possibly discover that setting new, clear, measurable targets can provide you a brand new focus and course — that could be all you want to begin seeing advantages. You could even set up a brand new frequency if how usually you go to remedy isn’t suiting you.

Try a special remedy strategy

Therapy isn’t a one-size-fits-all deal. Different approaches can have vastly completely different impacts. Depending in your considerations and character, the therapeutic modality getting used could merely not be the appropriate strategy for you.

Consider a special therapist

Not each therapist is an effective match for each consumer. If you are feeling the connection isn’t providing the outcomes you want, and also you’ve communicated and tried to make changes, it’d simply be that you simply want to take into account switching therapists.  

Seek further assist

Sometimes, remedy isn’t sufficient by itself. Especially if there are further components impacting your psychological well being, you would possibly want to take into account looking for additional assist. Group remedy, assist teams, or different neighborhood sources could be a useful complement to remedy. You additionally would possibly speak to your therapist about whether or not medicine may be an possibility. Often, a mixed and complete strategy to therapy with remedy and medicine affords one of the best outcomes.

“If you feel therapy isn’t working for you, try to put it into words as to why it is not helpful. Take some time to ask that question of yourself so that you can use this opportunity for deep discovery. Be open to the idea that you don’t want to change your perspective or that you may be satisfied with the status quo. Don’t judge yourself, just be transparent with yourself.”

– Dr Karmen Smith LCSW DD

Find the Right Fit with Talkspace

When remedy isn’t serving to, being proactive and addressing considerations will help flip the scenario round. If you’re not getting what you want, take motion. Therapy isn’t simple, and your laborious work must be paying off. Whether you specific your considerations, reassess your targets, take into account a special therapeutic strategy, or discover somebody new to work with, you have to discover a means to see development in your journey. 

Talkspace affords versatile, handy choices for remedy that may be tailor-made to your wants. They make it simple to join with a therapist who makes a speciality of your wants, growing the chance that you simply’ll get essentially the most out of your periods. 

Contact Talkspace to begin on-line remedy from the consolation of your house. To guarantee the very best outcomes, find out how to get essentially the most out of on-line remedy, too.

<em>Sources:</em>

  1. Bhatia R. What is Psychotherapy? American Psychiatric Association. Published April 2023. Accessed June 23, 2024. https://www.psychiatry.org/patients-families/psychotherapy
  2. Boswell JF, Constantino MJ, Coyne AE, Kraus DR. For whom does a match matter most? Patient-level moderators of evidence-based affected person–therapist matching. Journal of Consulting and Clinical Psychology. 2022;90(1):61-74. doi:10.1037/ccp0000644. https://psycnet.apa.org/record/2021-53710-001. Accessed June 23, 2024.

Talkspace articles are written by skilled psychological health-wellness contributors; they’re grounded in scientific analysis and evidence-based practices. Articles are extensively reviewed by our workforce of medical consultants (therapists and psychiatrists of varied specialties) to guarantee content material is correct and on par with present trade requirements.

Our purpose at Talkspace is to present essentially the most up-to-date, worthwhile, and goal info on psychological health-related matters so as to assist readers make knowledgeable choices.

Articles include trusted third-party sources which are both straight linked to within the textual content or listed on the backside to take readers straight to the supply.

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