What happens when therapy doesn't work?

If therapy has failed you, you still have many options to feel better. If therapy doesn't work, the first person you should talk to is your therapist. You may choose to change your treatment approach, look for more “task” options for yourself, or even refer you to another therapist. Another common reason why therapy is no longer effective is the client-therapist relationship.

This therapist may not be right for you, says licensed professional counselor Heidi McBain, LMFT, to Bustle. This often happens in the early stages of therapy, as you and your therapist get to know each other. You may also have reached an obstacle or a wall where you feel that you and your therapist are simply not making progress. Klapow says that these blocks often happen, but that if they don't, you have to figure out the next steps.

Research has shown that working with an experienced anxiety disorder therapist is the most effective way to overcome anxiety disorder. However, some people don't believe in therapy. Here are 15 reasons why some people may not find therapy helpful. There are many reasons why therapy may not be working for you.

Your therapist, the type of therapy they provide, and how they relate to you may be the reasons. You may also be unprepared to participate in the process that therapy requires. A more recent review, conducted by the highly respected Cochrane organization, investigated whether counseling was effective for mental health and “psychosocial problems” or “life problems”. Analysis of nine trials showed that counseling was more effective than routine visits to the general practitioner, in the short term (one to six months).

However, in the long term (seven to 36 months) it was no longer as effective. Counseling also did not have an impact on the social functioning of patients in the short or long term, such as work, leisure activities and family relationships. While most people can progress with several different therapists, there are times when the client and therapist are not a good fit for each other. Since most therapists have an average of four to five clients per day, the hourly rate should be adequate to earn a living.

Meanwhile, mental health resources must be reassigned to therapies that have been shown to be effective in the long term, such as CBT. A therapist who becomes defensive or upset with this conversation, he says, is proving that they are not qualified to deal with their problems, and you are probably right not to want to work with them anymore. Likewise, it is likely that someone who is determined to improve their life in the areas they are struggling with can make progress in therapy from many different types of therapists. I asked clients how likely, or how much they would like, to participate in various coping activities if suggested by a friend or therapist, such as “talking to a friend” or “doing something I've been putting off.”.

In fact, at first many therapists also have trouble understanding it, since we have all been brainwashed into thinking that psychiatric symptoms are bad, abnormal or unhealthy. The therapist must first address the most important area of struggle before moving on to underlying reasons that may not be evident to the client. Therapists are not wizards and therefore cannot help a person change anyone other than the client. But what if we could reframe customer resistance as something positive, healthy and useful, revealing something honorable in its core values? If so, then my first goal as a therapist could be to explore the many good reasons a client might have for not changing.

Then, the client needs time to internalize the therapist's information and make healthy behavioral changes to the point where success begins to develop. Therapy is a collaborative process in which the therapist guides the client to make changes in their lives. While education can be an important indicator of therapist quality, graduate degrees do not automatically produce effective therapists. .


Keira Ouellet
Keira Ouellet

Devoted web nerd. Total beer fanatic. Certified zombie expert. Wannabe web trailblazer. Extreme internet geek. Certified internet ninja.

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