What If I Feel My Therapy Isn't Working?

Do you go to therapy wondering what you're going to talk about? Do you feel like you're spinning your wheels and getting nowhere? Feeling discouraged that you're constantly taking one step forward but 3 steps back in therapy?

Therapy requires time, patience and work, but you probably don't want to feel like you will be in therapy forever. If you're feeling discouraged, it's real easy to call your therapist, cancel the appointment and never reschedule. But is it really the best decision for you? Could be....maybe not.

Therapy is a complicated art. There are many factors which contribute to the success or failure of therapy, the main factor is the rapport between the therapist and yourself. Other factors include: your commitment to therapy and yourself, the therapist's competence and confidence in their own skills, the issues you bring to the table and the length of time you've been dealing with the problems, just to name a few.

Dropping out may prevent you from facing the problems that brought you to therapy in the first place. So what do you do?

First, talk to your therapist as soon as you start to feel discouraged. Let your therapist know how you're feeling, what you are seeing is happening with the therapy, and what your expectations are. Opening this channel of communication helps the therapist understand what you are wanting and an open discussion of your needs and expectations can be laid out on the table.

After having such a discussion, you and your therapist can lay out a new treatment plan addressing your concerns, which may include additional resources in addition to therapy such as support groups, medical evaluations, etc. After processing all your options, you may agree transferring to another therapist may be needed. If this is the case, your therapist should be able to provide you with appropriate referrals so you can continue your journey.

Understanding the Counselor's Role

Have you experience a kind of "distance" between you and your counselor? It's almost as if one moment there's a "connection" between you and the next moment, that connection is lost. It makes you wonder, "what happened?"

First and foremost, it's essential to remember that the counselor is not your friend. You don't pay your friends money to listen to your concerns and your friends may not have the ability to pull themselves away emotionally to see how your concerns may or may not be skewed. They only see your pain and want to fix it. They do not have the training or experience to be able to help you understand your pain and work with it in a way most beneficial to you. This may be where you feel this "distance." The therapist must keep a level of distance to maintain objectivity. If they become too invested in the emotions, then they can become as ineffective as some of your friends and family in the matters of helping you with your concerns.

Disclosing to the Counselor -- How much is too much?

Counseling is an interesting phenomenon. You pay a complete stranger to open up to them, become vulnerable and place some level of expectation they will be able to help you through your problems and come up with better solutions. This can feel weird, overwhelming, even downright scary. But, how much should you disclose?

Your counselor can only help you if you're upfront and honest with them. This may not mean you have to unlock every skeleton in your closet, but if you're holding back, they may not be able to help you move forward. For example, if you are actively engaging in the use of alcohol or marijuana and you emphatically deny this to your therapist, they may attribute your symptomology to more severe mental disorders. They cannot assess, and thus intervene, appropriately.

Communicating with your counselor can also be beneficial if you find you are having difficulties with the direction your therapy is going. Sometimes, I find clients may experience difficulty bringing up problems to the counselor when it has to do with the counselor; however, counselors are people too. We make mistakes and misinterpret client signals, which could inadvertently derail your therapy.

If you find yourself uncomfortable with your counseling experience, I recommend you bring it up with your counselor. Let them know how you're feeling and what your concerns are. Again, the counselor can't read your mind and will want to know how they can best help you.