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When Therapy Isn’t Working: What to Do and Alternatives to Consider

Clinically Reviewed by:
Lindsey Rae Ackerman, LMFT

Written by:
Alex Salman, MPH on August 9, 2024

Therapy is a powerful tool for helping people with mental health issues, yet it doesn’t always work. There are times when therapy may not seem to be having any effect on your well-being or progress toward recovery from mental illness. If you’re feeling stuck and feel like traditional therapy isn’t working, there are alternatives that can help move you forward in the right direction. In this article, we’ll discuss reasons why therapy may not be working as well as what steps to take if it’s not providing relief and alternate options including a virtual IOP which could prove beneficial for many individuals struggling with a mental health issue.

Reasons Why Therapy May Not Work

Poor Fit Between Therapist and Client:

One of the most common reasons why therapy may not be working is due to a poor client-therapist relationship. This can occur when the style and approach of the current therapist do not match what the client needs, or if there is a lack of trust or rapport between them. It is important for clients to feel comfortable in their therapeutic relationship in order for it to be successful. If this isn’t present, then it can hinder progress toward behavioral change and lead to an unsuccessful outcome. Matching with a new therapist is a lot like dating: there needs to be chemistry, trust, and connection on a deeper level for the best therapeutic fit. 

Unclear Goals or Expectations:

Another reason why therapy may not work is due to unclear goals or expectations from either party involved. Without having clear objectives set out at the beginning of treatment, it can be difficult for both parties to stay on track throughout the process. Additionally, if expectations are too high from either side then this could also lead to disappointment which could also impact progress negatively. Successful therapy hinges on one’s ability to get to the root of emotional pain and move through the healing process. Most therapists’ therapeutic approaches might conflict with a given client’s mental health goals and expectations.

Need a Higher Level of Care:

Some might feel like therapy isn’t working because their symptoms are too acute and need more support than a weekly appointment. Talk therapy alone is not designed to be effective for people who are experiencing issues such as severe depression or anxiety, intense phobias, or suicidal ideation. There are higher levels of mental health care that cater to these individuals. The highest level is mental health residential treatment, which steps down into outpatient mental health treatment (PHP & IOP). The lowest level is weekly therapy with a counselor. If you feel like you are not making progress, ask your current therapist to provide a referral to a higher level of care, or search for online mental health treatment in your state.

Therapy can be a powerful tool in helping individuals learn coping skills, however, it may not always work as intended. As such, it is important to understand the potential reasons why therapy may not work so that one can make informed decisions about their care plan. Taking the time to reflect on progress made thus far and considering changes in goals or therapists are key steps when therapy does not seem to be working.

What to Do When Therapy Doesn’t Seem to be Working

When therapy isn’t working as expected, it can be difficult to know what steps to take. Re-evaluating your goals and expectations is a great place to start. It’s important to make sure that the therapist you are seeing is a good fit for you and that your goals are realistic and achievable. If they don’t seem to be, then it may be time to consider changing therapists or adjusting your expectations of the process.

Another option is taking some time away from therapy in order to reflect on the progress made so far. This can help provide perspective on where things have been successful, as well as identify areas where more work needs to be done. During this period of reflection, consider if there might be any alternative options available that could better suit your needs or lifestyle.

It’s important not to feel discouraged if traditional therapy doesn’t seem right for you at this moment in time – there are plenty of other alternatives out there. Taking advantage of these different forms of treatment can help create an individualized plan tailored specifically towards helping achieve positive outcomes within one’s own unique journey towards wellness and recovery.

Alternatives to Traditional Therapy

For those seeking alternatives to traditional therapy, there are several options available. Virtual IOP programs offer a convenient way for individuals to receive care without having to leave their homes. These programs provide evidence-based treatments such as cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT). They also often include support groups, educational materials, and other resources that can help people achieve behavioral change.

Virtual IOP programs offer increased accessibility and affordability of care while still providing quality services from licensed mental health professionals with the added convenience of receiving therapy from their own homes. Online counseling services allow struggling individuals access immediate support from anywhere in the world without having to leave their homes or find transportation resources.

Self-help resources and support groups can be beneficial for those looking for additional ways to cope with a mental disorder outside of traditional therapies. Self-help books, websites, podcasts, and videos are all great sources of information on managing various conditions such as depression, anxiety, addiction, trauma etc., while providing guidance on how best to take care of oneself mentally and emotionally during difficult times. Support groups allow individuals struggling with similar issues the opportunity to connect with one another in a safe space where they can share experiences and gain insight into different coping strategies that have worked well for others in similar situations.

Benefits of Alternative Treatment Options

Alternative options can provide many benefits compared to traditional therapy settings. Increased accessibility and affordability of care are two major advantages that alternative treatments offer. With online outpatient programs, individuals have the opportunity to receive help from anywhere in the world without having to worry about travel costs or time constraints associated with in-person appointments.

Clear Behavioral Health’s online treatment is in-network with most major commercial insurers so access to professional health from different providers in the mental health field is just around the corner.

What to do when therapy isn’t working

Therapy not working is a reality for many individuals. It’s important to remember that there are other options available and that you don’t have to settle for traditional therapy if it isn’t helping. Alternatives such as finding a new therapist or a virtual IOP can provide the same level of care while offering more flexibility and convenience. With these alternatives, individuals can find the support they need in order to manage their mental health issues and live happier and healthier lives.

It is clear that there are many families in California struggling with mental health issues. We must take action to ensure everyone gets access to the proper care, support, and resources they need to heal. Clear Behavioral Health’s Virtual IOP provides a range of telehealth services including individual therapy, group therapy, case management, and life skills training – all designed to help those affected by mental illness progress through the therapeutic journey. Let’s work together as a community so no one has suffer alone; contact us today if you or someone you know needs assistance.

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FAQs in Relation to Therapy Not Working

What do you do when therapy isn’t working?

Consider what could be done differently in order to get better results. It may be beneficial to try different approaches such as medication management, lifestyle changes, or alternative therapies like yoga or mindfulness meditation. Additionally, talking with a trusted friend or family member can help provide insight into how best to move forward with treatment. Ultimately, it is important to remember that everyone’s journey is unique and there are many paths available for finding relief from mental health issues and addiction struggles.

How do you know if therapy isn’t working?

Therapy is a process, and it can take time to see results. If you don’t feel like your therapy sessions are helping, it’s important to talk with your therapist about how you’re feeling. It could be that the approach needs to be adjusted or that another type of treatment may be more effective for you. You should also look out for signs such as increased feelings of depression or anxiety, difficulty sleeping, changes in appetite, and lack of motivation. If these symptoms persist after several weeks or months of therapy then it may be time to consider other options.

Is it true that therapy doesn’t work for everyone?

No, therapy does not work for everyone. Everyone’s experience with therapy is unique and individualized. While some may find it helpful, others may not see the same results or feel as if they are making progress. It is important to remember that different types of therapies can be beneficial in different ways and that there is no one-size-fits-all approach when it comes to mental health treatment. Additionally, having a supportive environment and access to resources such as medication management or other forms of support can help improve outcomes from therapy.

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