When Therapy Doesn’t Work (Yet): Understanding Setbacks, Stuck Points, and the Hope Ahead

Psychotherapy can be an extraordinary space for healing, growth, and insight. For many, it offers relief, clarity, and renewed strength. But what happens when therapy doesn’t seem to work? What if you feel stuck, disappointed, or even more confused than when you began?

This experience can feel disheartening and isolating—but it’s far more common than we often talk about. Importantly, a lack of immediate success in therapy doesn’t mean therapy is inherently flawed, or that you are. It may mean the timing isn’t quite right, the approach needs adjusting, or something vital has yet to fall into place. Therapy is not a one-size-fits-all process. And just because it hasn’t worked yet, doesn’t mean it won’t work—or that it can’t work beautifully, when the conditions are right.