09/09/2025
Can Therapy Make You Feel Worse?
Yes…at times.
1. You're Uncovering Trauma
Therapy is a healing process. And often to heal your mind, you’ve got to go backwards and deal with some traumatic stuff that happened in your past. No matter how deep your trauma, dealing with negative events is never easy. Feeling negative emotions is difficult and yes, painful.
But ultimately dealing with these emotions will help you move forward.
2. You're Not Used To Feeling Your Feelings
Lots of people repress their emotions. It’s actually extremely common, and one of the reasons people seek out therapy. Through therapy, you learn to feel, understand, and work through negative emotions. But if you’re not used to feeling those hard feelings, if you’ve been holding back negative emotions for years, when you first start to let yourself FEEL those feelings, it's uncomfortable and often painful.
3. You're Changing
Change is hard work. And part of therapy is making positive changes in your life. But just because a change is for the best doesn’t mean it’s EASY. For example, maybe you’ve realized the relationship you’re in isn’t healthy and you need to break it off. Or maybe you’ve realized you need to set boundaries with a certain friend of family member. You find that you haven’t been expressing yourself with your partner. All of these are not easy.
4. People In Your Life Aren't Always Supportive
As you heal, some people in your life may not like you r growth and change. They’ll say they miss the old you.
While part of the therapeutic process is learning to choose yourself and make lasting, positive changes in your life, that doesn’t mean everyone around you is going to be excited for you. So, if you’ve got people in your life who see your new changes as a “betrayal” or a “negative change,” that is extremely painful and difficult. Especially when these people are who you are very close with.
5. You're Not Seeing Progress
This could happen for 2 reasons:
-Therapy Is A Process
Despite people’s desires, therapy isn’t a magic wand. Because of our complex emotions and lives, therapy takes time. In fact, according to the American Psychological Association, many people don’t see any results for at least 6-12 sessions.
So if you’re still in your therapy adjustment period and you’re questioning “is it normal to feel worse at the beginning of therapy?” take into account that therapy takes time. It’s only a few hours per month, and a lot of living happens in between.
-On top of that, therapy ebbs like waves. You may have a few months of extreme healing and progress. Then, things may plateau. But this isn’t a bad thing. Instead of rushing to see results, try to enjoy the small wins.
-You Aren't Being As Open And Honest As You Think
You only get out of therapy what you put in. If you’ve been going to therapy for months and aren’t seeing results, it may be time to reevaluate how honest you’re being in your sessions. It can be tempting to paint yourself in the best light. People are fearful of being judged, even by their therapist.
6. Therapy stirs up things that you don’t think about on a daily basis. It forces you to take a look at sadness, grief, anger, which we do not do on a daily basis in general. This can feel discomfiting.  Sometimes I hear clients say that they avoided Therapy for years because it hurts too much.
7. Fear of loss of confidentiality. It’s natural to fear imparting information that could potentially be shared with a family member, colleague, or someone that you prefer not to share personal matters with. Although mental health professionals are bound by confidentiality and privacy ethics, it’s natural to fear being vulnerable.