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Why Do People Leave Therapy Before They Are Ready?

Mariam El Halawani
Art Psychotherapist
MAAT, ATR

Therapy is a journey of self-discovery, healing, and growth. However, it’s common for people to leave therapy before they experience its full benefits. Understanding why this happens can help both clients and therapists make the most of the therapeutic process. Here are some reasons why people might leave therapy too soon.

 

1. Unrealistic Expectations

Many people start therapy hoping for quick fixes to long-standing problems. When they don’t see immediate results, they might feel frustrated and think therapy isn’t working for them. However, real change often takes time, patience, and consistent effort.

Tip: It’s important to set realistic expectations from the beginning. Therapists should explain the process and potential duration of therapy and celebrate small milestones along the way to keep clients motivated.

2. Financial Constraints

Therapy can be expensive. Even with insurance, co-pays and limits on covered sessions can add up, making it tough to continue.

Tip: Discuss financial concerns openly with your therapist. They might offer sliding scale fees, refer you to lower-cost clinics, or suggest alternative therapy platforms that are more affordable.

3. Emotional Discomfort

Therapy often involves talking about painful and uncomfortable emotions, which can be overwhelming. The fear of confronting deep-seated issues can lead to avoidance, making it tempting to quit.

Tip: Gradually approach difficult topics and create a safe, supportive environment. It’s important to express your discomfort to your therapist and work through it together.

4. Stigma

Despite increasing awareness about mental health, some people still feel ashamed or embarrassed about going to therapy, leading them to stop.

Tip: Engage in conversations that normalize therapy as a proactive step towards well-being.

5. External Pressures

Life circumstances, such as changes in work, family responsibilities, or moving, can interfere with your ability to continue therapy. These external pressures might take priority, causing you to put therapy on the back burner.

Tip: Flexible scheduling and remote therapy options can help manage therapy alongside other responsibilities.

6. Feeling “Cured”

Sometimes, people leave therapy because they feel they have achieved their goals and no longer need help. While this can be positive, it’s possible to leave prematurely, underestimating the ongoing support needed.

Tip: Work with your therapist to create a maintenance plan for after therapy ends, ensuring you have strategies in place to manage your mental health independently. Regular check-ins, even if infrequent, can be helpful.

7. Misalignment of Therapy Goals

You and your therapist might have different views on what the goals of therapy should be. If the therapist’s approach or goals don’t align with what you’re seeking, you might feel dissatisfied and leave.

Tip: Regularly revisit and align therapy goals to ensure you and your therapist are on the same page. This collaborative approach fosters a sense of partnership and investment in the process.

8. Lack of Progress

If you feel that you’re not making progress, you might become disheartened and decide to stop therapy. This perceived lack of progress can stem from various factors, including therapeutic methods not resonating with you or deeper issues needing more time to address.

Tip: Have an open dialogue about progress and set measurable, attainable goals. Adjusting therapeutic techniques based on your feedback can also enhance effectiveness.

 

By understanding and addressing the reasons behind early termination, both clients and therapists can work together to overcome these challenges. Open communication, flexibility, and setting realistic expectations are key to staying engaged and motivated on your journey towards healing and growth.

 

Helpful resources: Book: “Premature Termination in Psychotherapy: Strategies for Engaging Clients and Improving Outcomes” by Joshua K. Swift

Article: “Termination in Therapy: The Art of Gently Letting Clients Go” by Jeremy Sutton https://positivepsychology.com/termination-in-therapy/

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