Recognizing When You Need Therapy Adjustments

therapy accommodation therapy symptoms mental health adjustments
Dr. Neeshu Rathore
Dr. Neeshu Rathore
 
May 6, 2025 3 min read

Symptoms Indicating the Need for Accommodation in Therapy

Therapy can be a vital part of mental health treatment, but sometimes you might feel that your therapy isn't quite right for you anymore. It’s important to recognize when changes are needed to better suit your needs. Here are some common symptoms that could indicate the need for accommodation in therapy.

1. Feeling Unheard or Misunderstood

  • What It Feels Like: You might find yourself repeating the same feelings or experiences without your therapist fully grasping them.
  • Real-Life Example: If you mention your anxiety about work, but the focus remains on past relationships, it could signal a mismatch in therapy focus.

2. Lack of Progress

  • What It Feels Like: If you’ve been in therapy for a while but feel stuck, it might be a sign that your current approach isn’t working.
  • Steps to Consider:
  • Track your feelings and progress over time.
  • Discuss these feelings openly with your therapist.

3. Increased Anxiety or Discomfort

  • What It Feels Like: Rather than feeling relief after a session, you leave feeling more anxious or distressed.
  • Comparison:
  • Before Accommodation: Leaving sessions feeling drained.
  • After Accommodation: Feeling a sense of clarity or relief.

4. Physical Symptoms

  • What It Feels Like: Stress and anxiety can manifest in physical ways, like headaches or fatigue, especially after therapy sessions.
  • Real-Life Example: If you notice your headaches increase after discussing certain topics in therapy, it might be time to reassess.

5. Avoidance of Sessions

  • What It Feels Like: If you find yourself dreading therapy appointments or making excuses to skip, it could indicate that something isn’t right.
  • Steps to Take:
  • Reflect on what makes you avoid sessions.
  • Bring these feelings to your therapist's attention.

6. Changes in Life Circumstances

  • What It Feels Like: Major life changes (like a new job or family situation) can shift your priorities and needs in therapy.
  • Types of Changes:
  • Personal relationships
  • Job stress
  • Health issues

7. Feedback from Friends or Family

  • What It Feels Like: Sometimes, those close to you might notice changes in your mood or behavior that you don’t see yourself.
  • Real-Life Example: If friends mention that you seem more withdrawn or agitated, it might be worth discussing your therapy approach.

8. Different Goals or Needs

  • What It Feels Like: As you grow and change, your therapy goals may also shift. If your current sessions are no longer aligning with your aspirations, it’s time to talk.
  • Steps to Align Goals:
  • Write down your current goals.
  • Discuss how your therapy can help you achieve these goals.

9. Therapist-Client Fit

  • What It Feels Like: Sometimes, the connection with your therapist isn’t as strong as it should be. If you feel uncomfortable or judged, it’s a signal to reassess.
  • Comparison:
  • Good Fit: Open discussions and comfort sharing.
  • Poor Fit: Hesitation to share personal feelings.

10. Difficulty in Building Trust

  • What It Feels Like: Trust is essential in therapy. If you find it hard to open up, it might indicate the need for a different therapeutic approach.
  • Real-Life Example: If you hesitate to discuss sensitive topics, it’s a cue to explore new therapeutic styles or techniques.

Recognizing these symptoms is a crucial step towards enhancing your therapy experience. If you relate to any of these points, consider discussing them with your therapist or seeking a consultation to find accommodations that fit your needs better.

Dr. Neeshu Rathore
Dr. Neeshu Rathore
 

Clinical Psychologist, Associate Professor in Psychiatric Nursing, and PhD Guide with extensive experience in advancing mental health awareness and well-being. Combining academic rigor with practical expertise, Dr. Rathore provides evidence-based insights to support personal growth and resilience. As the founder of Psywellpath (Psychological Well Being Path), Dr. Rathore is committed to making mental health resources accessible and empowering individuals on their journey toward psychological wellness.

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