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How to Tell Your Therapist It's Not Working (With Scripts)

By Maestro · 8 min read · October 17, 2026
Symplia blog cover: How to Tell Your Therapist It's Not Working (Scripts)

You can tell your therapist it is not working, and you should. Say it plainly and early, ideally at the start of a session: "I want to talk about how therapy is going for me, because I am not sure it is helping." A good therapist will treat that as useful information, not an insult. It can lead to a change in approach, a change in pace, or a clear decision to move on to someone who suits you better.

Below you will find signs that something may be off, scripts you can use as written, and how to leave kindly if you decide to switch.

Signs therapy may not be a good fit

One awkward session does not mean therapy is failing. Therapy often feels uncomfortable before it feels useful. But a few patterns, if they last across several sessions, are worth naming:

  • You leave sessions feeling more confused or more stuck, with no sense of direction.
  • You feel judged, rushed or talked over, and you edit what you say to avoid it.
  • You cannot say what you are working on or why.
  • Sessions repeat the same topics with no change in how you handle them.
  • You keep holding back important things because you do not feel safe enough.
  • The style does not suit you. You wanted practical tools and get open-ended talk, or the reverse.

For a fuller way to check, see how to know if therapy is working. It helps to separate "this is hard" from "this is not right for me", because they call for different responses.

Why it is allowed, and often useful

Many people stay silent because they do not want to hurt their therapist's feelings, or they assume the problem is them. Neither is a good reason to stay stuck.

  • Therapy is a service built around you. Your experience of it is part of the work.
  • Therapists cannot see how you feel from the other chair. They rely on what you tell them.
  • The relationship between you and your therapist is one of the things that can shape how helpful therapy is. Fixing it is part of the process, not a distraction from it.

Your therapist is trained to hear this. Most will say they would rather know.

Eight scripts you can use

Pick the one closest to your situation and change the words so they sound like you. You can read from your phone.

Soft openers

1. When you are not sure what is wrong "I have been feeling unsure about how therapy is going. I cannot quite name why yet. Could we spend some time looking at it together?"

2. When you want to check in without blaming anyone "I would like us to review where we are. What have we been working on, and how do we know whether it is helping?"

Direct versions

3. When you feel it is not working "I want to be honest. I do not feel I am getting what I came for. I am not saying it is anyone's fault, but I would like to talk about what could change."

4. When you are close to leaving "I have been thinking about whether this is the right fit for me. I wanted to say it to you directly rather than just stop coming."

For specific problems

5. The pace is too slow or too fast "I feel like we are moving [slowly / quickly] for me. I would like [more structure and clear next steps / more time to stay with one thing before we move on]. Is that something we can adjust?"

6. The style does not suit you "I think I need a more [practical / reflective] approach. At the moment I leave with [a lot of talk and no tools / a lot of tools but no space to feel things]. Can we try something different?"

7. You feel unheard "When I talk about [topic], I feel like it is not landing. It would help if you could reflect back what you heard so I know you understood. Could we try that?"

8. You have held something back "There is something I have been avoiding saying because I do not feel fully safe in here. I would like to talk about what would make it easier."

If you struggle to find the words in the moment, questions to ask your therapist gives you more ways to open the conversation.

What a good therapist does with your feedback

You can learn a lot from how they respond. A helpful reaction usually includes:

  • Thanking you and staying curious. They ask what is not working instead of defending themselves.
  • Taking responsibility without collapsing. They may say "I am glad you told me" and offer to adjust, without making you comfort them.
  • Offering concrete changes. That might mean a new structure, clearer goals, different exercises, or a different pace.
  • Agreeing on a check-in. "Let us try this for three sessions and review" is a reasonable plan.
  • Supporting a referral if needed. If they are not the right person, a good therapist will say so and may suggest someone else.

Warning signs are a defensive tone, blaming you, brushing the concern aside, or making you feel guilty for raising it. One defensive moment can be human. A pattern is information.

When to switch therapists

Give the feedback a fair chance first, usually a few sessions. If nothing changes, or if you feel unsafe, dismissed or disrespected, switching is a reasonable decision and not a failure. Therapy can be a good idea even if this particular therapist is not the right one.

Consider moving on if:

  • You raised the issue clearly and it was ignored or dismissed.
  • The approach does not match what you need, and they cannot adjust.
  • You feel pressured, judged or uncomfortable in a way that does not ease.

Before you start again, use this checklist for finding a therapist so you can describe what you need this time. Your first attempt taught you things: what style helps, what pace you want, what you need to feel safe. Bring that to the search.

How to leave kindly

You do not owe a long explanation, but a short, respectful message makes it easier on both sides. Many therapists prefer a final session, but an email is fine too.

"Thank you for the work we have done together. I have decided to move on to a different approach, and this is my last session. I appreciate your care."

If you want to be a little more open: "I realised I need a different style of support. I am grateful for what I learned here."

How to prepare your notes

Having your thoughts written down makes the conversation far easier, especially if you get nervous or go blank. Before the session:

  1. Write what is happening. Two or three specific examples work better than a general feeling. "Last week I brought up my sister and the topic changed" is easier to discuss than "you do not listen".
  2. Name what you want. More structure? Less advice? A different focus?
  3. Write your opening line. Choose one of the scripts above and put it at the top of your notes.
  4. Note how you felt after the last few sessions. A short line each time is enough to show a pattern.

A therapy session prep routine does this step by step, and how to get more out of therapy covers habits that help between sessions.

When to get support

If therapy troubles are sitting alongside overwhelming distress, thoughts of harming yourself, or a feeling that you are not safe, please contact a licensed mental health professional, your local emergency services or a crisis line in your country right away. Do not wait for the next session.

Where Symplia fits

Symplia is a private mental health app for journaling, mood check-ins and therapy support. It is not therapy and does not diagnose anything. Between sessions you can note how each session left you, write your feedback in a journal, and use Session Prep to turn those notes into what you want to say. You can also write a Letter to Therapist if saying it out loud feels too hard, and choose what to share.

Try Symplia free at app.symplia.app. Monthly and Annual plans include a 7-day free trial.

Frequently asked questions

Is it rude to tell my therapist therapy is not working?

No. Honest feedback is part of how therapy works, and most therapists would rather hear it than have you quietly stop coming. A respectful, specific comment is usually welcomed.

How long should I give therapy before deciding it is not working?

There is no fixed number. Many people give it several sessions, and longer if they are working through something hard. If you feel unsafe, dismissed or worse in a way that does not ease, you do not need to wait.

What if I am afraid my therapist will get angry or defensive?

That fear is common, and it is worth saying aloud if you can. A trained therapist should respond with curiosity. If they respond with blame or anger, that tells you something about whether to continue.

Do I have to explain why I am leaving?

No. A short thank-you and a clear end date are enough. You can share more if you want to, but you do not owe a full account.

Can I switch therapists without feeling like I failed?

Yes. Fit matters, and looking for a better one is a normal part of getting help. What you learned about your needs will make the next search easier.

Can I use notes or a script in the session?

Yes. Reading from notes or a script is common, and a good therapist will see it as effort, not rehearsal. Written notes can help you say what you mean without losing your nerve.

Symplia
Written by Abdulmuiz Sulayman (Maestro)
5th-year medical student and founder of Symplia. Leads Campus Mind Trybe, a peer-led student mental wellness organisation. Writes about journaling, mood tracking and getting more from therapy. Not a substitute for professional care.
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