How Do You Know If Therapy Is Working? Finding Meaning When It Seems Like Nothing Is Happening

It’s a question that comes up more often than you might think: How do you know if therapy is really helping? Some days, therapy feels like a lifeline; other days, it can feel like trudging through fog.

That uncertainty is perfectly relatable, and it doesn’t mean therapy isn’t working.

Change in therapy is rarely dramatic or instantaneous. In fact, the process can feel almost mysterious; sometimes it’s hard to explain how or why things begin to shift.

Progress often unfolds quietly, showing up in subtle ways: a different reaction to a familiar situation, a new thought catching your attention, or a fleeting moment when you feel just a little lighter.

At times, therapy can be hard, uncomfortable, or even confusing, and it’s not always clear if anything is happening at all.

Often, growth is so gradual it’s almost invisible, until one day you look back and realise just how much has changed.

Noticing progress in therapy can be elusive. These reflections may help you recognise the quiet shifts unfolding beneath the surface.

  • Noticing is progress

A key sign of progress in therapy is noticing your thoughts or behaviours as they happen.

Most of the time, our minds run on autopilot; they are unconscious. Thoughts and reactions come and go without much awareness.

Catching yourself in the moment and observing a thought or behaviour instead of automatically reacting signals a meaningful shift.

This awareness, even if brief, is a step toward greater self-understanding and intentional change.

 

Man reflecting in nature, symbolising noticing thoughts and progress in therapy.
Pausing to reflect, sometimes progress in therapy starts with just noticing.

 

  • Recognising patterns

Therapy creates space for you to step back and see recurring themes in your thinking, feeling, or actions, enabling you to recognise patterns over time.

Identifying these patterns, such as repeated responses to stress or familiar emotional cycles, can help you understand yourself more deeply.

This recognition is not about judgment but gaining insight that makes change possible.

 

Detailed tree trunk with natural lines and a small crack, symbolising recognising patterns and insight in therapy.
Even small cracks and lines reveal meaningful patterns.

 

  • Subtle shifts in how you feel or respond

You might catch yourself responding differently in everyday situations, not just those that once felt overwhelming.

Sometimes, challenges begin to feel a bit easier to manage, or you notice small shifts in your reactions and feelings.

Shifts in therapy are often gradual, and these subtle changes, no matter where they occur, matter more than we realise.

 

Monkey looking into a mirror, illustrating self-reflection and noticing small changes in behaviour and response.
Subtle shifts often go unnoticed at first, reflections help us see them.

 

  • Changes in your relationships

Therapy can shift the way you connect with others.

You might communicate more openly, set boundaries more effectively, or feel calmer and more present with the people around you.

These changes, even if small, are powerful signs of therapy helping. As you change, others may also respond differently, perhaps with more openness, calm, or understanding.

Often, when you shift your perspective on how you relate to others, the people around you tend to shift as well.

It’s the ripple effect of the counselling process.

 

Black and white image of a couple holding hands, illustrating subtle shifts and connection in relationships.
As we change, our connections with others often shift in subtle, meaningful ways.

 

  • Others notice changes in you

Sometimes, the people around you, friends, family, or colleagues, start to notice shifts in your mood, behaviour, or outlook before you do.

They might comment on how you seem calmer, more open, or more resilient.

These observations can be meaningful signs of growth, even if you haven’t fully recognised the changes yourself.

  • Curiosity about yourself

Therapy often encourages you to approach your inner world with curiosity rather than judgment.

You may find yourself wondering why you react a certain way, exploring new perspectives on familiar experiences, or questioning old assumptions.

This gentle curiosity can open space for growth and self-understanding, supporting progress in therapy and making it easier to try new approaches and embrace change.

 

A boy studying a map, illustrating self-exploration, curiosity, and reflection in therapy.
Curiosity about yourself can open the way to understanding and growth.

 

  • Feeling less alone with your struggles

A strong sense of genuine connection with your therapist is a sign that therapy is working.

For some, this connection develops gradually; for others, it may feel immediate.

This authentic alliance, where your therapist “gets” you and supports you, can make challenges feel lighter and growth more possible.

When this connection feels strong, therapy is most likely working.

 

Two hands cupped, holding space, lit in purple and orange on a dark background, illustrating connection, shared support, and the therapeutic alliance.
Knowing and trusting that someone is holding the space with you.

 

  • Willingness to try new approaches

Trying new ways of communicating, coping, or responding is a significant sign of progress.

Pausing to reflect when familiar emotions arise, even if things aren’t perfect. shows openness to change.

Sometimes it might even feel okay when things don’t go as planned.

The willingness to explore and experiment, no matter how small the step, is meaningful sign that therapy is helping.

 

 

A small seedling emerging from the light shining on it, illustrating gradual growth, new approaches, and progress in therapy.
Even the smallest seedling shows quiet growth and new possibilities.

 

Feeling stuck, frustrated, or unsure whether anything is happening doesn’t mean therapy isn’t working.

These moments are often part of the process; they show you’re engaging with difficult thoughts and emotions, which is necessary for insight and growth.

The ups and downs you experience in therapy often mirror patterns in everyday life.

Working through these moments in the room can help you navigate similar challenges outside it.

However, if you find that these feelings persist without any sense of progress or relief, it can be helpful to discuss your concerns openly with your therapist.

Sometimes, therapy approaches or goals may need to be adjusted, and honest conversations can help ensure the process is right for you.

While therapy is often less about sudden breakthroughs, “aha moments” can happen, sometimes unexpectedly, either during a session or in between.

These flashes of insight can feel powerful, but it’s the steady, quieter changes that build a stronger sense of understanding and self-awareness.

Reflecting on your journey and noticing subtle changes in your thoughts, behaviours, feelings, and relationships are clear signs of therapy benefits and progress.

Therapy is not a straight line. Sometimes, recognising the small steps, the tiny shifts, and the new ways you approach challenges can be enough to see that you are moving.

Sometimes, change happens quietly, like roots growing underground. Trust that these small shifts are building a foundation for growth, even if you can’t see them right away.

 

You might also like:

In the Quiet of Darkness: Life’s Whispers in the Shadows

The Many Faces of September: Relief, Sadness, and Everything In Between

When Change Feels Never-Ending: Finding Stability and Compassion in Uncertain Times

 

© Iva Dragostinova

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