Why therapy doesn’t always work

Therapy works. It can reduce suffering, offer clarity, and help people feel less alone in their pain. And yet, many thoughtful, self-aware people quietly ask a question they’re almost embarrassed to voice: If I understand myself so well, why hasn’t my life really changed? In this episode, I explore why therapy doesn’t always work—not because it fails outright, but because relief, insight, and safety are often mistaken for transformation. Feeling better is real progress, but it isn’t the same as living differently. In this Self-Coaching episode, we’ll look at how therapy can unintentionally become palliative—soothing distress without interrupting the habits that keep recreating it—why insight alone rarely sets us free, and how understanding the past can sometimes delay change in the present. This isn’t an attack on therapy. It’s an honest examination of its limits, and a conversation for anyone who’s been “doing the work” and still feels stuck. If you’ve ever wondered whether therapy is helping you cope—or helping you change—this episode is for you.