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EPISODE · Jul 30, 2026 · 1H 6M

5 Things That Make Therapy Not Work

from A Little Help For Our Friends · host Dr. Kibby McMahon

This episode breaks down practical strategies for getting more out of therapy and the common mistakes that can quietly get in the way of real progress.Have you ever left a therapy session feeling better for an hour, only to find yourself stuck in the exact same patterns a week later? Or wondered why someone can spend years in therapy without seeming to change?In this episode, Dr. Kibby explores the habits that often prevent therapy from being effective. She talks about emotional avoidance, people pleasing, staying in "problem talk" instead of focusing on change, and why honesty with your therapist matters more than trying to be the "perfect" client. She also explains how to choose the right therapist, what questions to ask before starting treatment, and why the work that happens between sessions is just as important as what happens during them.Whether you're in therapy yourself or supporting someone who is, this episode offers practical ways to make treatment more meaningful and increase the chances that it leads to lasting change.Resources: - Chapman, A. L., & Rosenthal, M. Z. (2016). Managing therapy-interfering behavior: Strategies from dialectical behavior therapy. American Psychological Association.

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5 Things That Make Therapy Not Work

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