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What if Therapy Feels Like Another Thing to Get Right?

What if Therapy Feels Like Another Thing to Get Right?

Nov 11, 2026

    • Deciding to start therapy can already feel like a challenge
    • Vanessa Lorkins offers her guide to help find a way into counselling without judgements, conditions, or expectations

You’ve decided to try counselling. Perhaps you’ve been carrying something painful for a long time. Perhaps you’re exhausted, stuck, confused, or simply aware that life can’t continue exactly as it is.

And yet, before the first session, another thought may appear: What if I do this wrong?

You may worry that you won’t be able to explain yourself clearly. That you’ll cry too much, or not enough. That you’ll sound ungrateful, dramatic, difficult, or too needy. You may wonder whether your problems are serious enough to deserve help, or whether you should already have “sorted yourself out”.

For some people, therapy can feel less like a place to be supported and more like another arena in which they must perform well.

When care has felt conditional

Many people learn early on that love, approval, or safety come with conditions.

Be helpful. Be easy. Be grateful. Don’t need too much. Don’t make a fuss. Be the one who copes.

These messages are rarely spoken so plainly. They may be learned through experience: noticing that someone becomes withdrawn when you’re upset, that praise arrives only when you achieve, or that your own needs seem to create problems for other people.

If connection has felt uncertain, it can make sense to become watchful, capable, agreeable, or self-reliant. You may become the person who manages, helps, achieves, or asks for little. From the outside, this can look like strength. Inside, it may feel like constantly having to earn your place.

Then therapy asks something unfamiliar: What do you need? What do you feel? What would you like to be different?

That question can be surprisingly difficult.

You don’t have to be “good at therapy”

There’s no correct way to begin counselling.

You don’t need a clear explanation of what’s wrong. You don’t need to arrive with an eloquent story about your childhood. You don’t need to be insightful, emotionally articulate, or ready to change.

You may begin with: “I don’t know why I’m here, but I know something needs to change.” That’s enough.

You may spend part of a session unsure what to say. You may feel embarrassed, angry, numb, defensive, or unable to put your experience into words. None of these responses mean you’re failing at therapy. They’re often important material for the work.

What Transactional Analysis offers

One approach that can help is Transactional Analysis, or TA. It’s a humanistic form of therapy that starts from the idea that people have inherent worth, can think for themselves, and can reconsider conclusions they formed earlier in life.

TA is often summarised as “I’m OK, you’re OK”.

That doesn’t mean everything people do is acceptable, or that harmful behaviour should be excused. It means your worth isn’t dependent on being useful, successful, agreeable, emotionally regulated, or easy to be around.

You can be struggling and still matter.

You can be angry, ashamed, frightened, exhausted, or uncertain and still deserve respect.

The conclusions we carry

TA is interested in the conclusions people form about themselves, others, and the world - sometimes called a “life script”.

These aren’t always conscious decisions. A child doesn’t choose to believe, “If I’m useful, I’ll be loved,” or “If I have needs, I’ll be rejected.” Such ideas can develop as a way of making sense of confusing, frightening, or unreliable experiences.

They might sound like:

  • “I have to keep everyone happy.”
  • “It’s safer not to be noticed.”
  • “If I need anything, I’m a burden.”
  • “I mustn’t get it wrong.”
  • “If someone’s unhappy with me, I may lose them.”

These beliefs may once have helped you cope or maintain connection. The difficulty is that they can continue long after the original situation has changed.

Therapy isn’t “just choose differently”

Understanding a pattern doesn’t automatically make it easy to change.

You may know that you find it hard to say no, yet still agree to things you don’t have time or energy for. You may understand why you overwork, but still find rest uncomfortable. You may want closeness, but feel panicked when someone gets near.

That doesn’t mean therapy has failed.

Real-life circumstances matter too. Money, work, health, disability, discrimination, caring responsibilities, and unsafe or unsupportive relationships can genuinely limit what’s possible. Therapy can’t make those pressures disappear.

But it can create space to look honestly at your experience: what’s within your influence, what isn’t, what support you may need, and what small differences might become possible.

You can arrive as you are

You don’t have to be ready, articulate, grateful, or improving quickly to begin therapy.

You can bring uncertainty, ambivalence, anger, shame, repetition, and the parts of yourself you find hardest to accept. You can want change and still resist it. You can need support without having to prove that you deserve it.

Perhaps the starting point is not, “I must become OK,” but something gentler:

I can be struggling and still have worth. I can want things to change without making myself the enemy.

A question to sit with

If this resonates, you might ask yourself:

Where do I feel I have to be useful, easy, or impressive in order to deserve care?

You don’t need to answer it perfectly - or at all. Noticing the question at all can be a powerful beginning.


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Vanessa Lorkins

Vanessa Lorkins is an online counsellor

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