Common Concerns I Hear About Therapy—and What Your Therapist Wants You to Know

Written By Ashley Carter, M.A., LPC

Therapy is intimidating to some and can bring up uncertainties about whether you are doing things “right” as the client.  These concerns are more common than you might think, and can even prevent some from seeking out therapy entirely. As a therapist, I want to address a few concerns I hear, and offer reassurance about what your therapist may be really thinking.

“Is Therapy Right for Me? Are My Problems ‘Big Enough’?”

This is one of the most common concerns I hear, even when it isn’t asked directly. Clients sometimes enter my office wondering whether their problems carry enough weight to justify taking up space in therapy. They may question whether their struggles are significant enough to warrant the time, attention, and energy required to work through them.

I often answer that question with, “What qualifies a problem as being ‘big enough’?” or “Why do we feel that our pain must reach a certain level before we are allowed to seek help?” The truth is that you do not have to reach a breaking point to deserve support.  There is no threshold of suffering you must meet before you are welcome in my office.  Life is difficult. It throws unexpected challenges our way, and we all respond to those experiences differently. Sometimes, we emerge with only minor bruises. Other times, the weight of what we have experienced can leave us feeling depleted, disconnected, or unsure of how to move forward.  There is no universal measurement for pain, and there is no requirement that your struggles look a certain way before they deserve attention.


You do not have to wait until things get worse. You do not have to prove that you are struggling enough. You are worthy of support simply because you are human.

“Do You Ever Get Tired of Hearing Me Talk About the Same Thing?”

I hear this question more often than you might expect. After a few sessions spent working through a particular challenge, a client may pause and ask, “Do you ever get tired of hearing me talk about this over and over again?” My answer is simple: No.

Life is complicated, and the experiences that shape us are rarely resolved in a single conversation. Yet, we live in a culture that encourages us to hustle, make progress, and move quickly toward the next goal. We can begin to believe that healing should follow the same timeline—that if we have talked about something enough times, we should be ready to move on.  Healing is not linear.

Sometimes, we need to revisit the same experience from different perspectives. Sometimes, we need to sit with a feeling a little longer.  Revisiting something does not necessarily mean you are failing to make progress. Often, it means there is more to understand and process. You do not have to have it all figured out when you walk through my door; you can simply be where you are.  You do not have to rush your healing to make me feel more comfortable; I’m just glad you are here.

“Someone Else Has It Worse Than Me.  I Shouldn't Complain.”

This one can be particularly difficult to untangle because comparison is so deeply woven into our culture.  I often hear clients minimize their experiences by saying things like, “I don't know why I'm complaining. Other people have it so much worse than I do.” We compare our struggles to those of friends or family members, people whose stories we have heard, or whose pain seems more visible than our own. We convince ourselves that because someone else has endured something more difficult, our own experiences should not affect us as much.

Pain is not a competition.  Someone else's pain does not cancel out your own.

Your experiences have shaped you in ways that are unique to your life, your relationships, your history, and your understanding of the world. What feels manageable to one person may feel overwhelming to another. What one person has learned to cope with may be something another person is still trying to understand.  That does not make your experiences less valid.

A Final Thought

If you really want to know what your therapist thinks of you, you may be surprised to discover that they see more in you than maybe you can see in yourself at the moment.  They see the beauty, the strength, the resilience, and the badass that you are for showing up, looking inward, and choosing to heal the painful spots in your life.  You do not have to minimize your pain, avoid talking about it if it feels unhealed, or compare yourself to others. You are worthy because you exist, and we are honored to share our spaces with you.

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