Is It Really This Way—Does Therapy Get Worse Before It Gets Better?
It’s a question I hear often—but sometimes it lands with a different kind of weight.
“Is it really this way?” she asked, her voice cracking. “Is it going to get worse first before it gets better?”
And underneath the question, there was something else in the room:
It’s really hard. I don’t want to stay miserable in the middle. Are we going to make it through this?
Short answer?
Yes. And not because something is going wrong—
but because something real is finally happening.
Most couples come into therapy having already found ways to cope with the pain.
They avoid certain conversations.
They soften their truth.
They argue about surface things instead of what actually hurts.
So the relationship, in a strange way, becomes… stable.
Not healthy—but predictable.
Then therapy interrupts that.
We slow things down.
We name what’s been underneath.
We stay in moments you’ve both spent years trying to move past quickly.
And that’s when it starts to feel harder.
Because now, instead of arguing about the dishes,
you’re saying things like:
“I don’t feel important to you.”
“I feel like I disappear when you shut down.”
“I’m scared I don’t matter.”
That kind of honesty doesn’t feel relieving at first.
It feels exposing.
Raw.
Sometimes even destabilizing.
And if you’ve both built protective roles over time—
pursuing, shutting down, criticizing, withdrawing—
those roles start to get challenged.
Which means your usual ways of protecting yourselves
stop working the same way.
So yes… it can feel worse.
But here’s the part most people don’t realize:
It’s not worse in the sense that you’re breaking down.
It’s worse in the sense that something guarded
is finally being touched.
The discomfort you’re feeling—
that’s often the distance between where you’ve been surviving…
and where you’re starting to be emotionally honest.
And that space is uncomfortable.
Not because it’s wrong.
But because it’s new.
The goal isn’t to make things feel better quickly.
It’s to make them more true.
And when something becomes more true,
it can finally become more connected.
If you find yourselves having the same conversations again and again,
or feeling discouraged by how hard things have become,
it may not be a sign that the relationship is failing.
It may be a sign that something deeper is asking to be seen.
This is the kind of work I do with couples—helping you understand the pattern underneath the conflict and creating a different kind of conversation, one that leads somewhere.
If you’d like support with this, you’re welcome to reach out for a consultation.