So you took the plunge, found a therapist, and starting talking about those difficulties you had been dealing with on your own for long enough.The sessions ended, and you are left wondering – why didn’t therapy work for me?You might be worried that things will never change, that it is your fault, and that you just cannot be helped. In fact, there are lots of different factors that may have contributed and it is not a sign that things cannot change or that you did something wrong. Issues in your relationship with the therapist The best predictor of therapeutic outcomes is a positive relationship between client and therapist. If you do not feel safe enough or free of judgement in that relationship, it will prevent you from being truly open to understand the cause of your difficulties and what needs to change. The therapist should hold appropriate boundaries and provide a compassionate but professional relationship. Signs this was a problem for you: You did not feel any warmth or compassion from your therapist, you felt judged and criticised, the therapist did not remember really key things you had shared with them previously, they seemed distracted or bored in your sessions or you generally felt you could not be honest with them. They treated you like a friend