Sometimes therapy doesn’t work the first time — not because you failed, but because the fit, timing, or support wasn’t quite right. In this episode of Notes from the Couch, I’m diving into five of the most common reasons people walk away from therapy feeling stuck, including the practical barriers that make care harder to access.

We’ll also explore the different roles of mental health professionals and levels of care, so you can better understand your options and find the kind of support that truly fits your life. And above all, I want you to know this: just because therapy didn’t work before doesn’t mean it can’t work now. You deserve care that honors your story, your needs, and your wellness.