In some cases, therapy can temporarily make anxiety feel worse before it gets better. This phenomenon is often referred to as "therapy exacerbation" or "therapy backlash." It occurs due to several reasons, and while it may be challenging, it is generally considered a normal part of the therapeutic process. Here are some reasons why therapy might initially worsen anxiety:
Opening up about emotions: Therapy encourages individuals to explore their thoughts, feelings, and past experiences, which can be emotionally challenging. Discussing and confronting painful emotions or traumatic experiences can initially heighten anxiety.
Increased awareness: Therapy can lead to increased self-awareness, which might make individuals more conscious of their anxiety symptoms and triggers, leading to a temporary increase in anxiety levels.
Breaking down defense mechanisms: People often develop coping mechanisms and defense mechanisms to manage their anxiety. In therapy, these defense mechanisms may be explored and challenged, which can temporarily leave individuals feeling more vulnerable and anxious.
Facing fears: Effective therapeutic approaches for anxiety often involve gradually confronting fears and triggers. This exposure can initially cause an increase in anxiety before desensitization occurs.
Process of change: As therapy progresses, individuals may begin to question their existing beliefs and behaviors, causing uncertainty and increased anxiety until new coping strategies and insights are established.
While therapy-induced anxiety exacerbation can be distressing, it is essential to remember that therapy is a process, and positive changes often follow this initial period of discomfort. Skilled therapists are aware of this possibility and will work with their clients to navigate through the increased anxiety while providing appropriate support and coping strategies.
If you are experiencing heightened anxiety in therapy, it is crucial to communicate your feelings with your therapist openly. They can help you understand what might be contributing to the increased anxiety and work with you to tailor the therapeutic approach to better meet your needs. Additionally, if you ever feel overwhelmed or excessively distressed during therapy, don't hesitate to seek support or discuss the situation with your therapist to ensure the therapeutic process remains helpful and beneficial for you.