Reasons Why Therapy May Not Work One of the most common reasons why therapy may not be working is due to a poor client-therapist relationship. This can occur when the style and approach of the current therapist do not match what the client needs, or if there is a lack of trust or rapport between them.

They don't need therapy when they are able to manage their symptoms well — if they feel stressed about their work but continue to perform well, have a supportive network of family and friends, engage in meaningful activities outside work and do not have significant levels of depression and anxiety.