When Previous Therapy Hasn’t Gone Far Enough

Depth-oriented psychotherapy when earlier work felt incomplete


When important aspects of experience remain unspoken, prematurely organized, or emotionally bypassed, change can stall despite insight, effort, or good intentions. This work is about returning to what could not yet be held, felt, or thought about — and allowing it to take shape in relationship.

When you continue to struggle despite prior therapy...

Sometimes it takes time to find a therapeutic setting where what feels vague, difficult to name, or emotionally elusive can actually be engaged rather than managed.

 

Many people arrive in therapy again not because they doubt the value of psychotherapy, but because something essential did not happen before. They may have worked with capable clinicians, gained insight, learned skills, or even felt temporarily better—yet a deeper sense of stuckness, repetition, or emotional deadness remained untouched.

For some, the difficulty was never fully named. For others, the work stayed too cognitive, too structured, or too oriented toward managing symptoms rather than engaging lived experience. Often, what stalled was not motivation or openness, but something more subtle: aspects of self that could not yet be felt, spoken, or recognized in the therapeutic relationship.

When therapy does not reach these layers, people frequently turn the disappointment inward. They may conclude that they are “too complicated,” “beyond help,” or somehow resistant to change. In my experience, these conclusions are rarely accurate. More often, they reflect a mismatch between the form of therapy and what the psyche was asking for at that moment.

My work with individuals who have had incomplete or ineffective therapy is relational and depth-oriented. Rather than starting over or imposing a new framework, we attend carefully to what did not become thinkable or livable in earlier work. This includes how you adapted in prior treatment, what felt unsafe or unnecessary to bring forward, and how unconscious expectations shaped the therapeutic process itself.

Change here does not come from technique or reassurance. It emerges through sustained attention to the emotional, symbolic, and relational dimensions of experience that were previously bypassed or prematurely organized. Over time, this allows states that once felt vague, overwhelming, or chronic to be lived differently—often for the first time.

You do not need to arrive knowing “what went wrong.” Therapy can offer a space to understand why previous work stalled, without blame or simplification, and to engage your experience with greater depth, freedom, and coherence than was previously possible.

 

 

Reach Out Today

Email Today to Schedule an Appointment

Phone: (347) 815-7780
Email: todd@toddandersonphd.com

Manhattan Psychotherapy

Psychotherapy and Psychoanalysis

Todd Anderson, PhD, PsyD, LP is a psychoanalyst and writer whose work is rooted in a contemporary relational and depth-oriented approach to the psyche. He is the author of several books in Routledge’s Psychoanalysis in a New Key series, with a focus on recursive experience, psychic margins, and the unspoken dimensions of clinical life—particularly as they unfold across therapeutic relationships. His telehealth practice engages the complexities of queer life, sexuality, trauma, chronic illness, and unformulated experience, offering patients a space for thoughtful and nuanced exploration of their emotional worlds.

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