You’re in your comfy therapist chair, sipping your coffee (or tea), fresh morning sunlight pouring in through your window, and you’re feeling solid about the work you’re doing with this client. Things haven’t been progressing as quickly as you would like, but you’re starting to see some glimmers of change. 

As you reflect this most recent shift in how your client named their emotion, your client looks at you and says, “Yeah, but it wasn’t enough. I still went into my anxiety spiral and spent the rest of the night obsessing about what I did wrong. Then I couldn’t sleep and I feel like crap today. I just don’t know if therapy is working.”