
I Know I Need Therapy. So Why Can't I Start?
You've known for a while that therapy would help. So why does actually making the appointment feel impossible? A therapist explains the barriers that keep people stuck.
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You are tired. You have been tired all day. You finally lie down, and then your brain turns on.
Conversations you had three days ago. Things you should have said. Things you said wrong. Everything you need to do tomorrow. Worst case scenarios you have already thought through a hundred times. It is exhausting in a way that is hard to explain to someone who has never experienced it.
During the day, you have things to do. Tasks, conversations, screens. Your brain stays busy enough that the worries stay in the background. But the moment you get quiet, there is nothing left to distract you. The thoughts that were waiting come forward.
For a lot of people, nighttime is the first time all day that they stop moving. The brain has been holding things and waiting for a chance to process them. It just picks the worst possible time to do it.
What is the thought that keeps coming back most nights? What is it actually about?
Not all nighttime thinking is the same. Sometimes you are actually working through something. But a lot of nighttime overthinking is not problem solving. It is the same loop, over and over, without getting anywhere.
A spiral usually has a few signs:
When thinking is making you more anxious rather than more settled, it is time to interrupt it.
Telling yourself to stop thinking rarely works. Your brain does not respond well to demands. But you can redirect it.
When you lie awake worrying, what are you most afraid will happen if you stop?
If nighttime overthinking has been happening for months, it is usually not just a sleep habit. It is often a sign that anxiety has built up enough that it needs somewhere to go. The nights are just where it surfaces.
Therapy can help you understand what the worry is actually about and work on it at the root, instead of just trying to manage it at night.
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You've known for a while that therapy would help. So why does actually making the appointment feel impossible? A therapist explains the barriers that keep people stuck.
Read article
Never been to therapy before? A therapist walks you through what actually happens in a session, without the mystery or the clichés.
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