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5 Things Your Therapist Wishes You Knew About the Messy Middle of Healing

  • Writer: Sarah Cosway | BABCP
    Sarah Cosway | BABCP
  • Jul 2
  • 4 min read

The "Behind the Door" Series Part 2


Nobody talks much about the messy middle of healing.


The bit of healing that doesn't look like healing. Where you're doing the work, but it doesn't actually feel like you're making progress.


Where old patterns creep back in, and you wonder if any of it is actually sticking.


This is the second instalment of the "Behind the Door" series, where guest therapists share what they genuinely wish their clients knew.



This time, five of them are talking about that in-between place...the part that's uncomfortable, confusing, and (rest assured) completely normal!


You’re not broken… you’re stuck.


Headshot of Dean Watkins, BABCP accredited CBT therapist, anxiety and imposter syndrome specialist

Website: Dean Watkins Therapy                                           Instagram: @deanwatkinstherapy


One of the most common things I hear is some version of:


“There must be something wrong with me” 


But when we slow things down and really look at what’s going on, it usually tells a different story.


Your mind is doing exactly what it’s designed to do:


  • spotting threats,

  • trying to protect you, and

  • working hard to solve problems.


The difficulty is that these strategies often get applied to things like thoughts, feelings, and uncertainty… areas where control is limited.


So you might find yourself overthinking, avoiding, pushing yourself harder, or trying to feel “right” before you act.


And it works in the short-term.


You get a bit of relief, but over time, these patterns can keep you stuck in the very cycle you’re trying to escape.


So rather than something being wrong with you, it’s more that you’ve got caught in patterns that make sense, but aren’t helping anymore.


Therapy isn’t about fixing you; it’s about helping you understand those patterns, and learning how to respond differently so you can move towards the life you actually want.




Dean has shared his insights with us as a guest writer in the past. You can find his other contributions in his collection:




Going Back Isn’t Failure


Headshot of Dr Joanne Younge, specialist BABCP accredited cognitive psychotherapist, doctor, author

Website: Younge Goals Instagram: @youngegoals


It’s important to understand this: returning to old negative thinking patterns is not a step backwards- it’s part of the process.


In fact, noticing that you’ve gone back is progress.


Before CBT, those thoughts might have gone unquestioned. Now, even if you follow the old path for a while, you can pause and say:


“Ah, I recognise this. This is that old route.”


That moment of awareness is powerful. It creates choice.



Joanne often shares her insights with us as a guest writer. You can find her deeper dive into this topic in her collection:



“You are never too late to healing… but there is such a thing as being ‘too early’.”


Headshot of Laura Greenwood, psychotherapist and parental mental health coach, specialising in maternal/paternal mental health, trauma and workplace wellbeing


So many clients finish therapy and step into a freer, more fulfilling version of life, wondering:


“Why didn’t I do this sooner?”


The truth is, we begin to heal only when we are ready—ready to feel the pain, to face old patterns, and to let go. Not a moment sooner.


Your timing—your body, your intuition—is wiser than it may feel.


If you try to do this work too early, before those patterns have fully served their purpose, or before you’re truly ready to feel and release, healing may not reach its full depth.


But no ‘healing’ or ‘growth’ is ever wasted.


You will always meet what you are ready to meet. Even recognising that something isn’t yet ready to be explored is growth.


We grow in layers, at a pace that is right for us.


Trust that you are learning, healing, and evolving—exactly as you need to, in each moment.




Yes, Your Therapist Is Human Too


Headshot of Dawn Kett, BABCP accredited cognitive behavioural psychotherapist and mindfulness teacher

It’s easy to imagine your therapist as someone who has it all together—calm, composed and unaffected.


But the truth is, therapists are human too.


We have our own thoughts, emotions and life experiences that shape who we are, just like you.


Therapists have difficult moments, too. We experience stress, self-doubt and emotional challenges just like anyone else.


The difference isn’t that we avoid these experiences, but that we’re practised in responding to them.


We use the same tools we share with you—pausing to notice our thoughts, challenging unhelpful patterns, grounding ourselves in the present and allowing emotions to come and go without becoming overwhelmed by them. 


There are times when we feel stuck, tired, or unsure and in those moments, we lean into these skills with intention.


We might step back and reflect, seek supervision or support, or offer ourselves the same compassion we invite you to develop.


It’s not about getting it right every time—it’s about coming back to the practice.


In this way, we are continually “practising what we preach”.


Not because we have to be perfect, but because we believe in these tools and understand, from our own experience, how powerful they can be when used consistently and with patience.


Learn the power of the pause—discover mindfulness techniques that help you slow down, reset, and respond with clarity instead of reacting on autopilot.



The Emotional Journey: Do Therapists Think About Their Clients After Sessions End?


Headshot of Kerry Alleyne, accredited cognitive behavioural therapist and EMDR therapist


Therapy isn't the detached, clinical process a lot of people imagine.


There's real trust in that room, and real connection. People share things with me they've never said out loud to anyone.


I don't take that lightly, and I don't forget it. Long after our work together ends, I'm still thinking about you, wondering how things turned out.


Read more about what therapists actually wish you knew.



Kerry often shares her insights with us as a guest writer. You can find her deeper dive into this topic in her collection:


The messy middle is where most of the real work happens, but it often doesn't always feel that way from the inside.


Whether you're somewhere in the middle of your own journey right now, or just beginning to think about starting one, I hope this gives you something useful to sit with.


Part 3 of the "Behind the Door" series is coming soon, with more brilliant guest therapists who are just as keen as I am to make this whole thing called 'therapy' feel a little less daunting, and a whole lot more human.



Logo for Cosway CBT - Sarah Cosway, Cognitive Behavioural Therapist and Acceptance and Commitment Therapist, specialising in Anxiety and Worry, in Canterbury, Kent

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Photograph and signature of Sarah Cosway, Cognitive Behavioural Therapist and Acceptance and Commitment Therapist, specialising in Anxiety and Worry, in Canterbury, Kent

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