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Switching Therapists What to Do When It Is Not the Right Fit Pacific Mental Health Services telehealth therapy California

Articles

The Right Fit, Worth Finding.

Feeling stuck with a therapist is common. Switching is allowed, normal, and often the turning point.

Published · Updated · By Dmitri Kolpacoff, MBA, MSc, APCC

For anyone in therapy who has a quiet feeling it is not working, and is not sure whether switching is allowed.

Key Takeaways

  • The fit between you and your therapist is one of the strongest predictors of how therapy goes.
  • You do not need a reason beyond “this does not feel right” to switch.
  • Raising the concern with your current therapist first can sometimes fix it, but you are not required to.
  • Switching does not change your Partnership HealthPlan coverage, and records can follow you with your written permission.

Many people stay with a therapist long after they stop getting anything out of it. They worry that leaving would be rude, that the problem must be them, or that switching would mean starting over from nothing. Meanwhile, the weeks go by and nothing changes.

The fit between you and your therapist matters. Research consistently finds that the working relationship between patient and clinician is one of the strongest predictors of how therapy goes. A skilled therapist who is the wrong fit for you can be less helpful than a good fit who is still building experience.

A few signs suggest the fit is off. You leave most sessions feeling unheard or judged. You hold back things that matter because you do not expect them to land well. The sessions feel like chatting with no direction. Your therapist repeatedly misunderstands your culture, identity, or values. Or months have passed, and you cannot point to anything that has changed.

A good fit matters more to your outcome than loyalty to any one clinician.

Some of those problems can be fixed by saying them out loud. Telling your therapist “I want sessions to be more structured” or “I felt dismissed last week” gives them a chance to adjust. A good therapist welcomes that feedback, and the conversation itself can be useful practice. But you are never required to have it before moving on.

You do not need a reason beyond “this does not feel right.” Therapists switch patients to colleagues and accept transfers all the time. It is a normal part of care, not a failure on your part or theirs.

Switching does not have to mean starting from scratch. With your written permission, your new clinician can request records from your previous provider. It also helps to tell your new therapist what worked and what did not last time. That information shapes how they approach your care from the first session.

For Partnership HealthPlan members, switching does not change your coverage. Your benefits stay exactly the same, and there is no penalty for changing providers. For help finding another provider through your plan, Partnership lists its mental health line at (855) 765-9703, available 24 hours a day, 7 days a week. You can also contact a contracted practice directly.

At PMHS, you can switch clinicians at any time if the fit is not right. Let us know, and we will facilitate the transition. If PMHS is not the right fit at all, we will support you in finding someone who is. You will never be pressured to stay.

If you are thinking about leaving therapy entirely because of one bad experience, consider trying one more clinician first. The problem may have been the match, not therapy itself, and a fresh start often helps.

Getting started takes a few minutes. Submit our intake form at www.pacmhs.com/connect and we will reach out within one hour between 8am and 8pm, or by 9am the next morning to verify your PHP coverage and get your first session scheduled. You can also press the Get Started button below, which takes you to the same form.

Partnership HealthPlan MembersPartnership HealthPlan mental health: who to call and how to start→

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Ryan Frost, LMFT, and Dmitri Kolpacoff, APCC, see Partnership HealthPlan members by secure video or phone. Meet them before you reach out.

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Reading about it is the start. Working on it is the shift.

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