Switching Couples Therapists Mid-Treatment: What to Know...

Switching Couples Therapists Mid-Treatment: What to Know

The fact that you’re asking this question tells me something important. You’re paying attention to the relationship with your therapist, and that awareness matters more than you might think. Most people either drift away from therapy or white-knuckle it through with someone who isn’t working for them.

Let me be straight with you: switching therapists mid-treatment is not a betrayal. It’s not a failure. And it absolutely does not erase the work you’ve already done.

Those insights you’ve gathered? The moments when something clicked about your patterns? The things you’ve started to see about yourself and your partner? That’s yours. No one can take that from you.

But here’s what I need you to think about carefully. There’s a real difference between wanting to switch because the work genuinely isn’t fitting, and wanting to switch because the work is getting hard.

Couples therapy has phases where things feel worse before they feel better. We’re going down into the basement of your relationship, looking at the tender, scary stuff that usually stays hidden. Sometimes couples hit that point and think the therapist is the problem. Sometimes the therapist actually is the problem.

These are very different situations.

So ask yourself honestly: Is this discomfort pointing at something real about the fit, the trust, the clinical approach? Or is it pointing at the fact that you’re getting close to something that frightens you?

If it’s the first one, trust that gut feeling. A solid therapeutic alliance isn’t optional in couples work. It’s the container that holds everything else. If one or both of you doesn’t feel genuinely safe with your therapist, the work can’t go where it needs to go.

Maybe your therapist’s style doesn’t match what you need. Maybe there’s a cultural or identity piece that isn’t being understood. Maybe the approach isn’t right for your particular relationship. These are all valid reasons to make a change.

If you do switch, be transparent with your new therapist about where you are in the process. Bring what you know. You’re not starting from zero, even though it might feel that way.

And here’s something therapists rarely talk about: we have different strengths. Some of us are better at early-stage work, helping couples get unstuck. Others excel at deeper trauma work. Some are great with communication skills, others with attachment wounds. Finding the right match isn’t just about liking someone.

The right therapist for this moment in your relationship might not be the one you started with. And that’s okay.

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About Figs O’Sullivan, LMFT
Figs is a licensed marriage and family therapist with 16+ years of experience working with couples. He’s the co-founder of Empathi, host of the “Come Here to Me” podcast, and author of an upcoming book on relationships and the systems that shape how we love.
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Fiachra "Figs" O’Sullivan is a renowned couples therapist and the founder of Empathi.com. He believes the principles of secure attachment and sound money are the two essential protocols for building a future filled with hope. A husband and dad, he lives in Hawaii, where he’s an outrigger canoe paddler, getting humbled daily by the wind and waves. He’s also incessantly funny, to the point that he should probably see someone about that.

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