Mental Health Blog : Therapy Tips, Coping Tools, and Resources in Fort Worth, TX

Table of Contents

(MOST RECENT TO OLDEST)

Why You Might Feel Worse Before You Feel Better in Therapy

10 Ways to Celebrate Samhain as a Practice of Reflection

You Don’t Have to Earn Rest Before You Take It

8 Things to Let Go of Before a New Season Begins

How to Tell if You’re People-Pleasing vs. Being Kind

12 Coping Skills That Don't Involve "Just Think Positive"

Why Do I Keep Choosing Emotionally Unavailable Partners, Attachment Wounds and Relationships, Therapy for Relationship Patterns, Emotionally Unavailable Partners

8 Small Rituals That Help You Feel More Present

What “Survival Mode” Really Means and How to Know If You’re In It

Queer Resources in Fort Worth and Nationwide: Support for LGBTQIA+ and BIPOC Communities (Updated)

Why Do I Feel Responsible for Everyone Else’s Emotions?

10 Small Habits That Support Emotional Healing

How Long Does Therapy Take to “Work”?

How Do I Find the Right Therapist for Me?

What Happens in a First Therapy Session? (What to Expect)

8 Ways Perfectionism Functions as a Form of Self-Protection

Are You Anxious or Were You Just Never Allowed to Rest?

5 Things Self-Love is Not (According to a Trauma Therapist)

What is Masking?

Therapy vs. Self-Help: Knowing When You Need More Support

Using the Winter Solstice as a Trauma-Informed Reset

Holiday Boundaries for People Who Were Never Allowed to Have Them

You Weren’t “Too Sensitive”, You Were Unaccommodated: How Neurodivergent Needs Get Misnamed and Why it Matters for Healing

5 Ways to Find Community

How to Build Belonging in a Disconnected World

Healing is Boring Sometimes

How to Work With (Not Against) Your Inner Critic

Fort Worth Community Resources: Local Organizations Offering Safety, Advocacy, and Legal Help

Boundaries: They're More Than Just Saying No

How EMDR Can Help Make Distressing Memories Less Intrusive

The Loneliness of Being the First One to Break a Cycle

Why I Do This Work: A Therapist Reflects on Healing and Hope in Uncertain Times

Queer Resources in Fort Worth and Nationwide: Support for LGBTQIA+ and BIPOC Communities

Queer-Affirming Therapy: What It Is and Why It Matters

Mental Health Awareness Isn’t Just For May: How to Keep Caring for Yourself Year-Round

Can I Benefit From Trauma Therapy If I Don’t Remember Anything “Bad” Happening?

Your Privacy Matters: Why I Opt Out of Insurance Panels as a Private Pay Mental Health Therapist

Parts Work: What is It?

Why You Might Feel Worse Before You Feel Better in Therapy

Why You Might Feel Worse Before You Feel Better in Therapy

Many people expect therapy to make them feel immediately calmer, happier, or more "put together", so when they leave sessions feeling emotionally drained, anxious, angry, or even more aware of their pain, they might wonder why. Feeling worse (temporarily) can actually be a sign that you're finally allowing yourself to experience emotions your nervous system has worked hard to avoid in order to protect you in some way. While it isn't always comfortable, it can be part of meaningful healing.

Therapy Brings Awareness Before Relief

You can't heal what you haven't had the chance to become aware of. Many people spend years, if not decades surviving by:

  • Staying busy

  • Avoiding painful memories

  • Minimizing/suppressing their feelings

  • People-pleasing

  • Disconnecting from their bodies

Therapy gently slows everything down at your own pace. Once those protective mechanisms aren't working quite as hard to keep you busy or minimize your feelings, emotions that have been waiting underneath often begin to surface. This can feel quite new and sometimes overwhelming, but that’s why slow and steady wins the race. This doesn't mean that therapy created those feelings, it just means that therapy made enough space for you to notice them.

Your Nervous System Is Learning Something New

Healing means asking your nervous system to do something unfamiliar, which can be scary. That might include:

  • Feeling sadness instead of shutting it down or immediately distracting

  • Setting boundaries without apologizing even though you may feel guilty

  • Saying no

  • Resting despite feeling guilty

  • Allowing yourself to need support and ask for support

Any change, even positive change can feel threatening when your nervous system has spent years adapting to survive. Feeling uncomfortable doesn't always mean you're moving in the wrong direction, sometimes it means you're practicing a new way of responding (you’re building new neural pathways in your brain, how cool!!).

Processing Old Pain Can Be Emotionally Exhausting

Most types of psychotherapy isn't just talking. It’s reorganizing memories, challenging long-held beliefs, feeling emotions you’ve carried alone, building new coping skills, and making different choices outside of sessions that are better for you. This all takes emotional energy and effort so it’s common to notice:

  • Fatigue

  • Brain fog

  • More vivid dreams

  • Increased emotions

  • Feeling "off" after sessions

This usually settles as your mind and body integrate what you're working on.

Healing Isn't Linear (cliché, but real!)

One week you might feel hopeful and then the next week you might feel like you're back where you started. Healing looks more like a mountain than a straight slope upward. Progress isn't measured by never struggling again. It's often measured by how differently you respond when the struggle shows up and how open you are to being with emotions you used to never entertain.

What if Therapy is Actually Making You Feel Worse

While temporary discomfort can be expected, therapy shouldn't leave you feeling consistently unsafe or overwhelmed. I encourage you to bring it up with your therapist if you notice:

  • You're dreading every session

  • You leave feeling emotionally flooded for days at a time

  • Your symptoms are becoming harder to manage

  • You're unsure whether the pace feels right

  • You don't feel understood or emotionally supported.

A good therapist wants your feedback and values open communication since trust is the foundation of any good relationship (therapeutic or not). Healing isn't about pushing through or forcing anything no matter what, it should feel challenging and collaborative. I tell my clients that the goal isn’t to make you feel in pain, it’s to make you feel uncomfortable, yet still tolerable. 

Ways to Care for Yourself After Therapy

The hour after therapy matters just as much as the session itself. I encourage my own clients to have a “therapy routine” regardless if the session is heavier or lighter. Pair therapy with a reward after like a sweet treat, a coffee, or even just 10 minutes of writing down what you took away from the session and utilizing breathing techniques. You might also consider:

  • Drinking water and eating a nourishing meal

  • Taking a slow walk

  • Journaling about what came up

  • Listening to music

  • Giving yourself permission to rest

  • Avoiding overscheduling immediately afterward

Therapy is exercise for your brain and body so recovery is part of the work.

Healing isn't about avoiding pain, it's about moving through it with support, compassion, and new tools. Over time, many people notice they're not necessarily feeling happy all the time, but they're feeling more present, more authentic, and more able to navigate life's ups and downs with more resilience and capacity. Therapy as a process should challenge you, but you don't have to navigate that challenge by yourself. If you're looking for trauma-informed, affirming therapy in Texas, I'd be honored to support you wherever you are in your healing journey.

Sam Villarreal, MS, LPC, LCDC

Read More
8 Things to Let Go of Before a New Season Begins

8 Things to Let Go of Before a New Season Begins

The changing of seasons, we either love it or hate it, especially here in Texas when there are only 2 seasons: hotter than possible at any given moment and then ice. But it can also naturally make us reflect on where we’ve been in the previous season and where we want to go in the next. As summer winds down, you might find yourself wanting to reset your routines, reevaluate your priorities, or just feel a little more grounded. Instead of adding something to that to do list of yours, sometimes, the reset comes from letting something go.

That might mean releasing an expectation you’ve been carrying, stepping away from a relationship dynamic that leaves you exhausted, or giving yourself permission to stop measuring your life against someone else’s timeline (hello social media comparisons). You can still acknowledge that something mattered to you while still deciding that it doesn't need to come with you into the next chapter. Here are eight things worth considering as you enter a new season.

1. The expectation that you should have it all figured out by now based on your unrealistic timeline that you created 10+ years ago (or something like that)

It's easy and very tempting to look at a new season as another goal post to work towards especially with thoughts like these:

  • I should be further along by now.

  • I should have my career figured out.

  • I should know what I want.

  • I should have accomplished more this year.

But life never operates the way that you meticulously plan. Try asking yourself: “What actually matters to me right now?”

2. Guilt about resting (boooooo, this one is unhelpful and old news)

So many of us have learned to treat rest as something we earn after everything else is finished. But everything is RARELY finished so the math isn’t mathing. If you're accustomed to being productive, responsible, or available to everyone around you, slowing down can even make you uncomfy because it’s not the default. Exhausting yourself before you’re allowed to rest is so out. 

Consider letting go of the belief that rest is laziness, selfishness, or wasted time. Rest is part of caring for yourself and it is active work for your body, not a passive waste of time.

3. Relationships that require you to abandon or just lose parts of yourself

Not every relationship needs to end just because it’s become difficult. But some relationships may require you to consistently silence yourself, overextend yourself, ignore your boundaries, or take responsibility for another person's emotions and we’re no longer allowing that. That isn't the same thing as healthy compromise.

Consider asking yourself: “Who am I allowed to be in this relationship?” If the answer is essentially someone smaller, quieter, easier, or less needy, it may be worth examining what you're actually holding onto and why.

4. The need to explain every decision

You are allowed to make choices other people don't understand and overexplaining weakens your self-respect. Sometimes we over-explain because we're trying to prevent disappointment, conflict, judgment, or rejection.


But saying things like this are complete fully fleshed out ideas and thoughts:

  • “I can't make it.”

  • “That doesn't work for me.”

  • “I've decided to do something different.”

Letting go of over-explaining doesn't make you inconsiderate or selfish. It means recognizing that someone else's disagreement doesn't automatically mean you've done something wrong. Validate yourself!

5. An outdated version of yourself

Sometimes we hold onto identities simply because we've had them for a long time, just like that old sweater that’s on its last leg, but it’s been with you through breakups, celebrations, and decades of your life. These identities maybe were never even given to us by ourselves, but by others.

  • I'm the responsible one.

  • I'm the difficult one.

  • I'm bad at relationships.

  • I'm terrible with money.

  • I'm always anxious.

  • I'm the person everyone relies on.

Some of these identities may have developed for very understandable reasons. You can appreciate the version of yourself who got you here without requiring them to lead you everywhere you go next.

6. Someone else's timeline

Comparison is the thief of joy, that’s a famous saying and it’s famous for a reason…because it’s true! You can easily make every transition feel like you're falling behind by looking at where others are when it may not even be relevant to your dreams and desires.

  • Someone else is getting married.

  • Someone else bought a house.

  • Someone else changed careers.

  • Someone else seems more financially secure.

  • Someone else has already accomplished the thing you're still working toward.

You're comparing your internal experience with someone else's external presentation and people mostly only ever show the good in their life. There is no prize for arriving at the “right” life first.

7. The belief that healing should be linear

We knew this, but sometimes it’s hard to match up logic to emotion. A new season can bring up an uncomfy realization: I thought I was over this.

Maybe an old trigger showed up. Maybe you found yourself responding to something in a familiar way. Maybe something you thought you'd processed feels raw all over again. It doesn't necessarily mean you've gone backward, but that healing is cyclical and a never-ending adventure of life.

Sometimes growth looks like noticing an old pattern sooner, recovering more quickly, asking for help sooner, or responding differently than you once would have. You don't have to be completely “healed” (not sure if that even exists) to recognize that you've changed.

8. The pressure to make this season your “best” one yet

I don’t know what it is about fall specifically, but it just feels like accomplishment, productivity, and opportunity. This can look like:

  • New routine.

  • New goals.

  • New body.

  • New habits.

  • New mindset.

  • New you.

But what if this season doesn't need to be your most productive, exciting, or impressive? What if joy, contentment, and presentness was the goal?

A new season doesn't require you to leave everything behind. Some things deserve to come with you. Some relationships will deepen. Some goals will remain important. Some parts of yourself will continue to need care. What is still serving me? What is costing me? What am I carrying because I actually want to and what am I carrying because I've forgotten that I can put it down?

  • Sam Villarreal, MS, LPC, LCDC

Read More