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How Do I Know If Therapy Is Actually Helping Me? 

If you’ve ever found yourself wondering, “Is therapy working?”—you’re not alone.  Many people enter therapy hoping for relief, clarity, or change. But when progress doesn’t feel

If you’ve ever found yourself wondering, “Is therapy working?”—you’re not alone. 

Many people enter therapy hoping for relief, clarity, or change. But when progress doesn’t feel obvious right away, it can leave you questioning whether your time, energy, and effort are paying off. The truth is, therapy is not a quick fix, and progress rarely happens in a straight line. 

In fact, some of the most meaningful shifts in your mental health happen gradually, and sometimes quietly, over time. 

Talk with a Vitalize clinician about your progress and discover ways to deepen your therapy experience. 

Therapy Doesn’t Always Feel Like Progress (At First) 

One of the most common misconceptions about therapy is that you should feel better right away. But in reality, therapy sessions can sometimes feel harder before they feel easier. 

That’s because therapy often involves: 

  • Confronting difficult truths 
  • Processing old wounds or unresolved experiences 
  • Recognizing patterns in your emotional patterns or behaviors 
  • Stepping outside your comfort zone 

For many people, this can temporarily bring up negative emotions or even make them feel overwhelmed. This doesn’t mean therapy isn’t working—it often means you’re doing the work. 

As Clinical Director, Nadiyah Parks explains: 

“A lot of times the change and shift is happening unconsciously—you just have to pause and reflect to notice it.” 

5 Early Signs Therapy Is Working (Even If It Feels Slow) 

Progress in therapy isn’t always dramatic. Often, it shows up in subtle but meaningful ways in your day-to-day life. 

Here are some early signs that therapy is working: 

1. You’re More Self-Aware 

One of the first indicators of growth is increased self-awareness. You may begin to notice your negative thoughts, triggers, or emotional reactions as they happen, instead of reacting automatically. 

This kind of self-knowledge is foundational—it allows you to pause, reflect, and make different choices. 

2. You’re Learning (and Using) New Coping Skills 

Therapy helps you build new coping strategies that replace old habits that may not have been serving you. 

You might notice: 

  • You’re setting better boundaries 
  • You’re managing stress in healthier ways 
  • You’re responding instead of reacting 
  • You’re able to regulate your emotions more effectively 

Even small changes in how you handle difficult moments are signs of real progress. 

3. You’re Noticing Changes in Daily Life 

Sometimes the clearest sign that therapy helps is how your everyday experience shifts. 

You may begin to: 

  • Feel physically calmer in situations that once triggered anxiety 
  • Experience fewer or less intense symptoms 
  • Have more patience or emotional space 
  • Sleep better or feel more energized 

As Parks encourages clients to reflect: 

“Tell me what your nervous system feels like—what are you noticing in your body now compared to when you first started?” 

4. Your Relationships Are Improving 

As you build awareness and skills, your relationships often begin to shift as well. 

You may find that you: 

  • Communicate more openly 
  • Set boundaries without overwhelming guilt 
  • Feel more connected to others 
  • Experience fewer repeated conflicts 

Whether in family relationships, friendships, or even couples therapy, these changes are strong indicators of progress. 

5. You Can Handle Setbacks Differently 

Progress doesn’t mean life gets easier—it means you’re better equipped to handle it. 

You might still face anxiety, stress, or difficult situations, but you: 

  • Recover more quickly 
  • Feel more grounded 
  • Have tools to navigate challenges 

This ability to move forward, even after setbacks, is a major sign of growth in your healing journey. 

What If You Feel Like Therapy Isn’t Helping? 

It’s also important to acknowledge that sometimes people feel stuck in therapy—and that matters. 

If you’re asking yourself, “How do I know if therapy is working?” and the answer feels unclear, here are a few things to consider: 

1. Talk to Your Therapist 

Therapy is a collaborative process. A strong therapeutic relationship, where you feel heard, respected, and safe, is one of the biggest predictors of success. 

You should feel comfortable saying: 

  • “I’m not sure I’m making progress.” 
  • “I feel like we’re going in circles.” 
  • “Can we adjust our goals?” 

Open communication helps your mental health professional tailor your sessions to your needs. 

2. Revisit Your Goals 

Are you working toward clear, realistic goals? 

Progress is easier to recognize when you and your therapist are aligned on what you’re working toward—whether that’s reducing anxiety, improving relationships, or building coping skills. 

3. Consider the Fit 

Sometimes, it’s not that therapy isn’t working—it’s that the right therapist hasn’t been found yet. 

A good therapist should help you feel supported, challenged (in a healthy way), and understood. If that connection isn’t there, it’s okay to explore other options. 

Progress Isn’t a Straight Line 

Healing rarely looks like steady, linear improvement. It can feel more like an awkward shuffle forward and backward, especially as deeper issues come to the surface. 

You may: 

  • Feel worse during certain phases 
  • Revisit old patterns 
  • Question your progress 

But these moments don’t mean failure—they are often part of working through deeper layers of mental health issues. 

As Parks reminds clients: 

“We often want a checklist to prove we’re getting better, but real change doesn’t always show up that way.” 

Therapy Is About Becoming, Not Fixing 

Ultimately, therapy isn’t about becoming a “perfect” version of yourself. It’s about becoming more aligned with your true self—with greater awareness, resilience, and clarity. 

Over time, therapy helps you: 

  • Build healthier coping strategies 
  • Break old patterns 
  • Improve your overall well-being 
  • Develop a stronger support system 
  • Move forward with confidence 

And sometimes, the clearest sign of progress is simple: You feel lighter, more capable, and more like yourself. 

Taking a Step Back to See Progress 

If you’re unsure whether therapy is working, it may be time to pause and reflect. 

As Parks puts it: 

“Sometimes the most important step is pausing and asking—what actually feels different now?” 

Even small shifts matter. And those small shifts, over time, create real, lasting change. 

If you feel stuck in therapy, reach out—we’re here to help you find the right path forward. 

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Andy Brimmer, MBA

Andy Brimmer, MBA

DIRECTOR OF BUSINESS DEVELOPMENT

Andy Brimmer is a dynamic Director of Business Development with extensive experience in sales strategy, talent sourcing, and client relationship management across the healthcare sector. Based in Fresno, California, Andy holds an MBA from Purdue Global and a BS in Business Administration from California State University, Fresno. He has a proven ability to drive revenue growth, negotiate contracts, and build strong pipelines using tools like ZoomInfo, LinkedIn Recruiter, and various CRMs. With a background that spans staffing solutions, medical recruitment, dental sales, and career development, Andy brings a well-rounded and strategic approach to business growth and team leadership.

Angel Dean, MS

Angel Dean, MS

Director of Operations

Angel Dean is an accomplished healthcare executive with over 15 years of leadership experience in medical administration, provider services, and surgical specialty management. She holds a Master of Science in Healthcare Administration and a Bachelor of Science in Business Administration from Cal State East Bay. Angel has held senior roles including Executive Director, where she spearheaded operational strategy, team development, and revenue growth. Fluent in Urdu and Punjabi, Angel excels in strategic planning, employee development, and healthcare compliance.

Simi Bhaurla, LPCC

Simi Bhaurla, LPCC

ADULT IOP CLINICAL DIRECTOR

As Adult IOP Clinical Director, I oversee our adult intensive outpatient program, guiding both the clinical work and the overall experience so the care you receive is grounded, coordinated, and truly built around you.

MacKena Dean, M.A., APCC

MacKena Dean, M.A., APCC

LEAD ADULT IOP/PHP CLINICIAN

As Lead Adult IOP/PHP Clinician, I provide direct clinical care while helping ensure the delivery of high-quality, evidence-based treatment across our adult program, creating a therapeutic environment where clients feel supported, empowered, and equipped for lasting recovery.

Background and Experience

Prior to joining Vitalize Behavioral Health, I gained valuable experience working with individuals experiencing a wide range of mental health concerns across diverse clinical settings. That background strengthened my ability to work with complex clinical presentations, facilitate meaningful group therapy, and collaborate with multidisciplinary teams to provide comprehensive, client-centered care, closely aligning with Vitalize’s mission of delivering personalized, evidence-based behavioral health services.

Areas of Specialization

I have a passion for working with adults navigating anxiety, depression, trauma, mood disorders, life transitions, and interpersonal challenges.

Therapeutic Approach

I believe that healing occurs through authentic connection, collaboration, and helping clients recognize their own strengths. My therapeutic approach integrates evidence-based interventions while honoring each client’s values, culture, and lived experiences.

Leadership and Philosophy

As the Lead Adult IOP/PHP Clinician, I am committed to fostering a culture of clinical excellence, teamwork, and compassionate care. I am passionate about helping clients build resilience, develop practical coping strategies, and achieve meaningful progress toward their personal goals, embodying Vitalize’s commitment to individualized care that empowers every client to thrive.

Dana Charles, LMFT

Dana Charles, LMFT

CLINICAL DIRECTOR OF VIRTUAL IOP SERVICES

As Clinical Director of Virtual IOP Services, I lead our telehealth intensive outpatient programming, making sure the care you get through a screen feels every bit as personal, structured, and supportive as care in the room.

Corion Duran, LMFT

Corion Duran, LMFT

Clinical Director

I am a client-centered and ACT-focused clinician with a significant history working with children and adolescents. I deeply believe that therapy needs to be driven by the people we are working with, in order to achieve their own unique goals and personal ideals in regards to what they want their lives to be.

Areas of Specialization

  • Trauma
  • Depression
  • Anxiety
  • LGBTQ+
  • Children and Adolescents

Therapeutic Approach

I was trained as a person centered therapist through my graduate program and quickly gravitated towards acceptance and commitment therapy, which is a third wave behavioral therapy that focuses on acceptance of emotions and thoughts, coping effectively and committing to living our lives by our own values and ideals. I also utilize play therapy with younger clients that allows them to explore and process their emotions and struggles through a developmentally appropriate process. What clients can expect more than anything else is receiving therapy that is tailored to their needs. This would include exploring what gets in the way of them living how they want in a deep, meaningful way, developing skills and strategies that are tailored to their experience, and moving in a significant way towards the behaviors and goals they desire for themselves.

Education and Credentials

  • B.A. Psychology
  • M.S. Counseling
  • Marriage Family and Child Counseling, LMFT
  • Trained in Affirmative Therapy, Trauma-Informed Care, Acceptance and Commitment Therapy

About Me

Primarily I gravitated towards becoming a therapist as I grew up with family members who needed mental health care in significant ways and I saw first hand how good, quality care benefitted them. I also attended therapy as a child and teenager and will be forever grateful that I saw competent, ethical therapists. Beyond that I am also a lifelong athlete who has seen the benefits of sports and meaningful experiences on people’s lives. I have been a whitewater river raft guide for the past 15 years and have worked on the Kings River and the American River.

Nadiyah Parks, LPCC

Nadiyah Parks, LPCC

REGIONAL CLINICAL DIRECTOR

As the Regional Clinical Director of the Adult IOP/PHP program, I bring over three years of experience in intensive outpatient care and six years in crisis intervention and emergency response alongside law enforcement. My clinical work is grounded in a psychodynamic approach through a trauma-informed lens, with a focus on helping clients understand how their past informs their present functioning. I became a therapist after starting my work as an emergency response advocate, where I supported individuals and families during some of their most difficult moments. Over time, I realized my true calling was in helping people not just survive those experiences, but heal from them, and that’s what led me to the deeper, ongoing work of therapy.

Areas of Specialization

  • Dialectical Behavioral Therapy
  • EMDR
  • Cognitive Behavioral Therapy
  • Internal Family Systems (IFS)

Education and Credentials

  • Bachelor of Science, Criminology, Victimology Emphasis
  • Master of Arts, Clinical Counseling
  • Certified Sexual Assault Crisis Counselor
  • EMDR Trained Therapist

Therapeutic Approach

Working with me, you can expect a warm, judgment-free space where empathy, curiosity, and understanding guide our work together. I believe in meeting you where you are, moving at your pace, and allowing you to take the lead in your healing process. My goal is to create a space where you feel safe, seen, and supported as we explore what matters most to you.

Dr. Jonathon Baird, Psy.D

Dr. Jonathon Baird, Psy.D

CHIEF EXECUTIVE OFFICER

I specialize in a neurological-psychological approach, integrating comprehensive neuropsychological assessments with empirically based, trauma-informed treatment. My work emphasizes brain-behavior relationships to inform personalized interventions across clinical and forensic settings.

Areas of Specialization

Specializes in neuropsychological and psychological assessment, with extensive experience conducting comprehensive evaluations across the lifespan, including intellectual, achievement, adaptive functioning, and forensic assessments. My clinical expertise spans trauma-informed care, forensic psychology, and behavioral and cognitive-behavioral therapy. I have provided psychological services in diverse settings, including correctional institutions, developmental centers, and outpatient clinics, addressing a broad spectrum of mental health concerns such as anxiety, depression, psychosis, impulse control disorders, and relational dysfunction. Particularly skilled in forensic evaluations, including fitness to stand trial, conservatorship, and risk assessments, frequently serving as an expert witness.

Therapeutic Approach

My approach combines neurological and psychological principles to provide individualized, brain-based care. I focus on how cognitive functioning and emotional health intersect, using comprehensive assessments and evidence-based therapies like CBT. Clients can expect a supportive, structured environment aimed at promoting insight, resilience, and lasting change.

Education and Credentials

  • Doctorate of Psychology (PsyD) in Clinical Psychology
  • Master of Arts (MA) in Clinical Psychology
  • Bachelor of Arts (BA) in Psychology