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How to Tell if You Need Therapy: 7 Clear Warning Signs

  • Wade Eames
  • Aug 26
  • 9 min read

Person contemplating whether they need therapy - mental health warning signs
thinking about going to therapy?

Many of us have been there, lying awake at 2am wondering if what we're going through is "normal" or if maybe, just maybe, we should talk to someone about it.

Maybe we've been telling ourselves it's just a rough patch. That everyone feels this way sometimes. That we should be able to handle this on our own. After all, we've gotten through difficult times before, right?

But then there are those moments when we catch ourselves thinking: Is this how life is supposed to feel?

The truth is, recognizing when we might benefit from professional support isn't always straightforward. We're often too close to our own experience to see the patterns clearly. And our culture has this persistent myth that asking for help means we're weak, when actually it's one of the strongest things we can do.

So let's talk honestly about the signs that suggest therapy might be helpful not because there's something "wrong" with us, but because we deserve to feel more at peace with ourselves and our lives.


Why It's So Hard to Know

Here's something that might surprise us: the people who question whether they need therapy are often exactly the people who would benefit from it. The fact that we're even wondering suggests a level of self-awareness and care for our wellbeing that's actually quite healthy.

But it can be genuinely difficult to know when we've crossed the line from normal life challenges into territory where professional support could help. We adapt to our internal landscape gradually, and what starts feeling "normal" for us might actually be a sign that we're carrying more than we need to.

We also live in a culture that glorifies pushing through, staying strong, and handling everything independently. While resilience is valuable, sometimes what we call "strength" is actually us grinding ourselves down trying to manage alone what could be much easier with the right support.

The question isn't whether we're "broken enough" to deserve help. The question is whether we're ready to invest in feeling better, thinking more clearly, and moving through life with less struggle and more intention.


7 Clear Warning Signs You Might Benefit from Therapy

1. Your Usual Coping Strategies Have Stopped Working

We all have ways we manage stress, difficult emotions, or challenging situations. Maybe we go for walks, talk to friends, listen to music, or throw ourselves into work. These strategies have probably served us well at various points in our lives.

But lately, the things that used to help just... don't. We try our usual approaches and find ourselves still feeling stuck, overwhelmed, or distressed. It's like our emotional toolkit has suddenly become ineffective, and we're not sure why.

What this looks like: We might find ourselves saying things like "I've tried everything I can think of" or "Nothing seems to help anymore." We might notice we're cycling through the same attempted solutions without getting relief.

How it shows up daily/weekly: We reach for our go-to stress relievers but feel frustrated when they don't provide the comfort or clarity they used to. We might feel like we're going through the motions without getting the benefit.

2. People Close to You Have Expressed Concern

Sometimes the people who love us can see changes in us before we fully recognize them ourselves. When multiple people in our lives friends, family members, partners, or colleagues start expressing worry about us, it's worth paying attention.

This isn't about one person having an opinion about our life choices. This is about people who know us well noticing that we seem different, more stressed, less like ourselves.

What this looks like: Comments like "You seem really down lately," "I'm worried about you," "You haven't seemed like yourself recently," or "Have you considered talking to someone?" When we hear these kinds of observations repeatedly, it's information worth considering.

How it shows up daily/weekly: People might ask if we're okay more often than usual, or we might notice that others seem to be walking on eggshells around us. We might be getting feedback that we're more irritable, withdrawn, or intense than usual.


3. You're Avoiding Things That Used to Matter to You

One of the clearest signs that something is shifting in our mental health is when we start pulling back from activities, relationships, or responsibilities that were previously important to us.

This isn't about occasionally not feeling like going out or needing some alone time. This is about a pattern of withdrawal from things that typically brought us joy, meaning, or connection.

What this looks like: We might stop calling friends, skip social events we would normally enjoy, lose interest in hobbies, avoid intimacy with our partner, or find ourselves making excuses to get out of commitments that we used to value.

How it shows up daily/weekly: Our calendar starts getting emptier not because we're busy, but because we're declining invitations or canceling plans. We might notice we're spending more time isolating, scrolling our phones, or engaging in activities that feel numbing rather than nourishing.


4. Your Sleep, Appetite, or Daily Routines Are Consistently Disrupted

Our basic life rhythms how we sleep, eat, and move through our daily routines are often the first things affected when we're struggling emotionally. These changes can be subtle at first, but they tend to compound over time.

Sleep disruption might look like trouble falling asleep, waking up frequently during the night, waking up very early and not being able to get back to sleep, or sleeping much more than usual but still feeling exhausted.

Changes in appetite might mean eating much more or much less than usual, losing interest in food, or using food to cope with emotions in ways that don't feel healthy.

What this looks like: We might find ourselves lying awake worrying, or sleeping through alarms because we're so emotionally drained. We might notice we're skipping meals or eating at odd hours, or that nothing tastes good anymore.

How it shows up daily/weekly: We feel tired even after a full night's sleep, our eating schedule becomes erratic, or we notice our daily structure starting to fall apart. Simple routines that used to be automatic now feel difficult or overwhelming.


5. You Feel Stuck in the Same Patterns Despite Trying to Change

This might be one of the most frustrating experiences recognizing that certain patterns in our lives aren't working, making genuine efforts to change them, but finding ourselves right back where we started.

Maybe it's relationship patterns where we keep finding ourselves in similar conflicts with different people. Maybe it's work patterns where we keep burning out despite changing jobs. Maybe it's internal patterns where we keep falling into the same thought spirals or emotional reactions.

What this looks like: We might hear ourselves saying things like "Why do I keep doing this?" or "I know better, but I can't seem to stop." We recognize the pattern, we want to change it, but we feel like we're stuck on repeat.

How it shows up daily/weekly: We catch ourselves in the same arguments, making the same choices that don't serve us, or having the same internal experiences over and over. We feel like we're working hard to change but not getting traction.


6. Your Relationships Are Suffering Because of How You're Feeling

When we're struggling internally, it often shows up in our relationships sometimes in ways we don't immediately recognize. We might find ourselves more irritable with people we love, more withdrawn from social connections, or more needy and anxious in our relationships.

This isn't about normal relationship conflicts or occasional stress affecting how we interact with others. This is about noticing that our internal struggles are consistently impacting our ability to connect, communicate, or be present with the people who matter to us.

What this looks like: We might find ourselves snapping at our partner over small things, avoiding calls from friends because we don't have the energy to pretend we're okay, or feeling like we're bringing down the mood wherever we go.

How it shows up daily/weekly: Conversations with loved ones feel more difficult than they used to. We might notice we're apologising more often for our mood or behavior, or that people seem to be giving us more space than usual.


7. You're Having Thoughts of Self-Harm or That Life Isn't Worth Living

This is the most serious warning sign, and it's one that deserves immediate attention. If we're having thoughts about hurting ourselves, or if life is starting to feel pointless or not worth living, these are clear indicators that professional support is needed right away.

These thoughts don't have to be detailed plans or constant preoccupations to be significant. Even occasional thoughts that we'd be better off not here, or wondering what the point of continuing is, are important signals that our mental health needs attention.

If this resonates: Please reach out for support immediately. This might mean calling a crisis helpline, going to an emergency room, or reaching out to a mental health professional. You don't have to wait, and you don't have to handle these thoughts alone.

Remember: Having these thoughts doesn't mean there's something fundamentally wrong with us. It usually means we're dealing with more pain than our current resources can handle, and that's something that can be addressed with proper support.


What These Signs Actually Mean

If we recognize ourselves in several of these signs, it doesn't mean we're "broken" or that there's something fundamentally wrong with us. What it likely means is that we're dealing with more than our current internal resources can comfortably handle.

Think of it like physical health: we don't wait until we have a heart attack to see a doctor about chest pains. We pay attention to warning signs and get support before things become critical. Mental health works the same way.

These warning signs are our internal system's way of letting us know that we could benefit from additional support, perspective, or tools. They're information, not judgment.


You Don't Have to Wait Until You're in Crisis

Here's something important: we don't have to wait until we're in crisis to benefit from therapy. In fact, some of the most powerful therapeutic work happens when we're still functioning relatively well but recognize that we could be thriving instead of just surviving.

Therapy isn't just for people who are falling apart. It's for people who want to understand themselves better, develop healthier patterns, process difficult experiences, or simply have a space to think through life's complexities with someone trained to help.

Many people find that addressing these warning signs early prevents them from developing into more serious mental health challenges. It's like maintaining our car rather than waiting for it to break down on the side of the road.


What Professional Support Actually Looks Like

If these signs resonate, professional support might involve working with a therapist to understand what's happening beneath the surface. Often, these warning signs are symptoms of underlying patterns, unresolved experiences, or ways of thinking that we've developed over time.

In therapy, we don't just talk about problems we work together to understand what's driving these patterns and develop practical strategies for creating the changes we want to see. We explore how long certain struggles have been part of our experience and, crucially, how they're showing up in our daily and weekly life.

The goal isn't to eliminate all stress or difficult emotions from our lives. It's to help us develop a healthier, more sustainable relationship with life's inevitable challenges, and to make sure we're not carrying burdens that we don't need to carry alone.


The Relief of Getting Support

One of the most common things people say after starting therapy is something like: "I wish I had done this sooner." There's often a sense of relief that comes with finally having a space to be completely honest about what we're experiencing, and to work with someone who can help us make sense of it all.

Getting professional support doesn't mean we're giving up on handling things ourselves. It means we're wise enough to recognize when additional perspective and expertise could help us navigate more effectively.

We don't have to figure everything out on our own. And we don't have to wait until we're completely overwhelmed to reach out for support.


Moving Forward

If we're recognizing ourselves in these warning signs, the most important thing to remember is that these experiences are treatable. With the right support, we can develop more effective ways of managing stress, processing difficult emotions, and creating the kind of life we actually want to live.

Sometimes the hardest part is just acknowledging that we might benefit from support. Once we can be honest with ourselves about where we are, we can start taking steps toward where we want to be.

These warning signs aren't a verdict on who we are as people. They're simply information about our current state and an invitation to consider whether some additional support might be helpful right now.

And if we're still unsure? That's okay too. Sometimes the best first step is simply reaching out to have a conversation about what we're experiencing, without any pressure to commit to anything beyond that.


If you're recognizing yourself in these signs, you don't have to figure this out alone. Sometimes what feels overwhelming when we're carrying it by ourselves becomes much more manageable when we have the right support and perspective. Ready to take that next step? Reach out to www.nextsteps.au today and let's talk about what's happening for you.

 
 

GET IN TOUCH

Wade Eames, B.Couns, PACFA Reg. Certified Practising (28644)​​

Wellshare Caringbah

Level 1, 418 Kingsway

Caringbah NSW 2229

​​

wade@nextsteps.au

0479 155 439

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