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Has Therapy Felt Useless? You May Have Been Misunderstood

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13.03.2026

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Some people already have too much self-control. The issue for them is overcontrol

Standard therapy often doesn't work for overcontrolled clients. It addresses too little control, not too much.

Radically Open DBT (RO DBT) can help people who are overcontrolled.

You showed up. You did the homework. You tried to be honest. But the depression is still there. The anxiety is still there. The loneliness is still there.

If therapy hasn’t helped, you might be asking: Is something wrong with me? Am I too hard to help? But here’s a different question worth asking: What if the type of therapy you tried wasn’t the right fit for how your brain works?

Not All Therapy Works the Same Way for Everyone

Most therapy is built on one idea: People struggle because they can’t manage their emotions. They act on impulse. They need more coping tools and better self-control. For many people, that’s exactly right.

But for others, it’s the opposite problem.

There is a group of people who already have too much control. They don’t act impulsively. They follow the rules. They hold everything together, at least on the outside. Inside, it’s a different story. They feel empty or deeply lonely. They deal with depression that won’t lift. They have rigid routines they can’t let go of, or a sense that something is missing, even when life........

© Psychology Today