Continuing with therapy requires commitment, but with consistency, mental health challenges may begin to feel more manageable. Once the immediate problems subside, some people choose to leave therapy, believing it has served its purpose. The bigger picture may tell a different story. Could discontinuing therapy midway leave underlying problems unresolved and heighten the chances of symptoms returning?
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A mental health professional walked us through one of the possible consequences of leaving therapy midway. Neha Cadabam, senior psychologist and executive director at Cadabams Hospitals, offered insights into anxiety relapse and explained why quitting therapy prematurely may heighten the risk of symptoms returning, even after they have initially improved.
Why do people quit therapy midway, and how does that increase the risk of relapse?
First, the expert brought to notice a common misconception in mental healthcare: when symptoms improve after weeks or months and life begins to feel more manageable, people may assume that treatment can also stop.
But does symptom improvement alone qualify as successful therapy? The psychologist clarified that it does not and added, "Symptom improvement is only one phase of recovery. The later stages of treatment focus on identifying triggers, strengthening coping strategies, addressing underlying psychological patterns, and reducing the likelihood of future relapse.”
So, what happens when you leave therapy midway, and what are the possible risks? Since the underlying problems may remain unresolved, Neha warned that people may return to the same environments, stressors, and behavioural patterns without having developed sufficient resilience to manage them effectively.
Has the mental healthcare professional noticed in clinical practice? Neha confirmed that many patients, especially young adults, who had previously recovered from anxiety, are returning during prolonged periods of uncertainty with signs of a possible relapse.
She identified some of the factors leading to this pattern and said, "Continuous exposure to distressing news, economic concerns, workplace pressures, geopolitical conflicts, and constant digital engagement appears to be reactivating underlying vulnerabilities that had never been fully addressed.”
How do anxiety relapses show up in clinics?
The expert noticed an interesting shift happening in how young adults now seek clinical help for anxiety. They may have previously reported emotional distress; many now initially reach out with physical or cognitive complaints. This suggests how closely intertwined mental and physical health can be.
Neha described the initial complaints, which are mostly connected to physical health: “They present with complaints such as brain fog, poor concentration, emotional numbness, irritability, persistent fatigue, disturbed sleep, or simply feeling mentally overwhelmed. Some believe they are experiencing burnout or cognitive decline. It is only after a comprehensive psychological assessment that an underlying relapse of anxiety becomes evident.”
What is anxiety relapse, and how is it different from regular anxiety?
Now that we have discussed anxiety relapse as one of the possible consequences of discontinuing therapy prematurely, how is it different from regular anxiety?
Neha described, "It is different from the everyday anxiety everyone experiences before an exam, an interview, or a major life event. In an anxiety relapse, the underlying disorder re-emerges, often affecting daily functioning, relationships, work, and overall quality of life.”
Unlike everyday anxiety, which is generally associated with a particular stressful situation, a relapse has a broader and more persistent impact on a person's relationships, work, and ability to manage daily life.
The psychologist further shed light on one of the trends, “One of the clinical trends we are increasingly observing is among young adults, particularly those between 20 and 35 years of age. Many had previously undergone treatment, experienced improvement, and then discontinued therapy or medication because they believed they had recovered completely. Months or even years later, they return with a relapse, often triggered by new life stressors or prolonged periods of uncertainty.”
What are the warning signs that your anxiety may be returning?
Anxiety relapse does not always begin with panic attacks. In many people, the early warning signs are subtle and are often mistaken for work stress or fatigue.
Here are some common signs that the psychologist outlined:
- Feeling constantly on edge without a clear reason.
- Difficulty switching off or relaxing even during leisure time.
- Persistent overthinking or repeatedly anticipating worst-case scenarios.
- Brain fog or difficulty concentrating on routine tasks.
- Sleep disturbances, including difficulty falling asleep or waking up feeling unrefreshed.
- Irritability or becoming emotionally reactive over minor situations.
- Physical symptoms such as muscle tension, headaches, palpitations, stomach discomfort, or unexplained fatigue.
- Avoiding situations that previously did not feel overwhelming.
- Feeling mentally exhausted despite adequate rest.
- A growing sense that everyday responsibilities are becoming unusually difficult to manage.
One important clinical observation is that many individuals experiencing a relapse no longer recognise these symptoms as anxiety because they often present differently from their first episode.
Anxiety relapse may be common among young adults, especially as they are often navigating multiple transitions involving careers, finances, relationships, marriage, relocation, and identity. The psychologist added that this generation is also exposed to an unprecedented volume of information every day. Constant updates about conflicts, economic uncertainty, layoffs, public tragedies, and global crises are continuously consumed through social media and other digital platforms.
If someone has recovered from anxiety once, can they prevent a relapse?
Now that you have learnt to manage anxiety and come out of its spiral, can you prevent a relapse? Is it possible? The expert answered in the affirmative, reassuring that a relapse is not inevitable. Here are some of her recommendations for reducing the risk of anxiety relapse:
- Complete the full course of therapy or treatment recommended by your mental health professional, even if you start feeling better.
- Do not discontinue medication or therapy without consulting your treating clinician.
- Learn to recognise your personal triggers and early warning signs before symptoms become severe.
- Prioritise healthy sleep, regular physical activity, and consistent daily routines, as these play an important role in emotional regulation.
- Limit prolonged exposure to distressing news and constant digital information during periods of heightened uncertainty.
- Continue practising the coping strategies and emotional regulation techniques learnt during therapy.
- Seek professional help early if symptoms begin returning instead of waiting for them to become overwhelming.
Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.