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The Dr. Leaf Show

Before You Start Therapy: What No One Tells You About the First Weeks

The Dr. Leaf Show

Dr. Caroline Leaf

Health & Fitness, Mental Health

4.63.2K Ratings

🗓️ 31 December 2025

⏱️ 20 minutes

🧾️ Download transcript

Summary

Thinking about starting therapy? Or just beginning your healing journey?Before you dive in, there’s something most people are never told. In the first few weeks of therapy, emotions can intensify, old memories can resurface, and you may feel worse instead of better. This is known as the activation dip — and it’s not a failure. It’s a sign that your mind is beginning real change. In this episode, Dr. Caroline Leaf, clinical neuroscientist and mental health expert, explains the science behind why therapy can feel harder at first, what’s happening in your brain during emotional healing, and how to move through this phase without quitting too soon. You’ll learn how to recognize the difference between productive discomfort and burnout, how to stay regulated during emotional activation, and how to set yourself up for lasting transformation from day one. 🧠 What you’ll learn in this episode: ✔️ Why therapy often feels worse before it feels better✔️ What the activation dip is — and why it signals progress✔️ The two key factors you can control to make therapy effective✔️ How to track emotional and physical warning signals✔️ Practical tools from Help in a Hurry to stay engaged and avoid early dropout Join my annual 21-Day Brain Detox Challenge (starts Jan 1): reset your mind, break toxic thought cycles, and build real mental resilience—$50 off + a FREE surprise gift from Dr. Leaf! Register here: https://21daybraindetox.com/special/ 🧠 Explore the Neurocycle App: https://neurocycle.app📨 Join my mailing list: https://drleaf.com/pages/newsletter🎙 Listen to all podcast episodes: https://drleaf.com/pages/podcast🌐 Visit my website: https://www.drleaf.com DISCLAIMER: This content is for educational purposes only and is not a substitute for professional medical advice. 🧠 What you’ll learn in this episode:📘 Order Help in a Hurry

Transcript

Click on a timestamp to play from that location

0:00.0

If you've been thinking about starting therapy, there's something you need to know before

0:04.2

you booked your first session.

0:06.4

The very first weeks can feel unexpectedly intense.

0:10.6

Your mind begins to open the door on thoughts with all their memories and emotions you've

0:15.0

kept buried and the release can be a lot to handle.

0:19.3

Without understanding why it's happening, you might decide therapy isn't for you. Before it even has had the chance to help you. Therapy isn't magic. It works when you're actively involved. Without that, it can even push you in the wrong direction. The results depend on two things you control, what you do

0:39.6

between sessions and how honest you are during them. If you hold back key details, your therapist

0:46.5

is working with an incomplete picture, which can lead to advice that doesn't fit you. There's also

0:51.8

something most people aren't prepared for. The activation

0:55.4

it is a stage where your mind starts bringing non-conscious patterns into your conscious

1:00.6

awareness. That spike in emotional intensity is a sign that your healing work has begun. But if you

1:08.3

don't know, it can feel like you're moving backwards. In this episode,

1:12.8

I'm going to show you how to spot the activation dip, what to do when it hits, and how to make

1:18.5

therapy work harder for you so you can keep going until the real breakthroughs happen. I want

1:24.6

you to understand why this happens, what it means for your progress and how you

1:28.5

can work with it instead of stepping away too soon. When you begin therapy, you are giving your

1:34.2

mind permission to bring non-conscious patterns into your conscious awareness. These patterns include

1:39.9

thoughts, their embedded memories and attached emotions and physical warning signals that

1:45.2

have been part of your internal experience for years.

1:49.2

As they move into awareness, the intensity can spike.

1:53.6

This is a predictable stage, a temporary spike in emotional intensity as your conscious mind

1:59.3

embraces processes and integrates material

...

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