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Therapy is built on connection, and when that connection feels off, it can be discouraging for both you and your client. If you’ve noticed that engagement is low, maybe clients seem distant, unresponsive, or even start missing appointments, it’s important to take a step back and examine how you’re showing up in session.
Check In with Yourself
Your presence in the therapy room (whether in person or virtual) plays a huge role in engagement. Are you fully present, or are distractions getting in the way? Are your appointments starting on time? Do you find yourself jumping too quickly into solutions rather than allowing space for clients to process? Therapy is often the only place where a person has someone fully focused on their needs, wants, and concerns, honor that by being intentional about how you hold space for them.
Building a Functional Therapeutic Relationship
Trust and connection take time. If engagement is low, consider whether you’ve allowed enough space to build rapport. Clients may need time to open up, and if sessions feel overly structured or solution-driven too soon, they may struggle to feel truly seen and heard. Slow down. Listen actively. Validate their experiences before moving into interventions.
Assess Your Environment
Your physical and virtual space matters more than you think. In person, ensure that there are no physical barriers, like a desk or large objects, creating a sense of distance between you and your client. For telehealth, make sure you’re in a quiet, professional setting with a background that isn’t distracting. A cluttered or chaotic environment can subtly impact a client’s ability to feel safe and engaged in the session.
Encourage Open Feedback
If you’re sensing disengagement, it’s okay to address it directly. A simple “How are these sessions feeling for you?” or “Is there anything you’d like more or less of in our time together?” can open the door for honest dialogue. Clients may not always know how to articulate what they need, but giving them permission to share can strengthen the relationship.
The Bottom Line
Low engagement doesn’t always mean therapy isn’t working, it may just mean adjustments are needed. By being mindful of how you’re showing up, creating a comfortable environment, and prioritizing relationship-building over problem-solving, you can foster deeper connections and help clients feel truly heard and supported.
