Small wins matter in therapy and mental health recovery because they help you notice progress your mind may otherwise dismiss. If you only compare yourself with an ideal future version of yourself, or with how you functioned many years ago, you may miss the real changes happening now.
Small wins are not about pretending everything is fine. They are about recognising evidence of effort, movement and change.
If you keep feeling that you “should be further ahead by now”, therapy can help you understand the patterns that keep you stuck in self-criticism and build a fairer way of measuring progress.
What are small wins in therapy?
Small wins in therapy are small but meaningful signs that something is shifting.
They might not look dramatic from the outside. They may not mean that anxiety, depression, trauma symptoms, low self-esteem or relationship difficulties have disappeared. But they can still show that you are responding differently, coping for slightly longer, avoiding slightly less, recovering more quickly, or understanding yourself more clearly.
A small win might be:
- getting out of bed a little earlier than last week;
- sending a message you had been avoiding;
- attending a therapy session even though you felt anxious;
- pausing before reacting;
- naming a feeling instead of shutting down;
- leaving the house for ten minutes;
- asking for support rather than pretending you are fine;
- noticing a self-critical thought without fully believing it;
- recovering from a difficult day in hours rather than days.
Small wins matter in therapy and mental health recovery because they make gradual progress visible. When people compare themselves only with an ideal future self or a much earlier version of themselves, they may dismiss real change. Noticing small, recent improvements can support motivation, self-efficacy and hope without pretending recovery is complete.
If you are considering therapy and want to understand what support might look like, Stronger Minds offers private psychological therapy and assessment in Birmingham and online across the UK.
Did you know?
Progress in therapy does not always mean feeling better immediately. Sometimes the first sign of progress is noticing a pattern more clearly, talking about something you used to avoid, or recovering slightly faster after a setback.
Why progress can be hard to see when you are struggling
Many people assume they will recognise progress when it happens. In practice, this is often not true.
When you are anxious, depressed, burnt out, traumatised or deeply self-critical, your attention may be pulled towards what is still wrong. You may notice the panic attack, but not the fact that you left the house despite it. You may notice that you still felt low, but not that you replied to two messages. You may notice that you became upset, but not that you repaired the conversation afterwards.
This can make progress in therapy feel confusing. You may be changing, but your mind may keep asking:
“Why am I not better yet?”
That question is understandable. But it can also be unfair. It often compares your current self with a version of you that is not available today: either the person you hope to become, or the person you remember being many years ago.
This is where people can become trapped. They are not only struggling with symptoms. They are struggling with the way they are measuring progress.
If therapy does not feel like it is helping, it can be useful to review this openly rather than silently assuming that you have failed. You may find it helpful to read about what it can mean when therapy is not helping and how to review the work without blaming yourself.
The Three Baselines Framework: are you using the wrong measuring stick?
One clinically useful way to understand this problem is to look at the baseline you are using.
A baseline is the point you compare yourself against. If the baseline is unrealistic, your progress may feel invisible.
In therapy, it can be helpful to distinguish between three baselines.
1. The ideal future baseline
This sounds like:
“I should already be calm.”
“I should be confident by now.”
“I should be back to normal.”
“I should not still be struggling with this.”
“I should be able to motivate myself like other people do.”
The ideal future baseline compares you with the person you wish you were.
There is nothing wrong with having hopes or goals. The problem is that if you only measure yourself against the final destination, every step before that can feel like failure.
This is like climbing a hill and only looking at the summit. You may have already climbed a long way, but because you are not at the top, your mind tells you that nothing counts.
2. The historical baseline
This sounds like:
“I used to cope better than this.”
“I used to be able to work harder.”
“I used to go out all the time.”
“I used to be motivated.”
“I used to be more resilient.”
“I used to manage everything.”
The historical baseline compares you with a previous version of yourself.
Sometimes that comparison is accurate in one narrow sense: perhaps you did used to function better. But it may ignore what has happened since then.
It may ignore stress, loss, trauma, burnout, illness, relationship strain, caring responsibilities, work pressure, or years of pushing through without enough support. It may also ignore the fact that your earlier self may have been coping in ways that were not sustainable.
The past can provide information. But it is not always a fair measuring stick.
3. The fair-current baseline
This sounds like:
“Compared with where I was recently, what has shifted?”
“What am I doing now that I could not do a few weeks ago?”
“What am I avoiding slightly less?”
“What am I understanding more clearly?”
“What am I recovering from more quickly?”
“What am I practising, even if it still feels hard?”
The fair-current baseline does not lower your hopes. It simply measures progress against your actual recent starting point.
This is often the most clinically useful baseline in therapy. It helps you notice movement without pretending that the work is finished.
If you are trying to judge whether therapy is helping, it may also be useful to understand how many therapy sessions people may need for different difficulties, while remembering that progress varies from person to person.
Did you know?
A small win is not always about doing more. Sometimes it is about doing something differently: pausing, asking for help, setting a boundary, noticing a trigger, or not attacking yourself quite as harshly afterwards.
Examples of small wins that really do count
Many people dismiss progress because it does not look impressive enough.
They say:
“It was only a short walk.”
“I only managed one email.”
“I still felt anxious.”
“I still cried.”
“I still had the thought.”
“I still needed reassurance.”
“I only did it because I had to.”
But in therapy and mental health recovery, “only” can hide a lot of important work.
For someone with depression, getting dressed and leaving the house may be a meaningful shift. If low mood is central for you, it may help to read more about depression symptoms and therapy and how depression can affect motivation, energy and self-belief.
For someone with anxiety, staying in a situation for five extra minutes may matter. If anxiety is a major part of the picture, Stronger Minds has more information on anxiety symptoms and therapy.
For someone recovering from trauma, noticing the body’s threat response without immediately shutting down may be significant. If trauma memories, avoidance, nightmares or hypervigilance are part of the difficulty, you may find it useful to read about psychological trauma and PTSD.
For someone with obsessive or intrusive thoughts, a small win may be noticing the thought without immediately performing a compulsion or reassurance-seeking behaviour. This can be especially relevant if you struggle with intrusive thoughts and impulsive thoughts.
Small wins can include changes in behaviour, emotion, thinking, relationships and self-awareness.
Behavioural wins might include doing one task, attending an appointment, reducing avoidance, or returning to a routine.
Emotional wins might include naming sadness, allowing anger safely, tolerating anxiety, or recovering sooner after distress.
Relational wins might include saying no, asking for reassurance directly, apologising, or sharing something honestly.
Cognitive wins might include spotting all-or-nothing thinking, noticing perfectionism, or questioning the thought “I am failing.”
Therapy-process wins might include bringing up something difficult, saying that therapy feels stuck, asking for a clearer focus, or admitting that you felt ashamed.
These changes may not feel like success. But they can be signs that the system is starting to move.
Why noticing small wins can support motivation
Small wins can support motivation because they give your mind evidence that effort is not pointless.
This does not mean that noticing progress magically removes depression, anxiety or trauma symptoms. It does not mean that positive thinking is enough. It means that motivation is often easier to sustain when you can see a link between effort and change.
This fits with behavioural activation, an evidence-based approach often used in depression treatment. Behavioural activation focuses on helping people gradually reconnect with meaningful, necessary or rewarding activities, especially when low mood has led to withdrawal or avoidance.
Small wins also connect with self-efficacy: the belief that you can take effective action in a situation. When someone repeatedly experiences themselves coping, even in small ways, they may begin to build a more realistic sense of agency.
This is different from telling yourself:
“I can do anything.”
It is closer to saying:
“There is evidence that I can take the next step.”
Motivation is also affected by the type of difficulty someone is experiencing. For example, depression, anxiety, trauma, obsessive-compulsive patterns, burnout and relationship stress can each affect motivation differently. Stronger Minds has a separate article on motivation for treatment and different mental health conditions, which may be useful if you feel frustrated by your own lack of drive.
Did you know?
Motivation often follows action rather than coming before it. Many people wait to feel motivated before taking a step. In therapy, it is often more useful to make the step small enough that it can be attempted even when motivation is low.
Why self-blame makes small wins harder to see
Self-blame narrows attention.
When you are blaming yourself, your mind may search for evidence that you are behind, weak, lazy, broken or failing. This makes it much harder to recognise effort.
For example, a person who is depressed might say:
“I only went to work because I had no choice.”
A person with anxiety might say:
“I only stayed because I did not want to embarrass myself.”
A person recovering from burnout might say:
“I only rested because I had completely crashed.”
In each case, the word “only” strips the action of meaning.
Self-compassion can help here, but it is often misunderstood. It does not mean excusing everything, avoiding responsibility, or pretending that change is not needed.
Self-compassion means responding to suffering, mistakes or inadequacy with support rather than contempt.
In practice, this might mean saying:
“This is hard, and I still took a step.”
“I am not where I want to be, but I am not where I was last month.”
“I can be honest about what still needs to change without attacking myself.”
“This small step matters because it interrupts the pattern.”
That is not self-indulgence. It is a more accurate assessment.
Self-blame can also show up in relationships. If anger, hurt, fear or repeated conflict are part of the picture, it may be useful to read about anger in relationships and the hurt beneath arguments, because small wins in relationships often involve pausing, repairing or communicating differently rather than “winning” an argument.
A simple way to track small wins without becoming obsessive
Tracking progress can be helpful, but it needs to be done carefully.
For some people, tracking becomes another way to judge themselves. They start grading every day, comparing every week, or using a journal as evidence that they are “not doing enough.”
That defeats the purpose.
A clinically useful small-wins review should be brief, compassionate and realistic.
Once a week, ask yourself five questions:
- What did I do this week that was difficult but useful?
- What did I avoid slightly less?
- What did I understand about myself that I had not seen before?
- What did I recover from a little more quickly?
- What would I dismiss as “too small” if someone else had not pointed it out?
The final question is often the most important.
You can also ask:
“If a friend had done this while feeling how I felt, would I call it nothing?”
Most people are kinder and more accurate when judging someone else’s effort than when judging their own.
In therapy, this kind of review can help make progress visible. It can also show where things are genuinely stuck and need a different approach.
It may also be helpful to review the rhythm of therapy itself. Stronger Minds has a separate article on how long and how often you should go to therapy, which may help if you are unsure whether progress is slow, stuck, or simply still developing.
Did you know?
Progress tracking is most useful when it helps you notice patterns, not when it becomes another performance test. The aim is not to prove you had a “good week”. The aim is to understand what is changing and what still needs support.
How therapy can help you review progress more fairly
Therapy can help when you keep dismissing your own progress, especially if this pattern is linked with perfectionism, depression, trauma, shame, low self-esteem, anxiety or long-standing self-criticism.
A therapist can help you ask:
- What baseline am I using to judge myself?
- Is that baseline fair?
- What evidence of change am I ignoring?
- What still genuinely needs attention?
- Am I confusing “not finished” with “not improving”?
- What would realistic progress look like from here?
- What kind of therapy focus would help next?
This is not about lowering standards. It is about making the standards clinically useful.
Therapy can also help you decide what kind of approach fits your needs. Some people benefit from Cognitive Behavioural Therapy, some from trauma-focused work, some from compassion-focused or acceptance-based approaches, and some from a more integrative formulation-led therapy. If you are comparing approaches, you may find it useful to read about CBT and different therapy approaches.
For some difficulties, a more structured therapy method may be appropriate. Stronger Minds offers Cognitive Behavioural Therapy in Birmingham, and CBT can be especially relevant when someone is trying to understand the relationship between thoughts, feelings, behaviour and avoidance.
If you are unsure what therapy involves more generally, you may also find it helpful to read about what psychotherapy can involve.
When small wins are not enough on their own
Small wins matter. But they are not a substitute for proper help when someone is significantly distressed, deteriorating, unsafe, or unable to function.
It is important not to turn “celebrate small wins” into pressure to cope alone.
You may need additional support if:
- your mood is persistently low;
- anxiety is restricting your life;
- trauma symptoms are interfering with sleep, relationships or daily functioning;
- you are withdrawing from most people and activities;
- you feel hopeless or trapped;
- you are relying heavily on alcohol, drugs, self-harm or other risky coping strategies;
- you are having thoughts of ending your life;
- therapy feels stuck and this has not been discussed openly.
If there is immediate risk to your safety or someone else’s safety, seek urgent help. In the UK, this may mean calling 999, attending A&E, contacting NHS 111 for urgent advice, or contacting Samaritans on 116 123 if you need someone to talk to.
Small wins can be part of recovery. They should not be used to minimise serious risk.
If you are unsure whether your current therapy is well matched to your needs, you may also find it useful to read about therapist drift and why it matters. Sometimes therapy feels stuck because the work has lost focus, the goals have become unclear, or the method no longer fits the problem.
How to choose support when you feel stuck
If you keep feeling that you should be “further ahead by now”, it may be worth talking this through properly.
Therapy can help you understand whether your self-criticism is protecting you, punishing you, motivating you, or keeping you trapped. It can also help you define progress in a way that is honest, compassionate and clinically useful.
If you are looking for a therapist, it is reasonable to think carefully about training, experience, therapeutic fit and whether the approach matches your difficulty. Stronger Minds has a guide on how to choose a therapist in Birmingham, including how to think about credentials, goals and therapy format.
Some people also wonder whether the therapist’s gender matters. For some clients, it may affect comfort, safety or preference. For others, the therapist’s expertise, formulation and interpersonal style matter more. Stronger Minds has a separate article on male versus female therapists and finding the best fit.
If you are unable to attend in person, or if remote therapy is more realistic for your life, Stronger Minds offers online assessment and therapy across the UK.
To enquire about therapy or assessment, you can contact Dr Nick at Stronger Minds.
Did you know?
In therapy, one of the most important shifts can be moving from “Why am I not fixed yet?” to “What is this difficulty telling us, what has already changed, and what needs to happen next?”
FAQ
1. What counts as a small win in therapy?
A small win is any meaningful sign of movement, effort or change. It might be doing something you avoided, understanding a pattern more clearly, asking for help, setting a boundary, recovering faster after distress, or responding to yourself with less criticism.
2. Why do I feel like I am not making progress in therapy?
You may feel this way because you are comparing yourself with an ideal future version of yourself, or with how you functioned years ago. You may also be focusing more on what still hurts than on what has changed. If this continues, it is worth discussing directly with your therapist.
3. Can small wins help with depression or anxiety?
Small wins can help some people build momentum, especially when they are linked to meaningful activity, reduced avoidance, self-compassion and realistic goals. They are not a cure for depression or anxiety, and people with significant symptoms may need structured psychological therapy, medical input or additional support.
4. How do I stop comparing myself with how I used to be?
Start by asking whether the comparison is fair. Your past self may have had different responsibilities, health, stress levels, support, energy or coping strategies. Instead of only asking “Why am I not like I used to be?”, ask “Compared with where I was recently, what has shifted?”
5. Is it normal for mental health recovery to feel slow?
Yes, it can be. Mental health recovery is often gradual and uneven. People may improve in one area while still struggling in another. Slow progress does not automatically mean that therapy is failing, but it should be reviewed if you feel stuck, unsafe or unsure about the focus of treatment.
6. How can I track therapy progress without becoming obsessive?
Use a brief weekly review rather than daily scoring. Ask what you did, avoided less, understood, tolerated or recovered from more quickly. The aim is not to judge yourself. The aim is to notice patterns and bring useful information into therapy.
7. When should I consider therapy if I feel stuck?
Consider therapy if self-criticism, avoidance, anxiety, low mood, trauma symptoms, relationship difficulties or shame are affecting your life, or if you keep dismissing progress despite trying hard. Therapy can help you understand why change feels difficult and what might help next.
Key takeaways
- Small wins are meaningful signs of effort, change or movement.
- Progress in therapy does not always feel like progress at first.
- Comparing yourself with an ideal future self can make real change feel inadequate.
- Comparing yourself with a much earlier version of yourself can also be unfair.
- The fair-current baseline asks: “Compared with where I was recently, what has shifted?”
- Small wins can support motivation, self-efficacy and hope, but they are not a substitute for proper help when risk or significant distress is present.
- Therapy can help you measure progress more fairly and understand what still needs to change.
Disclaimer
This article is for general information only. It is not a substitute for personalised psychological assessment, diagnosis, therapy, medical advice or crisis support.
If you are worried about your safety or someone else’s safety, seek urgent help by calling 999, attending A&E, contacting NHS 111 for urgent advice, or contacting Samaritans on 116 123.
Author
Author: Dr Nick Zygouris, Consultant Clinical Psychologist, HCPC-registered and BPS-Chartered
Publish date: 8 May 2026
Last reviewed: 8 May 2026
References
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioural change. Psychological Review, 84(2), 191–215. https://doi.org/10.1037/0033-295X.84.2.191
National Health Service. (n.d.). 5 steps to mental wellbeing. NHS. https://www.nhs.uk/mental-health/self-help/guides-tools-and-activities/five-steps-to-mental-wellbeing/
National Institute for Health and Care Excellence. (2022). Depression in adults: treatment and management NICE guideline NG222. https://www.nice.org.uk/guidance/ng222
Neff, K. D. (2023). Self-compassion: Theory, method, research, and intervention. Annual Review of Psychology, 74, 193–218. https://doi.org/10.1146/annurev-psych-032420-031047
Stein, A. T., Carl, E., Cuijpers, P., Karyotaki, E., & Smits, J. A. J. (2021). Looking beyond depression: A meta-analysis of the effect of behavioural activation on depression, anxiety, and activation. Psychological Medicine, 51(9), 1491–1504. https://doi.org/10.1017/S0033291720000239
Stewart, V., McMillan, S. S., Huibers, M. J. H., Phillips, L. J., & Hetrick, S. E. (2022). Goal planning in mental health service delivery: A systematic integrative review. Frontiers in Psychiatry, 13, Article 1057915. https://doi.org/10.3389/fpsyt.2022.1057915
