When the program isn't working for a patient, the most common reason isn't the program — it's how they're using it. A few minutes of coaching at enrollment, and another few when a patient is stalling, prevents most of these failure modes.
Stick to the program
About one to two sessions per day, five to ten minutes. The app will guide the patient day to day. Anything above that runs ahead of the program's design and burns patients out inside a couple of weeks.
Trust the process
The meaningful change shows up across the arc rather than in week one. There is usually a dip around week two or three, when the novelty fades and it can feel like nothing much is happening yet — meaningful change usually starts around six to eight weeks — and patients who know that in advance are the ones who push through it.
Common ways patients get off track
Binge then burnout
The patient runs five sessions a day in week one, is out of steam by week three, and then stops entirely. Reset them to about one a day and be explicit that consistency matters more than volume.
Out of order
The patient jumps between modules looking for the one that will fix them. Pause the hunting, have them restart the current module, and finish it before moving on to the next.
Forget then angry
The patient lets the program lapse for weeks and then blames it for not working. Name what happened without judgment, restart from where they left off, and set a realistic re-engagement date on the spot.
When a patient is stalling or symptoms aren't improving
Before concluding the program isn't a fit, check whether they're running it as designed. The portal shows session activity and TFI movement — pull it up and look together.
Look at how many sessions a day they are doing, whether they are working in order or jumping around, and whether they have kept it up or stopped. One of the patterns above almost always shows up. The conversation then isn't "the program isn't working" — it's "here's what to adjust in how you're using it."