No. Acupuncture works whether or not you think it will. Acupuncture is used successfully on animals and children. They do not understand or believe in the process yet they often get better results than adults. A positive attitude helps with any type of therapy, but it is not necessary to believe in acupuncture (or to feel it working) for it to work. Since positive expectations and belief in a particular therapy increase therapeutic results, it is encouraged that you raise any concerns or doubts you may have prior to treatment.