Other Side of the Couch

Welcome to a blog that aims to be full of insightful ramblings from a licensed psychotherapist, with a specialty in sex therapy and marriage and family therapy. It is my hope that this blog will be of interest to people in therapy, people contemplating therapy, people contemplating being therapists, people about to be therapists and people who already are therapists!

Monday, July 31, 2006

Thinking About Your Therapist

I received this email today, and asked permission to post it with my response. I agreed to leave the email address off to protect the blog reader's identity.

The Question:

"I've been in therapy for 2 years, so it's kind of interesting to hear from "the other side of the couch!" I have a question. If it is inappropriate or illegal to answer it, that's okay. I don't want anyone to get into trouble. I think about my therapist a lot. (at least 2x an hour) Not in a sexual way, meaning in a friendship way, wishing she was more a part of my regular life. I think this is because I have so much trust in her. I am always thinking, "What would G say in this situation?". What if G was watching me?" Is this normal? If not, what should I do so that I don't ruminate as much."

My Response:

The feelings you are describing are very normal and are experienced by many people who embark on therapy. However, explaining the therapy relationship is a difficult task. How do you explain a relationship in which one person gets to know your innermost thoughts and feelings more so than nearly anybody else in your life, and yet you know little or nothing about them? How do you explain the process of walking in through the door, and sitting down for an hour and talking with somebody about whom you know nothing, and yet feeling as if you could trust them with nearly anything? There are very few places in our life where the times we spend with a person are totally and completely focused on what is happening in our individual lives, with the express purpose of helping us to solve our problems and make our lives go smoother. Therapy is one of them. For those people who had less than stellar parental relationships, the relationship that grows with a therapist can also be seen as an opportunity to “re-do” that original nurturing relationship over again, to master what was out of our control back then.

In order for your therapist to be able to help you, sometimes you have to feel complex and often uncomfortable feelings. Withholding information from your therapist is not going to help you deal with this discomfort – sometimes the only way out is through. In other words, be willing to tell your therapist things that you would not ordinarily tell another person. In this particular case, I would suggest taking the bull by the horns and sharing either your email, or telling your therapist what you are feeling. I understand any possible reluctance about doing so. There are many reasons to avoid experiencing uncomfortable feelings like embarrassment, fear of rejection, fear of feeling humiliated, exposed, vulnerable and even possibly hurt. Any therapist worth their salt will recognize the value in talking over your feelings with you, and using the avenue of your feelings towards them as a way of exploring your hopes and fears about intimacy in relationships, past, present and future. One point of building a strong, working alliance with a therapist is to have the opportunity for what are known as “corrective experiences.” Talking about this with your therapist should enable you to feel un-judged, accepted, respected and cared for. There’s even a name for what you are experiencing. It’s called “transference” and it’s arguably one of the most important parts of therapy. Transference is a little like entering a time machine. Feelings from the past, along with hopes and fears from the past are magically transported into the present day and attach themselves with longing to the therapist. I suggest taking the risk of telling her what’s really going on with you, and be willing to examine, with your therapist, the feelings that come up.

I’m a good believer in “talking about talking.” In other words, maybe the first conversation you have with your therapist about your feelings starts like this:

“There’s something I want to tell you, but I’m scared of the
feelings that I might have when I explain what I’ve been
feeling. I’m scared that you might laugh at me, or get
embarrassed and that will make it harder for me to talk. So
can we talk about those feelings first before I tell you what
I’ve been thinking about?”

I think you'll find that talking about your "ruminating" with your therapist will help the feelings to find their rightful place in your life.

Many thanks and good luck to the person who emailed me this question,
and I hope that this post helps.

42 Comments:

  • At 6:52 PM, Anonymous Anonymous said…

    I didn't realize so many other people dealt with this stuff. Thank you whoever you are to allow Jassie to share this on her blog and thank you Jassie for suggesting it. I feel like that a lot and it makes me feel better to know other people experiance the same stuff I do.

    :) Dragon

     
  • At 7:25 PM, Blogger Medicoglia, RN said…

    Dragon, you definitely aren't alone! :P P left on vacation this morning...if she's home, all is fine (as fine as it can be...you understand that). But she leaves and I start thinking about her! Is she coming back? Is the trip going ok (ie: is she safe)? I wish I could call (how often do I call when I can?). :P etc etc. It feels weird...but it's good to know it isn't ACTUALLY weird!

    Sera

     
  • At 8:11 PM, Blogger Jassy said…

    Dragon and Sera: I'm glad that the post was helpful to you both. Being in ANY relationship can be confusing. The relationship with your therapist is confusing because the rules are different from any other relationship. I find that most clients in therapy are confused about how best to USE the therapy relationship in such a way that they can benefit. More about this as I continue to blog, I'm sure!! :-)

     
  • At 12:31 PM, Anonymous Anonymous said…

    My old therapist, who I saw for about 10 sessions, and then moved on to a group he "moderated" was puzzling. I found that I could be open and quite frank with him during our individuals, but when we moved into group, he took on a whole different persona. Granted, group is a lot different from individual, and I know that, but I often found myself doing what the letter described, but with my fellow group members. "What would he think about this?" or "what would she do in this situation?" Rationally, I knew it was unhealthy, but it would happen. Once I was in group, my therapist became very confrontational and it almost seemed like he was trying to stir up turmoil within the group to get things moving. Of course this could have been all in my head, but others felt the same way. It got to the point that I would think about doing the OPPOSITE of what he'd do because it wasn't so much that I didn't trust him, I just thought he didn't really know what he was talking about. I'll stop rambing.

     
  • At 5:56 PM, Blogger Jassy said…

    Ben, no rambling detected. However, I am curious...what was the purpose of the psychotherapy group? Did it have a topic? Was it a co-ed group? I have some thoughts, but if you feel able to respond, either through comments or email it would be helpful.

     
  • At 9:49 PM, Anonymous Anonymous said…

    How I empathize with the writer of the e-mail! I have been through that myself. It was uncomfortable to talk about, but it helped. That sort of intimacy is indeed unique and can be so addicting if we're not careful.

     
  • At 4:42 AM, Blogger Jassy said…

    Anonymous:

    Thank you for your empathy. I'm sure it will help the writer of the email normalize that experience even more. I think that often one of the hardest things can be the feeling that you are the ONLY one who feels this, or to whom this has happened. Knowing that others have experienced something akin to what you yourself are going through is often in and of itself therapeutic. Thanks for taking the time to post a comment.

     
  • At 8:09 AM, Anonymous Anonymous said…

    Does anyone find this to be a painful experience, like it only adds to your problems as opposed to helping you? I know for me, I feel I have a deep connection with my therapist that would be better served and explored outside of therapy, like in a friendship, and the pain of ruminating about them is eating me up inside. Is there a point where you have to walk away, for yourself, even if they are a wonderful therapist and helping you otherwise? If so, when does it come to that? I haven't spoken with my therapist about my feelings on this matter. But I don't know if it would help, nor would it change how I feel.

    Did anyone try discussing their feelings with their therapist? If so, how did that go?

    Thank you for posting this. At least, I am not alone.

     
  • At 6:58 AM, Anonymous Anonymous said…

    This is anonymous 8:09 am giving everyone an update on my story. Maybe, possibly, hopefully, it might help someone else attempting to decide the right avenue to traverse. I told my therapist about my feelings, and it only served to strengthen them. My advice would be if your feelings are so intense you are pained over them, run, run, as fast as you can away from the fire. There was no resolution in the coming out, only a resolve that my feelings are real and developing into something more meaningful. So, for some, disclosure may be the path and the way; but for others, who may feel strongly, it could make matters worse. Do what you like. But beware the consequences.

     
  • At 11:36 PM, Blogger Alice said…

    I am also experiencing some transference. However, I couldn't even bgin to imagine how I would approach my counselor with that subject. I the past when I have tried to talk to a counselor about transference I ended up having my case shipped off to someone else. I can't bear the thought of that happening again.

     
  • At 6:50 PM, Blogger MissKrys said…

    O DEAR I feel for you so much. I won't be seeing my therapist for two weeks and I have to let this out to her. I wrote her a letter and am SO scared to give it to her. But I know I NEED TO!!! I am so scared to loose her.. SOO scared! But I need to express myself and hope I will break my cycle of suicidality ( because of feeling I am rejected when I am not in all reality). This illussion kills me.. but I will win and we all will. Talk to your therapist! If they are worth it.. they will understand and help you. This is why I am stuck right now!! Good luck to you all!!! =0)

     
  • At 1:41 AM, Anonymous Anonymous said…

    I too have deep feelings for my therapist. I feel I should be able to share them. However, I will never be able to trust at this level again if she were to send me away. I want to take the steps to share my feelings, but don't want to destroy this trust.

     
  • At 5:47 AM, Blogger Jassy said…

    Anonymous:

    I understand your reluctance to share how strongly you feel about your connection with your therapist. It sounds like some folks commenting have had good experiences and some not so good when they've decided to tell their therapist of their feelings. One of a therapist's roles is to help clients navigate the complexity of the relationship - if they can't do that with you, then it probably makes sense to find somebody who can. However, I understand the loss that this will entail if your "telling" backfires. Still, on balance I would encourage you to speak your truth. Let us know how it goes.

     
  • At 4:19 PM, Anonymous Anonymous said…

    Jassy,

    I sincerely appreciate the encouragement. I understand that discussing this is likely to help, but knowing it doesn't make it easier to form the words. These feelings are rolling around so deeply inside. If I take that chance and sense any kind of rebuff or recrimination I'll be destroyed. It's taken me 2 years to take the first steps towards talking about me. I have read enough now to understand it's okay to accept some help, and want to discuss how I feel. Maybe if I start with something small....
    Thank you!

     
  • At 8:20 PM, Anonymous Anonymous said…

    I just emailed my therapist that I have an attachment to him that confuses me. I'll let you know how it goes. This site just saved me. I thought I was losing my mind. I don't know what to do with the intense feelings.

     
  • At 8:57 PM, Blogger Jassy said…

    Anonymous:

    Let us know how that conversation goes. You aren't losing your mind. Having a therapist focus their complete attention on you is a mesmerizing experience - and of course it feels unique and special. And brings up intense feelings. But feelings pass - and it's good to get help with them, if help is available.

    Good luck!

    Jassy

     
  • At 5:14 PM, Anonymous Anonymous said…

    Conversation about my email went well. I have
    Alot of respect for my therapist. Once my feelings were out in the open they lost their power over me. He helped me understand those feelings and put them in perspective. It's been a tremendous relief to discuss with him and has opened the door even wider on my journey to battle the demons of depression and anxiety that I carry. Thanks to this website I was able to move forward knowing I wasn't crazy or alone.

     
  • At 5:06 AM, Blogger Jassy said…

    Anonymous, good for you! I'm happy that you were able to pluck up the courage to email him, and that you are able to forge ahead by tackling your depression and anxiety.

    Best of luck to you!

    Jassy

     
  • At 6:58 PM, Anonymous Anonymous said…

    Jassy,
    The thing I am struggling with right now is, my therapist and I have become very close. Like we talk and text alot. And he is literally the only person I trust and can talk to. I feel like this was reciprocated based on certain things he would say like, I am his favorite patient or how if we met outside of therapy we would be great friends and have alot of fun together. Stuff like that.... Anyway now that ive become so attached to him and sort of put him on the spot about wanting to be friends with him and how there is a transference issue he has sort of pushed me away. I am no longer allowed to contact him outside of our sessions unless its an emergency and the only thing he had to say about transference is that he understands i feel that way and i need to accept that we cant be friends or have a casual relationship. we actually got into quite the argument over it. I dont understand why all along we have acted close and now all of a sudden hes backing off and pushing me away. its not fair to do that to someone. and the more i bring up how i feel about it the more he gets pissed off at me and shuts me out. so i guess i just dont know what to do. i feel like this is negatively affecting our time together and my progress. i want things to go back to how they were. any suggestions? did i completely ruin everything by bringing that stuff up?

    sara

     
  • At 8:23 PM, Blogger Jassy said…

    Sara:

    Please...get a new therapist. Therapists should NOT be texting their clients - it sounds like the boundaries in this relationship were allowed to slide inappropriately and this is ALWAYS the therapists fault - NOT the client. It is OUR job as therapists to create a safe environment in which our clients can examine their relationships both to us and their loved ones and families. I'm sorry that this relationship has become so messy. My suggestion to you is to find another therapist, somebody who will help you fix any fault-out from this therapeutic relationship. No wonder you're confused. And you're right, it's not fair of your therapist to have created expectations outside of the therapeutic relationship and then to act surprised and pissed off because you get confused. Please believe me when I say that you didn't ruin anything - you should be able to bring all these things up and expect that your therapist will deal with them honestly. If you let me know the area you live in I can try and help you find a different therapist - I'll need to know which insurance you have and can ask around among my peers for a good referral.

    And you're right...this will negatively impact your progress - you deserve honesty, compassion and good respect for therapeutic boundaries, Sara. I believe it's time to find a new therapist who can help you do that.

    Best,

    Jassy

     
  • At 11:53 AM, Anonymous Klaire said…

    I am getting ready to have the transference talk with my therapist, I think I already understand most of where the feelings are coming from and do understand the need for boundaries in therapy, it's just hard to have such an intimate relationship and not feel like it's a friendship. I am hoping all goes well. I am a little scared though.

     
  • At 1:44 PM, Blogger Jassy said…

    Klaire:

    You make a very good point when you say "it's just hard to have such an intimate relationship and not feel like it's a friendship." This is where therapists often get into hot water also! And it's hard to put yourself in the growth zone and tolerate stepping out of the comfort zone - this always means feeling discomfiting feelings like fear, trepidation and anxiety. But good for you for risking feeling that uncomfortable cocktail of emotions and going forward. Please - let us know how it goes, okay?

    Best,

    Jassy

     
  • At 3:11 PM, Anonymous Klaire said…

    So I know you can't really "therapize"me or anything, but in your opinion, am I doing the right thing by telling my therapist about my misplaced feelings for him? My hope is to discover the root cause for this transference and find healthier ways to cope. I'm afraid though that I will cause him to be to uncomfortable to continue as my therapist. Is this worth the risk?

     
  • At 3:22 PM, Blogger Jassy said…

    Klaire:

    You're right. I can't therapize you. But in my opinion, yes...you would be doing the right thing by telling him of your feelings for him. And if he turns out not to be able to handle the feelings and thoughts that you have, ask for a referral and go talk to somebody who can. Therapists understand that clients develop strong feelings for them. GOOD therapists understand how to help the client with those feelings. However, only you can decide whether telling him is worth the risk. I think it's already a brave step to go into therapy, to challenge yourself in those deep, dark places. It's your call whether you take a braver step or not, Klaire. Whatever you choose, and whatever you do, good luck to you. And let us know what happens.

     
  • At 10:48 AM, Anonymous Klaire said…

    So it went pretty well, he didn't freak out or act weird. He helped me talk through it and understand some of the more uncomfortable aspects. All in all he accepted what I said and how I felt and reassured me that it is normal. We even got down to some of the root causes.

     
  • At 11:51 AM, Blogger Jassy said…

    Klaire:

    Good for you! If you aren't already, you should be feeling proud of yourself for taking that brave step! And, it sounds like you've made a start on understanding what your attraction to him is all about. Wonderful work!

    Jassy

     
  • At 5:59 PM, Anonymous Klaire said…

    I think I figured it out, the need I thought I was feeling for my therapist is really the need I feel for therapy itself. He just happens to personify it. Having this ephiany has helped me with through most of my transference issues, it's kinda nice.

     
  • At 3:56 AM, Blogger Jassy said…

    Klaire:

    This is great news! You go, girl! (Yeah, I know that's really old-fashioned, but......)

    It's so rare that another human being sits and listens to us in a really curious, focused and caring way. That experience, week after week, is a powerful one. I'm so happy that you're reaping the rewards of having that epiphany :)

    Best,

    Jassy

     
  • At 5:58 PM, Anonymous Karissa said…

    I can't get the thoughts of wanting to sleep with my therapist, what should I do? I'm afraid to bring it up to him for fear that he will want to discontinue care.

     
  • At 6:23 PM, Blogger Jassy said…

    Karissa:

    Have a look at Klaire's experience above. She had a very positive experience of talking to her therapist about her thoughts - if it's hard to do it in person, consider writing him an email or letter telling him about your feelings and the fact that you'd like to be able to address it in therapy. Yes...I know it feels like a risk. But it's probably part of the therapeutic work you need to do - if he doesn't respond positively, seek out guidance from another therapist. I would say that most therapists, given a chance, probably can be very helpful with this. We all get training in how to handle situations like this when we are in graduate school, and also, later, seek out guidance in supervision with clinical supervisors.

    Jassy

     
  • At 6:34 AM, Anonymous Anonymous said…

    No clue how old this is but im 25 and going through some PTSD intense therapy and i find myself having sexual dreams about my therapist and im unsure of how to even broach the subject. I am not interested in anyway in my therapist like that as I am married. I feel like I can talk to her about anything and dont want to be told I can no longer be seen by her. What should I do? Do I keep these dreams to myself or share them? Is this normal?

     
  • At 9:07 AM, Anonymous Teemis said…

    Jassy,

    I'm here after months of having feelings for my therapist. While he is a really nice man, I realise that I've sort of idealised him now and I find myself thinking about him at least once a day. I feel it could interfere in my actually finding someone and giving a real relationship a chance. Because everything now relates to this idealised picture I have. I honestly can't take it any more. So, do you think I should be honest and tell him about these feelings? I have absolute faith that he's decent enough and experienced enough to handle hearing it. But the thought still scares me. Tell me if I should, please.

     
  • At 3:18 PM, Blogger Unknown said…

    How come I can't emotional when talking about sbuse? Maybe it wasn't as bad as I thought. But therapusts says she needs to help me feel again by delving deeper and revisiting issues. I trust her but wish I could get angry or cry with her

     
  • At 12:16 AM, Anonymous Anonymous said…

    for me it seems to be a slow but steady process.

    In the beginning I was.pretty numb and unable to feel much. Then it progressed to where I would start to feel "dizzy" like there were walled off feelings that I couldn't quite access. Then it progressed to a.few.tears near.the end of.the session. Now I cry quite frequently, though I still have a lot of work to do. I still can't express anger.

    I recently started dealing with transference. My therapist was very direct stating that at no point would our relationship be anything other than therapist/client. That was so painful to hear her say that even if the rational part of me already knew it.

    But she's still.my therapist and our work together continues.

     
  • At 8:28 PM, Anonymous Anonymous said…

    Hi Sillymind,
    There's a terrific book on transference called IN SESSION. The answer to your question is in there.
    The book is out of print, but its available used on Amazon.com.

    :)

     
  • At 1:39 PM, Anonymous Anonymous said…

    I don't know what to do. I know I have transference but I will never talk to my therapist about it because I know she will pull away. That would hurt me more. I feel awful because I think of her all of the time. I know too much about her and find myself driving by just to see sometimes. But then when I see her in public I become very sad and sometimes very jealous of her family. It is extremely painful. I have no sexual feelings. I do not want to be her friend. I only wish I could have been her or been her child. I want the same things and i understand this is transference but it doesn't help to understand and i will only hurt things telling her. I wonder too if I should run away from her. But I need her to work through other things. I try to remind myself I am just a pay cheque and when I get angry I want to take that away from her. I can't live like this forever though.

     
  • At 7:20 AM, Anonymous Cesar. said…

    Anonymous I request your help I keep having dreams where I transform into some kind of creature. In my dream I got on my hands and knees and started to walk around, I was hissing, then all of a sudden I swiped at the guy's face and there was a giant scratch mark, after that I blacked out inside my dream and when I came too there were three people dead near where I was. I'm scared and I could really use your help.

     
  • At 10:51 AM, Anonymous Anonymous said…

    Not a good idea for me when I did tell her in writing (to nervous and scared to say thoughts outloud) she then implied that if my feelings interfered with our sessions that maybe I should see someone else! This would be the last thing I wanted to do because it would not make the feelings any less or help me to deal with them during sessions!

     
  • At 6:16 AM, Anonymous Anonymous said…

    I realize I'm coming in late to the game here but it is so encouraging to see that I'm not the only one who feels this way about their therapist (I see many people have been surprised as well). I've been seeing my therapist for 4 years now and after about 3 years, I decided to start seeing her every other week as opposed to weekly. I didn't really want to because I like talking to her so much but felt we were running out of things to talk about. After several months, I suggested we go every 3 weeks, again not wanting to. After several months of that schedule, I told her it's too difficult to wait every 3 weeks to talk to her and could we go back to every other week. She said she had no problem with that. I can't ever imagine not seeing her although I know therapy has to end at some point in my life. I'm so scared of not having her in my life - like I couldn't go on. She has encouraged me to find that need in other people, such as co-workers or existing friendships I have but I just can't see myself opening up to anybody but her. I certainly can't imagine having the transference conversation with her. She's so wonderful I think she would understand and we could talk about those feelings but just like another person who commented on here, I fear the relationship won't be the same after.

     
  • At 3:43 PM, Blogger Unknown said…

    This comment has been removed by the author.

     
  • At 5:21 AM, Anonymous Anonymous said…

    I'm going through the exact same thing!! I haven't told mine yet and every time I see her I always say that I'm going to tell her how I feel towards her but I get lost for words then and then do be terrified she won't want to see me anymore and I definitely don't want that to happen. Do you think she knows? How do I tell her even??

     
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