Emotional Responses To Therapy: Feeling Hate Towards Your Mental Health Therapist
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Attending therapy with a provider you don’t like or have developed negative feelings toward can be challenging. In many cases, it may be possible to switch therapists and find a more appropriate fit. However, if you’re in a situation where you’re mandated to attend therapy or your therapist has disrespected you in some way, it may seem like you cannot move past your feelings about this individual in order to experience effective therapy.
There are a few reasons you might feel hatred for your therapist. Moreover, there may be many methods to help you move forward with treatment. Thanks to a 22% growth in psychological careers in 2023, there are thousands of therapists entering the field and many providers to choose from. If you find that you don’t match with one therapist, it may be beneficial to try another. This article addresses the reasons you might feel negatively toward your therapist and what you can do to ensure you still get the support you need.
Understanding emotional responses to therapy and identifying potential sources of psychological tension
Hating your therapist may be uncomfortable, and each person can have different reasons for feeling this way. Below are a few potential reasons you may experience hatred toward a provider as well as ways to cope with these emotions.
Feeling disrespected
Feeling disrespected by someone you’ve trusted to support your mental health can be painful and confusing. If your therapist demonstrates any of the following behaviors, they may be acting disrespectfully:
- Ignoring you when you speak
- Interrupting you mid-thought
- Judging your experiences
- Telling you that you didn’t experience what you know you did
- Talking to your family members, boss, or friends without consent
- Not accommodating a disability (e.g., the need for a service dog in a public building)
- Ignoring your boundaries about topics you don’t feel comfortable discussing
- Pushing you to act in ways you’re uncomfortable with
- Arguing with you about subjects instead of remaining impartial
- Taking sides with others in your life
If you are being disrespected by a professional, feeling frustrated, irritated, or upset with them is a valid response. Addressing your discomfort with their behavior may be a good first step in these cases. If your provider continues to treat you poorly, you might consider finding a new therapist.
Disrespect toward a client is often frowned upon in other industries, and in a “helping profession” like counseling, it can be especially harmful to a client’s mental health. For this reason, it can be important to address any disrespect immediately. Doing so can protect your boundaries, mental health, and personal goals for therapy.
A poor match with your mental health therapist
In some cases, a therapist might not be a proper match. Therapists have unique personalities, goals, and areas of expertise, and each one is different. If you’ve met with a therapist who lacks experience in your area of concern or someone with a personality that clashes with your own, you might have difficulty communicating with them about your needs.
For example, a client who prefers direct communication and interactive sessions might not fit with a therapist who takes a “sit back and listen” approach. Moreover, you might feel anger toward your therapist if they offer suggestions or treatments that don’t match your preferences.
If this is the case, you could benefit from setting a boundary with your therapist about the type of care you’re seeking. Let them know you’re uncomfortable and need a different approach.
Symptoms of a mental health condition, such as personality disorders
For some clients, symptoms of a mental health condition like personality disorders, can contribute to negative feelings about their therapist. Suppose you’re experiencing mood-related symptoms because of a condition like a depressive disorder, bipolar disorder, post-traumatic stress disorder (PTSD), or a personality disorder, for instance. In this case, you might associate your feelings of sadness, irritation, or distress with your therapist as you discuss complex subjects.
Some clients may find that they don’t really hate their therapist. Instead, they may have distressing emotions that arise when they talk about difficult subjects such as past traumas before they are ready. If a therapist brings up a topic a client feels sensitive about, the client may lash out in anger. If you feel hatred or anger toward your therapist, ask yourself whether you might be angry at the situation or the topic at hand and not at your therapist directly.
Psychological projection in therapy
At times, a client may project their experiences with other people in their lives onto their therapist. For example, if their therapist reminds them of an unkind parent or a teacher who harmed them as a child, they might believe their therapist will treat them similarly. This type of projection is referred to as “transference” and can occur in therapist-client relationships.
If you’re experiencing transference with your therapist, ask yourself what it is about the provider that reminds you of others in your life. You can also let your therapist know what you’re experiencing so they can provide strategies to help you cope with these feelings. In some cases, your therapist might suggest another provider more suited to your needs.
An ineffective therapeutic modality
There are over 400 therapeutic modalities that can be practiced. You might find that one modality is less effective than another for your needs. For example, if your therapist uses cognitive-behavioral therapy for your PTSD, but you find EMDR more effective, you might not benefit as much from your sessions.
If you’re experiencing this problem, ask your therapist if they can change strategies. Some therapists aren’t trained in multiple modalities, so you may decide to change therapists to find someone who specializes in the type of therapy you’d like to try.
Unethical behavior
Although rare, therapists may sometimes overstep boundaries and act unethically. When therapists work with a board, they agree to the ethical standards and requirements outlined by the American Psychological Association (APA) or American Counseling Association (ACA). These requirements often align with the requirements of state boards within the US.
Ethical violations in therapy sessions may include the following:
- Inappropriate touching
- Initiating a romantic or sexual relationship with a client
- Taking on a client that they previously dated or had a sexual relationship with within ten years
- Taking on a client that is related to them or someone they know
- Violating a client’s right to discretion
- Countertransference, where the therapist associates the client with someone they know
- Heavy self-revelation (i.e., talking about themselves often)
- Asking the client to keep a secret about a crime
- Trying to become friends with the client outside of sessions
- Unethical billing or stealing money
- Termination of services without communication when a client requires further support
- Discussing a client’s information with their family members or friends without consent
- Reaching out to a client’s doctor, hospital, or prior therapists without consent
- Not reporting child abuse, domestic violence, or thoughts of suicide
If you feel hatred toward your therapist due to unethical, non-consensual, or abusive behavior from them, you’re not alone. In these cases, it can be important to end therapy and reach out for support. You may also consider reporting any ethical violations to the state licensing board.
Coping with psychological and personality disorders: Finding the right mental health therapist
Whether you are experiencing symptoms of borderline personality disorder, anxiety, or anything in between, if you’ve experienced a conflict with a therapist and feel uncertain about returning to therapy, you might benefit from alternative counseling methods such as online therapy.
Understanding emotional responses to therapy: How online therapy can help you avoid asking, “Why do I hate my therapist?”
If you’re looking for a new provider, platforms like BetterHelp can offer cost-effective, accessible, and convenient counseling services. You can often get started within 48 hours of signing up, and you can match with a therapist that meets your preference for specialty, therapeutic goals, and identity-related needs. If you don’t connect with your therapist, you can switch providers until you find someone who is the right fit for you.
Benefits of online cognitive behavioral therapy, solution-focused therapy, and other types of online therapy
Studies have found that many clients feel more comfortable with online therapy compared to in-person options, and four out of every ten Americans have used telehealth counseling for their mental health needs since 2021. With telehealth’s popularity, it can be a compelling choice for those who prefer distance from a therapist.
Takeaway
What should I do if I don’t get along with my therapist?
The therapeutic relationship you have with your therapist can affect the outcome of your treatment and overall therapeutic experience. Clients who feel understood by their therapists may have a more positive response to treatment. An updated meta-analysis found a positive correlation between a therapist’s ability to show empathy and patient outcomes. Good therapists can adjust their approach based on patient characteristics, allowing clients to perceive higher levels of empathic response and understanding, even during online therapy sessions.
If you feel like you don’t get along with your therapist or you don’t feel understood, the best thing to do is to be honest about your feelings. You might benefit from a different therapeutic approach. For example, some people prefer a more directive form of therapy, while others prefer a more client-centered approach. If the issue persists, consider switching therapists and finding a mental health professional that meets your needs. According to research, there is a significant relationship between having a good therapeutic relationship and treatment success. When searching for a new therapist, consider factors such as therapist experience, specialization, and other variables. Finding the right therapist can help improve your mental health, interpersonal relationships, and overall well-being.
How do I know when it’s time to switch therapists?
Attending individual therapy sessions can be a highly emotional experience for anyone, and it’s normal to experience strong emotions during therapy. However, there may be a significant correlation between one’s emotional responses and the effectiveness of psychotherapy treatment. if an individual has overwhelming negative emotional reactions toward their treatment, there may be a chance that the treatment plan isn’t working for them. This may be due to a weak therapeutic relationship with their therapist or an incompatible therapeutic approach. If you feel severe anxiety or a sense of dread when thinking about therapy, it may be a sign that your current therapist isn’t a good fit.
Therapists’ emotional responses and therapist characteristics can also impact patient care. Countertransference, or a therapist’s emotional reactions toward a client, is a common phenomenon that many therapists experience. Countertransference phenomena in clinical settings aren’t always negative. When identified and managed appropriately, countertransference reactions can help therapists gain a better understanding of the client’s feelings and strengthen the therapist-patient relationship. However, they can also be harmful. It’s important for therapists to examine and address countertransference feelings.
What strategies can I use to alleviate tension in therapy?
Tension in therapy can be caused by several reasons. If you’re in the early stages of treatment, tension can come from not knowing what to expect. Tension can also be caused by heightened stress and anxiety when talking about painful emotions. Therapists may utilize mindfulness strategies in their clinical practice, such as breathing exercises and meditation, to help alleviate tension during therapy sessions.
Why am I feeling uncomfortable during therapy sessions?
Feeling uncomfortable during therapy sessions is a normal part of the therapeutic process, especially when the techniques used to improve psychological functioning involve talking about painful emotions and life experiences. Opening up to therapists can be particularly challenging for individuals living with mental disorders, such as depression and other mood disorders, anxiety disorders, and personality disorders. For example, patients with borderline personality disorder may hesitate to open up to therapists due to trust issues or fear of being judged. Discomfort, frustration, anxiety, and other negative emotional responses can be part of the therapeutic process and may be indicators that you are feeling safe enough to be more vulnerable with your therapist.
Why do I hate my therapist?
It is common for people to feel angry or resentful toward their therapists. Negative emotional reactions aren’t always a sign that there’s something wrong with your treatment plan. Even good therapy sessions may lead to uncomfortable feelings. These emotions may be caused by emotional flooding, uncovering trauma, and vulnerability. You may be adjusting to a new self-awareness after discovering new things about yourself. You may also develop negative feelings toward your therapist due to transference, shame, or frustration. Consider examining your feelings to identify what’s causing them.
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