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?
If you feel that you don’t get along with your therapist, you can try to communicate honestly and openly with them, such as expressing hurt feelings from comments they've made. You may also consider searching for a new therapist.
How do I know when it’s time to switch therapists?
It may be time to switch therapists if you feel that you are not getting the care you deserve and need. Moreover, if you feel that you are not making any progress or your symptoms are getting worse, it may not be the worst thing to change therapists.
What strategies can I use to alleviate tension in focused therapy?
Focused therapy can refer to a few related approaches, such as solution-focused therapy.
Solution-focused therapy may help a person identify their own strengths, past successes, and goal development. One strategy for building resiliency when trying to achieve a goal, such as looking for a job, involves "a coping question" where a person asks themselves how they are already effectively managing daily challenges. Some strategies to reduce or alleviate tension and anxiety symptoms during the course of therapy are proper breathing, meditation, mindfulness. These tools can be practiced to relieve tension in the moment.
Why do I feel uncomfortable during therapy sessions?
You may be feeling uncomfortable during your therapy sessions because you are most likely exploring your painful and sensitive experiences, and these may bring up feelings of pain, hurt, and other difficult emotions. However, it may also happen that a therapist does not answer your needs for therapy, or you simply don't have a good connection, in which case it may be beneficial to see another therapist before your next session.
Is it normal to have a feeling of hate for your therapist?
Yes, it can be a normal part of the therapeutic process to have these feelings of hate towards your therapist under certain circumstances. While challenging feelings can arise during the therapeutic process, especially if you are confronting difficult experiences and emotions, it also makes sense to explore the possible reasons why you may be having these feelings. For example, it's reasonable to feel disrespected if your therapist often interrupts you mid-sentence, in which case you may express how their behavior affects you. However, if your own experience with your therapist doesn't improve, or you sense that the individual is not a good therapist for you, there is nothing wrong with finding another therapist.
Can too much therapy be harmful?
While therapy can play a vital role in fostering mental health, there may be circumstances in which therapy may be detrimental or ineffective. One example might be having treatments that aren't evidence-based or lack empirical evidence. Another may be having more therapy sessions than you can afford without seeking financial assistance or lower-cost options. Seeing a therapist who disrespects you or oversteps ethical boundaries can also be detrimental.
Can a therapist stop seeing you?
A therapist may stop seeing a client for various reasons, including concerns about ethical or legal issues. For example, a therapist is ethically obligated to end treatment if the client is not benefitting from treatment after a period of time. In such cases the therapist would likely suggest a different therapist or help make arrangements for another treatment option. However, a therapist may end treatment without notice in cases of threats or physical assault.
Why do most people quit therapy?
There could be many reasons why people stop seeing their therapist. Some reasons might include having unrealistic expectations about the therapeutic process and discomfort with the therapeutic alliance. Having substance use disorder or a personality disorder may also make some people more likely to end therapy prematurely.
Why am I uncomfortable with my therapist?
There could be many reasons why you might feel uncomfortable with your current therapist. Some reasons may involve a mismatch of personalities, preferences in communication style, a perceived lack of cultural competence, or discomfort with the treatment approaches suggested. Discomfort may also arise out of psychological projection in therapy, where a therapist reminds you of someone with whom you had a challenging relationship.
While there may be no such a thing as a perfect therapist, there is a big difference between a mismatch between client and therapist, and unethical or inappropriate behavior. Although most therapists adhere to ethical and professional guidelines, there may be cases when clients sense they are being disrespected or a boundary gets crossed during the therapeutic process.
Is it OK to not want a therapist?
While there are many potential benefits to seeing a suitable therapist, some people choose to foster their mental health through self-care alone. However, for people experiencing mental health conditions that interfere with functioning, relationships, and overall well-being, therapy is highly recommended.
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