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Countertransference

Everything a therapist feels, thinks and experiences with a client — once seen as a disturbance, now one of the most valuable tools for understanding the relationship.

Term

How it shows up

In the middle of a session the therapist is suddenly overcome by sleepiness, though they are well rested. They feel irritated with someone who is unfailingly polite. With one client they stretch the session; with another they “forget” to ask a question. Countertransference is the therapist’s bodily reactions, feelings, thoughts and actions with a client. They come partly from the therapist and partly from the client and the relationship they create together. We know the same phenomenon from everyday life: after talking to someone we feel oddly drained, sad or tense without knowing why.

What we do with it in therapy

The therapist first separates their reactions: what is theirs (tiredness, their own wounds) and what might be information about the client. They do this in their own therapy, supervision and peer consultation. What remains they use as a hypothesis, not proof — most often as a question: “What is it like for you to tell this?” Research shows that a therapist’s ability to recognise and manage countertransference is associated with better therapy outcomes.

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Does some of this sound familiar?

An explanation is one thing, the experience another. If you'd like to talk it through with someone, write to me.

This is what insomnia taught me. What has it taught you? Traumatic experiences can leave you weakened — on recovery and strength. On the worries that drain our energy. On why differentiation matters in relationships. Self-confidence starts with self-awareness. On how hard it is to start — and harder still to keep going.