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Therapists Reveal How They Keep Their Emotions In Check With Their Worst Clients

Believe it or not, I have a psychology degree. My initial intent was to go into counseling but I figured out pretty quickly that I have no emotional off switch. Empathy is an important part of being a therapist, but you need the ability to put it down sometimes. Apparently I'm not the only person who hasn't quite mastered that skill.


One Reddit user asked:

Therapists of reddit, how do you keep your emotions in check while attempting to counsel the most vile of your clients? Surely you have some sessions that just rock your core, or have you really "heard it all"?


Here are some of the more insightful answers...

Not My Time

Regardless of what the person in front of me has experienced, they survived and are seeking help in the here and now. I've found that, as a new therapist, nothing is about me when i'm interacting with a client. It's not my time, it's theirs, so even if I feel a strong reaction in the moment, I give myself permission to set it aside until i am able to take my own time to process. I've definitely cried in the bathroom after rough sessions though.

- thegr8saltlake

Professional Boundaries

When I was a caseworker, I used to find it easier to observe professional boundaries and ensure I provided good counselling, etc., with clients I didn't like, compared to clients I did like.

In the case of the former, I always had the mindset of "OK, I don't like this person, so I need to be careful to ensure I conduct myself professionally at all times".

With people I liked, there was always a greater risk of slipping into interpersonal dynamics more akin to friendship, which can be harder to detect (as a degree of friendliness is generally required to provide good counselling and therapeutic support. Characteristics of appropriate conduct, in that respect, can be a much fuzzier line than the professional requirement to not rip into someone for being reprehensible twat).

- haloumi_pants

Like A Wind Tunnel

Honestly, one of the ways I feel most differently from most people is in my level of empathy. I think I'm unusual in this regard, even compared to most other psychologists. I tend to think that if someone really wants to change, they deserve help in making that change. One of the things I find most frustrating about reddit is how quickly people will dismiss other humans as trash. Even those who do the most vile things are human, and they often (although admittedly not all) hate themselves as much, if not more, than others do for doing those things. It's a bit cliche, but people aren't vile, actions are.

Having said that, there are clients who manage to push my buttons, but in general they've not been therapy clients. People in therapy usually want change, and if they don't (for example, they're there because they're forced to be there), I won't continue therapy with them. It's a waste of time. Other clients who do bother me (that I'm evaluating), I try to be aware of my reaction and look at it objectively, in terms of having a job to do, to understand what it is about their behavior that's pushing my buttons because in almost all cases its the same thing that's pushing others' buttons as well. I think of myself as a social psychological testing equipment in that case, sort of like a wind tunnel or something.

- LastCourt

Covered In Crap

I'm not a therapist yet, but it's what I want to do and I'm studying to become one. One of the things were taught is unconditional positive regard, and one of the "tricks" we were taught to help us with it is to think of every person being inherently a good person, with it being their experiences that shape who they have become. A good example is the fact that abusers have often been abused themselves.

I don't normally believe in souls, but I find it helps to conceptualize everyone as having a pure soul that gets covered in crap due to what happens in their life. But most of that crap isn't their fault, so you can try to look past it to the good soul underneath. Obviously this doesn't mean you excuse or condone the horrible things people do, it just lets you understand it, at least a little, which does a lot to look past the bad.

In all honesty I think this is probably the best thing I've learned in my entire degree, and I've tried to apply it to anyone in my life who annoys or irritates me. I have found that it increases my tolerance and patience for the little things when I look beyond the thing and think about why they might be doing it.

- PM_ME__YOUR_ASS_GIRL

Good Supervision

I sometimes think I must be close to having heard it all but after 20 years, yes, I still get surprises and hear new things from clients.

I can honestly say that there have been very, very few 'vile' clients. I love my work and have a lot of respect for people who are brave enough to come to therapy - its hard work to go through therapy. Its OK as a therapist to have emotional responses to our clients, in fact if you're not then I'd be a bit worried about the therapist. But its being able to recognise what emotions are about my 'stuff' and what emotions are about the clients 'stuff' and dealing with it appropriately. my 'stuff' get set aside for my own therapy & supervision sessions. you learn how and when to identify your own emotions and work with them or set them aside in your training.

Sometimes it is very therapeutic for the client to see my emotional response. Getting sad about a clients abuse can help them to see that what happened to them was not OK when working with abuse clients. Many clients don't have a good connection to their emotions so they learn by seeing my reactions.

I've only had a few clients that might be considered 'vile' - I noticed my emotional response and then set it aside for later and get back to the clients responses. in these cases showing emotions would have been dangerous as they were both sex offenders. Afterwards, yes I did feel 'rocked to the core' and talked about it in supervision, did lots of self care.

There are some stories I've heard that give me nightmares. having a good supervisor/therapist is critical in doing lots of trauma/abuse work as is having done your own therapy, though this is less common these days.

- Jane62

Don't Get Involved

I was a therapist in a forensic facility. I treated serial killers, stalkers, arsonists, etc.

Some of my colleagues had to do a lot of self-care stuff, but honestly I never brought it home with me. Maybe I have a dark streak myself or maybe it's just that at the end of the day it's a job. You get used to the clients. I actually really enjoyed it.

People are people. I remember sitting in a transport bus with a mass shooter in the back in shackles just shooting the shit and cracking jokes. People aren't 100% the worst thing they ever did 100% of the time.

Also, in therapist school (usually a master's or PhD in social work, psychology, or counseling) they spend years teaching you how to treat people without getting personally involved. It's like a muscle you train. You can care about someone and have empathy for them without getting emotionally tangled up in their experience, it just takes practice and direction.

I'm trying to remember if I ever heard anything that "rocked me to my core". I heard stuff that was absolutely mind-bendingly crazy, but...idk...I never heard anything that kept me up at night.

- SweetPickleRelish

Imagination

Oooof there are people you come across that make your stomach turn (cue to a pretty serious personality disorder.) One tool I use to muster up empathy and positive regard is imagining what life would be like to be them. Picturing the world through their eyes and how people respond to them daily. Even though their response is different then my imagination it usually is sad, lonely and gives me motivation to help them. That's a simpler one. There are also tools we are trained to use to figure out what it is about someone that is bothersome and how to respond to them in a way that promotes growth. The thought here is that if it's bothersome to a therapist- it's bothersome and negatively impacted interpersonal relationships outside of the therapy session. Our job is to help a client learn and change these things to improve relationships (assuming they want that.)

- MalPal0530

Sense Of Community

I am mostly desensitized to it all. It doesn't mean I don't have emotions or don't care but my focus is to always validate and explore solutions rather than wallow in the trauma i am hearing. When you are in the mind set of helping the person in front of you, the context of what they are actually saying makes it manageable because you feel useful.

But of course, there are days where I hear a story and hits my heart and I can't shake it for days. During those times I have really practice self care. It's helpful to talk to others in the profession too. There's a sense of community there for sure.

- jessaandlily-

No Narcissists

Not a therapist, but I had a friend who was an LCSW (licensed social worker, aka a shrink ) for 30 years.

She would not accept narcissists for treatment.

She said they were incurable, as a group tended to like to play mind games with the therapist, and she had personal issues with narcissist relatives in her childhood.

I imagine other therapists simply do the same, they just don't accept clients who make them extremely uncomfortable.

- cyanocobalamin

Value Of Life

I honestly feel like I've heard it all. I'll acknowledge that my experience is atypical, as I work night shift in a level 1 trauma center ER downtown in a major US city. I do crisis counseling, psychiatric assessments, and brief clinical interventions to people experiencing their first psychiatric crisis. Our ER gets all kinds - murderers, child abusers, people with major personality disorders, etc. At the end of the day they are just as human as I am, and while their life experience is different from mine, they deserve the same empathy and respect that I deserve. Part of the reason why I became a counselor is that I have a deep respect for the dignity and value of life. Even if that life is calling me "f*cking ugly" or sh!tting into their own hand, rolling it into a ball, and using it like a bowling ball in our hallways...

- beautifultrashpanda


H/T: Reddit

Air Travelers Describe The Most Horrifying Thing They've Experienced On A Flight

Reddit user prettyKaitlynn asked: 'what's the most horrifying thing you've experienced on a flight?'

Person taking picture of the clouds from their seat on flight
Photo by Leo on Unsplash

For some people, flying is the epitome of great travel and adventure. The thought of entering the air is exhilarating.

For others, however, flying is to be avoided unless totally necessary. There's an underwater highway connecting the continents, right? Or an impossibly strong bridge?

But as laughable as it might seem to see someone dread flying, sometimes there's a key experience that can explain all of those negative feelings they have connected to buckling up and locking their tray tables.

Curious about others' experiences, Redditor prettyKaitlynn asked:

"What's the most horrifying thing you've experienced on a flight?"

The Sudden Loss of a Loved One

"On a red-eye flight, everyone was asleep, but I can't sleep on planes. A few rows behind me, a girl started screaming, 'Mama!? MAMA!?'"

"The flight attendants walked over and then ran back. Then ran over holding a defibrillator. Then they walked the hysterical girl, who looked to be about a teenager, to the front of the plane. Then they walked back with blankets."

"When the plane landed, no one was allowed to move. A stretcher came on board and wheeled the blanket-covered body out. The sobbing girl followed behind."

"I can't imagine losing a parent on a flight, with nowhere to go and no way to contact anyone else for help, surrounded by nosy strangers in tight quarters."

- KnittinAndB***hin

"Oh my god, that poor girl. I traveled a lot with my mom when I was her age, visiting my big brother at college. I can’t even imagine the horror of this situation and how traumatic that must have been. I hope she is happy and thriving somewhere now…"

- doodle_d**ks3000

Fallen Flight 4184

"On Halloween night in 1994, I was on a United flight from Vancouver to Chicago."

"Back then, 'Channel 9' on the inflight entertainment system let you listen to air traffic control. That night as we approached Chicago, I was listening to Channel 9 when suddenly ATC told all the other planes to quiet down."

"Then they started calling over and over for another flight, American 4184, and asking the other planes if anyone else could see an ATR."

"This went on for a few minutes and then, CLICK, channel 9 was switched off. I felt a chill go down my spine."

"When I got to my hotel, I switched on CNN."

"Flight 4184 had gone down in a field in Indiana and everyone was dead."

- CohibaVancouver

Worthy of 'Final Destination'

​"Just after takeoff from Ixtapa Mexico, we were climbing out over the ocean at about 1000 feet when I looked out my window. Headed directly at me about 500 feet away was a twin-engine Beechcraft (I think). I would guess it was three to four seconds from impact."

"Fortunately, the pilot of the aircraft saw us and pulled up sharply just in time, missing us by maybe 25 feet."

"My wife, who's deathly afraid of flying, asked me, 'What was that?' I said, 'Nothing,' and pretended nothing had happened until we were on the ground in the US, and then I told her."

"Without question, if that pilot had pulled up even a second or two later, everyone on board both planes would have been dead."

- lobeams

Fear of Flying

"As soon as the engines revved up for take-off, a woman started screaming like she was dying."

"The flight attendants couldn’t get up to go to her until the pilot rang the bell, about five to ten minutes. She was screaming the entire time."

"Turns out her daughter put her on the flight even though she was terrified of flying. An attendant held her hand the entire flight, walked her all the way to meet the other daughter, and told her to never put mom on an airplane ever again."

- zenos_dog

"Just so everyone knows, if you are afraid of flying, tell the stewards when getting on the plane."

"They will make sure you are checked in and will pay special attention to you to make it easier."

- DeezNeezuts

What Dreams Are Made Of

"Flying out of Chengdu China in the early 80s on an old Russian turboprop, It was a wicked snowstorm, and I thought there was no way we were taking off in that mess. Visibility was only a few hundred feet."

"I looked around in panic and I realized the guy sitting across the aisle from me was the spitting image of Buddy Holly. I recall thinking that if this guy pulled a guitar out of the overhead bin and started singing 'Peggy Sue,' we were all f**ked."

- WeekendDesigner4734

"Oh sweet, you're a Steven King character."

- moslof_flosom

Allergic to... Flying?

"This was in 2015 (luckily not during the pandemic as I probably would have been kicked off the flight). But suddenly I felt a tickle in my throat, so I started coughing."

"But I COULD NOT STOP COUGHING. No matter what I did, I could not get that tickle out. The people around me were understanding, but I decided to go to the back of the plane just to be courteous."

"The flight attendants gave me ice and that was the only thing that would give me any sort of relief."

"We finally landed. That night, I went to bed and woke up at 5:00 AM with a swollen shut eye, huge f**king lips, hives ALL over my body, and a tightness in my chest."

"Turns out I was having a severe allergic reaction to something I ate (?) at the airport or something on the plane. My throat was literally CLOSING on the plane. That’s why the ice was helping because it was bringing down the swelling."

"But here’s the weird f**king thing. I’ve never been allergic to anything in my life before OR since that incident. So it’s a huge freaking mystery. The hives also showed up in different places on my body each morning for two weeks after."

- TheReinsOfFullNight

Take Off Mysteries

"On a flight from San Francisco to Denver. The plane was loaded and it was time to take off, but we just sat at the gate. The pilot announced we would be leaving soon and that we were late taking off because they had to balance out the luggage."

"Finally around 30 minutes after we were supposed to take off, the plane backed out and went to the runway. Once again, we just sat on the tarmac, this time for another 30 minutes. The pilot got on the PA again and said we had to return to the gate because the plane was low on fuel from all the idling."

"Back at the gate, three armed law enforcement officers entered the plane and escorted a man off. After that, the pilot announced that we were finally ready to take off and that the previous wait was actually due to a security issue."

- TXRichardCranium

Unforgettable Turbulence

"Just (but didn’t feel like 'just' at the time) really bad turbulence; people’s purses hit the ceiling of the cabin and I think some people who weren’t belted in injured themselves too. People were screaming, praying, and crying (I was in that last category)."

"I wasn’t crazy about flying before, but that experience put me into phobia territory and I didn’t fly after that for probably about ten years, and still weigh it as a cost-to-benefit thing whenever I travel. It’s helped a bit to learn that turbulence isn’t really a thing that causes plane crashes, as far as I now understand, but it can feel very different in that moment to the illogical mind."

- bottleglitch

Oh, the Humanity

"On an airplane, but not technically a flight."

"Sitting at the end of the runway, the pilot was doing his pre-flight or something. There was a fireball in one of the engines. Passengers panicked, flight attendants popped the emergency doors, and the emergency slides deployed."

"It was mayhem; people knocking others down, crawling over the seats, lots of screaming. Several people were injured."

"Of those I saw, one man fell off the wing; I found out later he broke his arm and collarbone. Another fell off the middle of the slide. She went away holding her wrist, not sure of what happened. The guy in front of me on the slide tumbled face-first at the bottom of the slide, and got up with a bloodied face."

"Emergency slides are not fun. It's not like in the movies."

"The ironic thing was, there was no danger to the aircraft or passengers."

- chileheadd

Not a Question You Want to Hear

"The scariest thing was being asked by the guy on the other side of the plane if there was oil spraying out of the engine on my side, too."

- cablemonkey604

Happily Ever After

"We took off after a seven-hour delay. The plane climbed for a little bit and went into a pretty tight bank turn."

"The Captain came on and said there was smoke in the cabin, and we were going in for an emergency landing. As we were coming in, there were the fire trucks and emergency vehicles waiting for us."

"Long story short... it was a wiring harness for the coffee maker. They swapped it out without even having to deplane. We got free drinks for the rest of the flight."

- Bigkid6666

No Small Talk Welcome

"We barely had our butts in the seat and a woman turned to us and said, 'Are you two teachers?' as an icebreaker."

"We responded with 'no,' and then she said, well, she was a teacher, and she then proceeded to talk THE ENTIRE nine-hour flight about herself."

"My husband pretended to fall asleep within the hour, and I find it painfully hard to stop conversations with friendly people, so all I could do was listen to her ramble."

"Ugh, AND we were seated right beside the toilets which smelt of old pee."

- No-Lack4969

"That would be my personal h**l. Just let me read my book, lady."

- Ninyu

Chaos Ensues

"Captain here. Two hours in on an early flight, and the in-charge Flight Attendant advises us we have run out of coffee."

- scooterjay2013

A Strange Turn of Events

"I had a woman next to me on a 15-hour flight, with two kids under the age of five. She sat next to me with the kids on the aisle, and the first thing she did was apologize for what was to come."

"It was terrible, stuff constantly knocked onto the floor, a drink spilled on my leg... but that was just the woman herself."

"She soon swapped seats, and the kids just did normal kid stuff. They were not so bad at all, aside from the occasional accidental bump when they squirmed, while she continued to drop stuff on the floor: food, drink, phone, basically anything on her tray table was going to be on the floor sooner or later."

- FrightenedOfSpoons

"This weirdly sounds like something out of a rom-com."

"Her: 'I'm sorry for the trouble that will be caused.'"

"Him: 'I understand, kids will be kids.'"

"'No, I mean me, I'm a super klutz when flying.'"

"Strangers to Lovers. Annoyance softens to Endearment."

"Instant love story."

- saruhime

A Fuzzy Passenger

"Flying in a small eight-seater from the mainland to an island, a kitten got loose, climbed over the pilot's shoulder, and generally was frantic."

"That's the type of scene that disaster movies start with!"

- GSVNoFixedAbode

"Something similar happened on a flight. It was kind of funny, though, because the pilot got on the P.A. to ask whoever was missing a kitten to please come to retrieve it, in a very official, somewhat annoyed, pilot-ey voice. Pure comedy."

- ljuko

While some of these stories were amusing in the end, most of these were absolutely chilling, and it's no wonder that these Redditors don't enjoy flying or refuse to travel by airplane ever again.

It's pretty safe to say, honestly, that most of us would choose the same thing if we experienced something like this.

Woman grabbing her lower back as if in pain
Sasun Bughdaryan/Unsplash

"Sex is not fun," said nobody ever.

Let's face it: giving in to our primal urges and engaging in various forms of sex is a natural way of having fun and enjoying our bodies.

Until something goes wrong in the heat of the moment.

People don't think about it, but the truth is, sex and pain are not mutually exclusive.

But pain is not a typically the desired outcome.

Strangers online shared their experiences that didn't lead to a happy ending when Redditor Kurkil asked:

"Have you ever had a sex injury? If so, what happened?"

People made surprising discoveries after the fact.

Accessory To Pain

"After bar in a pretty aggressive makeout session. Something felt weird so I excused myself to the restroom. Looked in the mirror and saw that her hoop earring had impaled my cheek and was just dangling off the side of my face."

"Pulled it out, swabbed some rubbing alcohol on it, and got back to business. It was super weird because there was literally no pain at all. Like it must've missed every nerve ending"

– ManBroCalrissian

Upon Oral Examination

"I have 'jaw and throat sprain from vigorous oral sex' in my medical record.....I went to emergency thinking I had mumps. I did not."

– elletee80

People got more than they bargained for while getting some action.

What The Buck

"I once dislocated my shoulder while going down on my girlfriend. I had my arms under her legs and she jerked one leg suddenly, hitting my upper arm and dislocating it."

"In the emergency room, the person doing intake listened to our story and said 'I’m going to put down "horseplay" to which my girlfriend replied, 'what am I, a horse?'”

– avec_serif

Literally Mind-Blowing

"Pretty standard: bent the pole between thrusts."

"Pretty rare: During a BJ I got Transient Global Amnesia (TGA) which caused me to lose the previous 48 hours. It can be triggered by orgasm and it was scary AF. Forgot how I got where I was, where I was going, who I was meeting. I remembered my name, address, family etc but had no idea what day of the week it was... it all came back after 24 hours with the exception of a 20min period."

– haylofx

Bigger Isn't Always Better

"When I was single and dating around, thoroughly enjoying my divorce, I would chat with my female friends about my encounters with men. It wasn't a secret that I prefer them big. Then one day, I met this guy who was gorgeous, smart, funny, great kisser, EVERYTHING I could have ever asked for! We go to the bedroom, his unir is too big. It was painful. Tried it again a few weeks later, because your cervix changes during certain times of your cycle. Still doesn't fit. Had to say goodbye to that one..."

– Dependent_Top_4425

Aggressive Pole-Rider

"Bent my unit in half to the point I screamed and rolled over."

"Next day she showed up with an ice cream cake saying 'sorry I broke your d*ck written on it.'"

"Said the guy at dairy queen lost his sh*t while writing it."

– Spenraw

Miscalculation

"Went to flip over onto my back for missionary, overestimated how much bed was there, fell off the side and slashed my back on the edge of the dresser."

– cheeezus_crust

Beware of liquids.

The Ole Switcheroo

"Not mine but a friend. Hand sanitizer and lube in similar containers near the bed resulted in a sanitized vagina."

– lopaco93

Effects Of Alcohol

"Not an injury per se, but we had to stop and I had to run to the shower immediately."

"We had both been drinking and decided to move it into the bedroom. I was on top. We were both super into it and I grabbed the bottle of whiskey and took a big swig straight from the bottle. He thought it was hot and decided he wanted to do a shot off my body... he missed some, and it continued down... I was really into what was happening, so it took a second for the pain to register."

"Holy sh*t, that burned. I hopped off of him, explaining that I felt like I had been set on fire, and ran to the shower to hose off."

"Lesson learned - whiskey does not belong anywhere near there."

"Still one of my favorite sex fail stories."

– Katemonster89

Lesson Learned

"I learned the hard way never to got eat hot wings and then go down on your date. I thought I was doing a good job, I got a black eye from her heel from it 🤦♂️"

– houseDJ1042

Safe sex is important.

But no one ever thought that would ever extend beyond protecting oneself from getting STDs.

Let's just say an emergency trip to the hospital can come with quite the story.

black and yellow poison sign

Mikael Seegen on Unsplash

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