‘She would pop up in my sexual fantasies’: what happens when you fancy your therapist?

They’re often compassionate good listeners who focus on their clients’ needs – so is it any wonder many patients find themselves with a crush? A writer, who is in exactly this position, talks to people on both sides of the couch

‘She would pop up in my sexual fantasies’: what happens when you fancy your therapist?

TL;DR

  • Patients often develop crushes or romantic feelings for their therapists due to the focused attention, empathy, and perceived understanding they receive.
  • This phenomenon is explained by the psychoanalytic concept of 'transference,' where clients project past feelings, desires, and attitudes onto their therapist.
  • While common, relationships between clients and therapists are generally discouraged, even after therapy has ended, and can have serious ethical and personal consequences.
  • Experts encourage open discussion of transference within therapy sessions as a way to explore deeper issues, rather than suppress the feelings.
  • Countertransference refers to the feelings a therapist experiences in response to a client, which can also be a rich area for therapeutic exploration.
  • In the UK, the therapy profession is not fully regulated, leading to potential risks if therapists lack proper training in handling transference and countertransference.
  • A cautionary tale illustrates the devastating impact of a therapist acting on transference, leading to loss of professional license and catastrophic personal fallout for the client.
  • Despite the potential for negative outcomes, some believe that in rare, exceptional circumstances, relationships between former therapists and clients might work, provided ethical boundaries are strictly maintained.