As a Therapist, Are There Some Patients You Think and Worry About After Hours?

Being a therapist is deeply rewarding, but it also comes with unique challenges. One of these challenges is managing the emotional investment that naturally occurs when working closely with clients who are navigating difficult or painful experiences. The question often arises: "As a therapist, are there some patients you think and worry about after hours?" The short answer is yes. While therapists are trained to maintain professional boundaries, the nature of the work often means that certain clients and their struggles can linger in a therapist’s thoughts even after the session ends.

The Nature of the Therapeutic Relationship

The therapeutic relationship is a powerful and intimate connection. Clients share their vulnerabilities, fears, and traumas with their therapists, often disclosing things they’ve never told anyone else. This trust creates a bond that is both professional and human. Therapists deeply care about their clients’ well-being, and it’s only natural that they might think about certain clients outside of the therapy room.

Some situations that may lead to after-hours concern include:

Crisis Situations: When a client is in crisis, whether due to suicidal thoughts, self-harm, or a dangerous home environment, it’s hard not to worry. Therapists may find themselves thinking about whether the client is safe, whether they made the right intervention, or if there’s something more they could do to help.

Chronic or Severe Conditions: Clients with severe mental health conditions, such as chronic depression, bipolar disorder, or complex PTSD, may also be on a therapist’s mind. The long-term nature of these conditions and the ongoing struggle can make therapists worry about their client’s progress and well-being.

Clients Who Resonate Personally: Sometimes, a client’s story may resonate with the therapist on a personal level, whether it’s a shared experience or a situation that touches on the therapist’s own values or emotions. While therapists are trained to manage personal feelings, they are human, and certain stories can stay with them.

Unresolved Sessions: When a session ends with a client in a difficult emotional place or with an issue that feels unresolved, therapists may continue to think about how to best support the client in future sessions. The desire to provide the best possible care can lead to after-hours reflection.

Managing After-Hours Thoughts and Worries

While it’s natural for therapists to think about their clients outside of sessions, maintaining a healthy balance is crucial. Therapists must manage their own mental and emotional well-being to remain effective in their work. Here are some strategies therapists use to manage after-hours concerns:

Professional Supervision: Regular supervision is an essential part of a therapist’s professional life. Supervision provides a space to discuss challenging cases, explore emotional reactions, and receive guidance on how to handle difficult situations. It also helps therapists gain perspective and reduce the emotional burden of worrying about clients.

Self-Care Practices: Therapists are advocates of self-care for their clients, but it’s equally important for them to practice what they preach. Engaging in activities that promote relaxation, such as exercise, meditation, or spending time with loved ones, can help therapists decompress and create a clear boundary between work and personal life.

Mindfulness and Reflection: Mindfulness practices can be particularly helpful for therapists who find themselves thinking about clients after hours. Mindfulness allows therapists to acknowledge their thoughts and feelings without getting caught up in them. Reflecting on these thoughts in a non-judgmental way can reduce anxiety and provide clarity.

Setting Boundaries: Setting clear boundaries is vital for therapists to maintain their own well-being. This includes not checking work emails after hours or having a designated space for work-related tasks. Creating physical and mental boundaries can help therapists switch off and focus on their personal lives.

Peer Support: Connecting with fellow therapists or participating in peer support groups can provide an outlet for sharing concerns and receiving support from those who understand the unique challenges of the profession.

The Ethical and Human Side of Caring

While therapists strive to maintain professionalism, it’s important to acknowledge that they are also human. The capacity to care deeply is what makes therapy effective, but it also means that therapists may occasionally carry the emotional weight of their work beyond office hours. However, with the right support systems in place, therapists can manage these feelings effectively and continue to provide compassionate care without compromising their own well-being.

In the end, the fact that therapists think about their clients after hours is a testament to their commitment and dedication to helping others. It’s a reminder that therapy is not just a job; it’s a vocation that requires empathy, compassion, and a deep sense of responsibility.


Julie Kolzet, Ph.D.