SN
SO
SO
Psychological Insights from Psychologists
SO
Filed under 14 contributors
Shebna N OsanmohPsychiatric Nurse Practitioner · SavantcareSome sessions do stay with me, and I do not think they should disappear completely. After 15+ years in psychiatric care, I have learned that what stays with me is often a sign that I care. The goal is not to stop feeling. It is to keep that care from turning into weight I carry alone.
Afterward, I start with acknowledgment instead of pushing through. I give myself a few minutes to notice what is still with me, whether that is sadness, worry, or a patient's story that moved me. Naming it makes it easier to set down. I also lean on supervision and trusted colleagues when something feels heavy. Talking it through keeps it from living only in my own head. Outside of work, I rely on movement, rest, and trauma-informed yoga, which helps me return to my body and my breath.
The one brief practice I use is a three-breath pause between sessions. I breathe in slowly and ask myself, "What am I carrying from that session?" On the exhale, I name one thing to hold and one thing to release. I hold what I need to remember clinically and what I want to follow up on. I release the emotional charge so it does not follow me into the next appointment. It takes about a minute.
This helps me stay connected without taking on everything a patient feels. I can remain warm and attentive because I have a way to put down what is not mine to carry. My patients deserve a clinician who is fully present, and I cannot offer that if I never reset. Taking care of myself is part of caring for them, in any language they choose to speak.
Stella OngClinical Counsellor · LightingWay Counselling & TherapyMost days I see several clients one after another, and some sessions do follow me out of the room. I created a 'reset ritual' for myself: after each client I take a couple of minutes before the next one arrives. I stand up for a stretch and remind myself of a few things. What I heard belongs to the client and the difficulties they are living with, and when a session feels heavy it is often their mental distress speaking. Saying this keeps me from carrying their story home as though it were mine to solve overnight, and I find I can still think about them warmly because I am no longer bracing against the weight of their problems.
At the end of the day I have a longer ritual. I change out of my work clothes before I leave the office. Changing clothes is one small physical act, but it tells my body the working day is over in a way that thinking alone doesn't manage.
Natalie BuchwaldFounder & Clinical Director · Manhattan Mental Health CounselingA session that stays with a therapist does not automatically mean the therapist cared too much. It may point to something in the encounter that needs to be understood rather than pushed away.
One brief reflective practice is to name the feeling without retelling the client's story: sadness, urgency, helplessness, or a wish to rescue. Notice where it sits in the body and ask, "What am I trying to carry that is not mine to complete tonight?"
That inquiry can separate concern for the client from a private demand to produce a different outcome. The feeling becomes information for reflection, not an instruction to keep working mentally after the session has ended.
If it remains intense or begins shaping the next clinical decision, bring it to appropriate consultation without unnecessary identifying details. A private emotional reset should not replace professional support.
The aim is not to become untouched by the work. It is to remain responsive while recognizing the boundary between being alongside someone and taking responsibility for their whole experience.
Anna FrostOwner Relations Analyst · Psychoanalyst, Training Analyst, Clinical Supervisor, Mentor, Boulder ConsultationPsychoanalytic training prepares you for exactly this. Years of personal analysis, guts on the table, learning to sit with and metabolize the full range of human emotional material. That preparation doesn't make difficult sessions easy. It makes them workable.
What I've found is that the sessions that stay with me give me cause to wonder and I get curious about it. And that's the practice I return to: simply notice my thoughts and feelings about it and remain curious and open to exploring it. Allow it to stay -- no need to dwell or ruminate, just become open and curious.
The goal is to metabolizing what came up so it doesn't stick. The old Delphic phrase "Know Thyself" includes knowing your own emotional responses to the work. That self-knowledge is what keeps a clinician inquisitive and metabolizing.
Devon Jorge MSW, RSWPsychotherapist & Clinical Director · Trillium CounsellingSome sessions are harder to shake than others. You spend 50 minutes with someone who is going through something incredibly painful, and then they leave. You know they are walking right back into the same circumstances, and of course, part of you wishes you could do more.
When that happens, I try to take a minute before my next session to think about what actually went right during our time together, rather than getting caught up in everything that is still wrong. I ask myself what small bit of progress we made that day, even if it was something the client might not recognize as progress just yet.
Maybe they finally talked about something they have kept buried for years. Maybe they recognized something about themselves they had never considered before. Or maybe they just needed someone to listen without judging them.
I think it is easy, even as therapists, to get so focused on the mountain someone still has to climb that we forget to appreciate the few steps they took that day.
And sometimes that is all I need to reset. Knowing that even though I cannot change everything someone is going through, I may have helped make one small part of it a little easier. There is still a long road ahead for some clients, but that does not take away from the progress we made together that day.
June LiuOwner · Lang Ocean Spa Thai BodyworkRunning a spa rooted in Thai healing means I sit with a lot of emotional weight too. When a client finally lets go of grief or stress they've been carrying for years, that release doesn't just stay with them on the table -- it lingers in the room, and honestly, in me.
The one practice that helps me reset without going cold is what I call an intention close. Right after a session that hits differently, I take 60 seconds to silently acknowledge what happened in the room, then consciously set a new intention for myself. It's the same principle I teach clients before their sessions -- intention shapes the quality of the experience. It works both ways.
What keeps me from detaching is understanding that emotional residue is actually proof the connection was real. In Thai bodywork, we're trained to stay mindfully present the entire session, tracking how the body responds, adjusting, listening. That full presence means you'll feel the echo afterward. That's not a problem to fix -- it's the work doing what it's supposed to do.
The mistake I see is people trying to shake it off completely. Instead, I carry it briefly, let it inform how I show up next, then physically move -- even just stretching through the studio -- to signal to my nervous system that the session has ended and I'm back in my own body.
Jason Emer, MD FAADLiposculpture & Body Contouring Specialist · Dr. Jason Emer Cosmetic Dermatology & SurgeryWorking in cosmetic surgery, I carry emotional weight too -- patients come to me with deep insecurities about their bodies, and those conversations don't end when they walk out the door.
The one thing that grounds me is a hard boundary between patient time and personal time. The moment a heavy consultation ends, I physically change my environment -- I move to a different room, review a procedure plan, or scrub in for something technical. The deliberate cognitive shift into a task-focused mode acts like a circuit breaker for my nervous system.
What keeps me from going cold is remembering why the session stayed with me. When a patient's story about years of body image struggle lands hard, that discomfort is data -- it tells me I'm still listening at the right depth. I don't try to erase it.
The trap is ruminating versus processing. I give myself a fixed window -- usually during the drive home -- to let the session surface naturally. After that window closes, it's closed. Structure, not suppression.
Michael NadhirFounder & CEO · KindMind Behavioral HealthAs the founder of KindMind Behavioral Health, where we handle trauma, grief, and complex emotional work across Michigan, I see how sessions can leave a mark on both sides of the room.
I reset by reminding myself that exhaustion often signals important discoveries at play, the kind that shape daily patterns long after the hour ends. This keeps the weight in perspective without pushing it away.
One brief practice is a quick internal note of self-compassion, acknowledging the discomfort as necessary for real progress in the work.
It lets me stay open to clients while building the patience and consistency needed to return refreshed for the next person.
Keisha HaysOwner · Therapist, Emerging SelfAfter a psychotherapy session that stays with me, I start by getting curious about what exactly is lingering. I might have just a few minutes before my next session, so I'll close my computer, physically change locations (walk to another part of my space, to a window where I can see outside), place one hand on my heart and one on my belly, and take a moment to notice:
What am I thinking? What am I feeling? What do I need right now?
Sometimes I'll even say my thoughts out loud: "That was intense. I'm feeling the weight of what that client shared, and I'm noticing that part of me is wondering whether I supported them as well as I could."
Naming and validating those thoughts and feelings helps me separate my own experiences from my clients. From there, I use a brief somatic practice to help my body process and move through what I just experienced. I might gently shake out my body, or sway side to side if the shaking is too intense, or give myself a soothing hug. If I have more time, I might take a walk, practice yoga, spend a few minutes moving freely to a song, or spend some time with my dog to support co-regulation.
I've found that this doesn't make me detached from my clients, rather it helps me detach from what isn't mine. I can be fully present and empathic during a session while also recognizing that my body has had an experience, too. Taking a few intentional moments to acknowledge and move through that experience helps me return to myself so I can continue showing up with presence, compassion, and appropriate boundaries.
To summarize the brief practice: Pause. Shift locations. Ask: what am I thinking, feeling, needing? Move my body.
Vessy TashevaPsychotherapist · Researcher, Keynote Speaker, Vessy.comSwimming makes me feel contained in a way that compliments my personal therapy and supervision. It allows me to work through transference and counter transference, it connects my body and mind, and it helps regulate my breathing, thoughts, and feelings. This skin-water contact in a trustworthy environment feels empowering and rejuvenates my sense of self-trust, genuinely engaging with the most uncomfortable, vulnerable, and sensitive parts in the patient-therapist alliance.
Jess Allen LMHCAMental Health Counselor · Haven Healing and Wellness PLLCI care for my emotional wellbeing by engaging in reflective practices: confidential consultation or supervision, meditation, and journaling about my inner world. My favorite way to reset is by going for a walk. I am able to mentally reset easier while walking compared to being stationary, and I am able to let go of how I'm feeling easier when I am outside in the natural world.
Jeffrey LaPonsie LMSWClinical Director · Kalamazoo Child and Family CounselingI've sat with children talking about a parent dying of cancer and worked with a child who witnessed a murder. Sometimes what stays with me is how they describe it. They're trying to understand something horrific with the understanding of a child. That innocence can be haunting.
I'm a facilitator of the National Child Traumatic Stress Network's Core Curriculum on Childhood Trauma, and we talk about vicarious trauma and secondary traumatic stress—the ways exposure to other people's trauma can affect us, too. Knowing about it doesn't make me immune. I need colleagues I can talk with honestly, especially when a session gets under my skin.
One small practice that helps me involves a crying Buddha statue. He's sitting folded over, with his face in his hands. I think of him as holding sorrow. After a heavy session, I take a few deep breaths and imagine placing some of that suffering with him, letting it be held and then dispersed into the universe. It gives me a moment to recognize what I'm carrying and set some of it down.
I also pay attention to my schedule. When I can, I avoid stacking several sessions with heavy trauma content together and make time for a walk between them.
Most importantly, I look hard for progress. Sometimes it's small: a child asking for help, a parent being more patient, or a client telling me something they've never been able to say before. Those moments mean a lot to me.
I think therapists are often hope banks. We give our clients hope loans when they're struggling to find their own. Seeing their progress is deeply fulfilling, and it helps sustain me in this work.
Paula D. AtkinsonBody Liberation Psychotherapist · Body Justice Professor, Psychic Witch, Paula D. Atkinson, LLCI use energetic tools and methods of lovingly disconnecting from my clients and releasing energy that is not mine.
Mark ClarkePsychotherapist · Great Thriving LtdThe one practice that has made the biggest difference is talking to myself, out loud. Hearing my thoughts spoken helps me connect with how a session has affected me, rather than just turning it over in silence. Kept inside, it's like feeling around a dark cave for door handles. Said out loud, the room gets warmer and better lit with every sentence.
It doesn't take long. I keep at least an hour between clients, ideally two. Ten minutes go on shorthand notes, then I speak the session out. If it was heavy, I eat, walk or watch something afterwards. If a client had a breakthrough, I give a little cheer.
Before the next client, I reread the notes from their last session so they're the only person in the room with me.
In a world that increasingly acknowledges the importance of mental health, Psychologist Brief stands out as a premier online platform dedicated to providing in-depth psychological insights, expert opinions, and a robust professional community.
Ending therapy is an important part of treatment, not just a final appointment. This article shares expert insights on assessing progress, building independence, and addressing unresolved concerns. It also explains how therapists and clients can plan a thoughtful transition and prepare for future challenges.
Psychologist Brief,
Sharing client information in therapy requires careful judgment, especially when clinical care, benefits, vendors, and family members are involved. This article includes insights from experts in the field on protecting confidentiality while sharing only what is necessary. Learn practical ways to set boundaries, limit data, and keep discussions focused on client care.
Psychologist Brief,
Ending a therapy session on time does not have to feel abrupt or damaging to trust. Experts in the field share practical ways to help clients pause, settle, review key points, and leave with a clear plan. These strategies also protect boundaries while making space for safety, feedback, and continued connection.
Psychologist Brief,