I often think about what makes a good therapist, and find it a hard question to answer in an organized and concise way. What’s far easier, and maybe as helpful to anyone looking for therapy, is the reverse question. So, in the style of CGP Grey’s 7 Ways to Maximize Misery, I hope this list of what makes for a bad therapist can help you find a good one.

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1. A bad therapist lacks all curiosity.

They assume that their education or experience or inherent wisdom means they just know what the client means and wants and needs, even if (sometimes especially if) the client disagrees. They rarely use reflective listening or Socratic questioning, and rather than reserving assertions for psychoeducation and normalizing, instead tell the client precisely what they think is wrong, what mistakes the client is making, and/or what the client needs to do to improve, all stated with confidence rather than as hypotheses. And if your therapist does all this within the first session? Run away.

2. A bad therapist will not respond well to negative feedback.

They expect their therapy style and modality to be perfectly suited to any client, and are not willing to adapt or learn how to best help their client. This isn’t to say all therapists and clients are suited to each other, but if reports of dissatisfaction are  turned back on you with accusations of projection or “resistance to treatment,” that’s a great red flag to find another therapist.

3. A bad therapist pathologizes constantly.

Anything unusual about the client, from their hobbies to their fetishes to their philosophy, is suspected of causing dysfunction regardless of whether it actually does. These therapists conform to the broader culture they’re embedded in, and act as agents of social control on all manner of moral issues, from sexuality to family dynamics to choice of profession. If your therapist speaks in clichés such as “Family always forgives” or “Marriage is a sacred bond,” find a more open minded one.  

4. A bad therapist shames their client, or makes them ashamed of themselves.

Guilt can be a powerful generator for change, but a therapist’s role is to gently guide the client to better understand themselves, and the sometimes complex relationship between what we value and what we do. If your therapist demonizes your thoughts or feelings or desires rather than helping you better understand them, you’re dealing with another therapist too trapped in their culture or biases to properly facilitate lasting healing and growth.

5. A bad therapist pushes their worldview onto the client. 

A religious therapist who insists that “God works in mysterious ways,” or an atheist who dismisses spiritual comforts are not only unlikely to help their grieving client of the opposite beliefs, but can cause extra harm by making them feel alienated and unheard. Finding a therapist who matches your worldview can be valuable, but any competent therapist should be able to leave theirs (mostly) at the door.

6. A bad therapist can’t remain objective. 

Early signs of this may be a therapist who talks too much about themselves or seems overwhelmed by their client’s problems. More subtly, therapists can struggle not to triangulate with a parent or child or spouse against child or parent or spouse. It may even seem like a positive, if for example the therapist starts to seem like a friend who constantly comforts and “takes your side” in everything . To be clear, objective doesn’t mean perfectly balanced; sometimes objectivity requires helping us understand when a mistake is one-sided. But if you don’t feel like your therapist is making an effort to include everyone’s perspectives, find another one. 

7. A bad therapist will insist that their model is the only one with value.

These therapists view all of mental health through a single lens, the causes and solutions to illness forced into the mold they developed during their education or personal experiences. While an expert in a specific modality can be invaluable, a professional should always be ready to refer a client elsewhere if they encounter a problem in treatment, rather than blame the client and insist they’re not understanding or not trying hard enough. 

8. A bad therapist is okay with therapy lasting forever.

I may be being too normative here, but I think it’s suboptimal for a therapist to make no effort to set concrete goals or give the client the tools they need to move on without them. This doesn’t mean therapists will know how long a problem “should take,” which we get asked all the time. But after a few sessions, you should have a sense of what it would take for you to feel satisfied ending therapy, or at least reduce the frequency of sessions. If you don’t, it’s worth bringing it up with your therapist to see if the therapist has a sense of direction or goals in mind. Subjective goals and estimates are fine, and many therapists will be wary of overpromising. But ideally there would still be some observable change in the client’s life that they can use as a metric of growth.  It’s also fine to go back to therapy every so often as needed; it’s just the unending years of weekly therapy that, to me, indicates something suboptimal is going on.

9. A bad therapist can’t properly balance uncertainty and responsibility. 

This is the kind of therapist who attempts to hospitalize their client due to non-critical self-harm, or for simply talking about their suicidality, rather than because there is imminent and specific threat to life. Unfortunately there is little you can do to predict that your therapist is like this ahead of time, but you can at least get a sense for how well they understand the limits of confidentiality when they explain it to you; a good therapist should clarify this distinction so their client feels safe being open about how they feel.

10. They think therapy is about talking, not doing.

Maybe too normative of me again, but while a large part of therapy is talking, it’s been a century since Freud borrowed the phrase “Talking Cure” and ran with a model of therapy aiming purely for catharsis. I think therapy should be doing more than just venting and processing; it should also involve learning new tools to be practiced between sessions, so that you can reach a point where the therapist is no longer needed. To be clear I’m thinking in terms of suggestions rather than strict “homework,” and some clients may prefer not having even those. But if you feel like therapy isn’t doing much for you and yours hasn’t suggested things for you to do between sessions, start asking for some.

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I hope people find this helpful; as I said, it’s not a great guide to help finding a good therapist, but I’ve heard enough horror stories in my professional life by this point to at least try to minimize the amount of bad ones people waste their time, money, and emotional energy with.

I should also clarify that while I hesitate to label anyone a “bad therapists” by some of these more than others, I think each of them does drastically limit the amount of people and situations a therapist can help. For example, therapists who are stuck in a certain cultural zeitgeist can still help clients who conform to that culture’s norms, and therapists who never plan to discharge clients can also still be beneficial to them; hopefully that’s why the client would keep going!

But in my experience at least, each of these represent real failure modes in the therapeutic process that can end up causing more harm than good.

Additionally, it’s worth emphasizing that, independent from how good a therapist is, the most important part of any therapeutic relationship is the individual rapport between client and therapist.  It doesn’t matter what philosophy they have or how they orient to things like how long therapy should be if it doesn’t feel like a good match. If you don’t trust your therapist within the first few sessions, if you don’t feel comfortable talking freely with them, it’s probably better to just find a new one.

As a final note, I deliberately avoided mentioning anything that would count as a violation of therapeutic ethics and professional norms. If your therapist breaks confidentiality, tries to date you, regularly misses sessions, etc, the label “bad therapist” is no longer sufficient; at that point they shouldn’t be a therapist at all, and should be reported to their licensing body.

A large part of therapy for many people is learning how to create “healthy boundaries.” Whether adults or children, with friends or family, we often find ourselves having our desires ignored, our time undervalued, and sometimes even our bodies mistreated again and again, despite our attempts to express our preference against such things happening.

People who admit to having poor boundaries often look upon those that do not and wonder what the secret is. How do those people get treated with more respect? Why aren’t they mistreated as often?

There are plenty of potential answers in this space, from demeanor to status to power dynamics, but the most important thing to recognize is that when we talk about social boundaries, they do not exist as barriers that physically stop people from ever violating them.

All “having strong boundaries” means is:

1. You’ve stated a preference for how you’re treated.
2. You’ve made it known what your reaction will be if you’re not treated that way.
3. You follow through on the reaction.

That’s it. Do that enough times, and voilà, you have boundaries.

To make this more concrete, let’s say your mother keeps calling to criticize your life choices or your partner, or a friend keeps invading your personal space, and this makes you feel bad. In fact it may, reasonably, make you not want to talk to your mother or be around your friend anymore.

The first step is to let them know that. Ideally, you’d let them know that you want to maintain a good and positive relationship with them, but that [specific behavior] is keeping that from happening. It’s not a choice on your part, but a consequence of what’s happening, the same way that people do not choose to feel safe or not when someone invades their personal space; they either do or don’t.

Hopefully they will want to maintain a good relationship too. If they protest, try to guilt trip you, etc, just repeat the preference, and explain the consequence; that you’ll hang up/leave the hangout/whatever the next time they do it.

And the next time they do it, do exactly that. And if they protest, remind them that you talked about this, and you’re just following through on what you said.

And keep doing it until either they change their behavior or they decide the relationship isn’t worth them doing that. Which can be sad, but that’s up to you to balance when you set a boundary whether it’s worthwhile or not.

Again, it’s really that simple. Social boundaries are expectations we create from common knowledge, like politeness norms, or our actions. When someone pushes past a line you draw in the sand, or even just stumbles past it accidentally, you have to be willing to push them back, gently or not, or else the “boundary” doesn’t exist.

Ideally, those pushes take the form of calmly stating your desires, and following through on consequences if they’re not respected. Unfortunately, if certain lines are crossed often enough, sometimes enforcing a boundary involves getting really, really mad, shouting and storming out and slamming the door, because anything less than that is just ignored. If the boundary crossed is a physical one, sometimes “pushing back” includes literal pushes.

And part of why some people have a harder time building and maintaining boundaries is that they have been conditioned to not ever do things like that…

…or the people violating their boundaries have power over them. Enforcing your boundaries is always an unpleasant thing to do, and sometimes it can be a dangerous thing to do, especially if your job or physical safety is at stake.

But if you’re never willing to do any of those things, and you feel frustrated that people don’t seem to respect your desires or needs… this may be a large part of why.

Try not to push too hard at first, and don’t push thoughtlessly, but I’m here to tell you it’s okay to push back. The how and when might be complicated, but the will to protect yourself even if it upsets others others is the necessary first step.

Remember that boundaries exist as a way to preserve positive relationships. They should be shared in that spirit, and seen in that light, lest they be misused to pressure people into uneven relationships, or treated as selfishness by others who don’t know how to negotiate preferences properly.

Edit: I’ve found an article by Tasshin Fogleman that goes into more depth about all this, and is worth the read.

First, a quick definition: I think a useful way to view Trauma as basically a “stuck” central nervous system response to a highly dangerous or frightening situation. There are “smaller” forms of trauma, and more prolonged causes rather than singular events (see: Complex PTSD). But by and large, Trauma is when we get into a situation that triggers a Fight/Flight/Freeze/Fawn response where we feel a lack of control or agency, and whatever way we reacted gets “hard coded” into a reflex that triggers each time we’re in a similar situation.

It’s almost like the body goes “Well, I have no idea what happened there or what to do about it, and we felt pretty powerless. But it was PRETTY FUCKING SCARY and the thing we did last time at least managed to cause us to survive, so let’s just do that again next time anything like it happens.”

There’s a danger mode that society has been engaging in for years (decades/centuries/millenia?) that simply denied trauma. It was ignorant of trauma, or acted as if it didn’t exist, or verbally repudiated it. People were expected to tough out bad things that happened to them. Men especially were not allowed to express it, except (eventually) if it occurred as the result of war.

And maybe this was helped by there just being less trauma all around. Maybe people didn’t get into situations they couldn’t make sense of as often, or had more robust agency over even shitty things in their lives, or there were more narratives in society that helped people get through such situations without getting stuck.

Whatever the case may be, the pendulum has swung somewhat, and I hear rumblings of worry about whether we’re treating trauma too seriously. If we’re over-correcting and making things out to be more traumatic than they “really are,” and to what degree trauma is the result of people being told that something that happens to them is “traumatic” or is made a big deal of.

This second failure mode concerning trauma is something like a worry that someone will fall off their bike, scrape their knee, and be taken to the hospital amidst parental tears and shock, thus cementing a lifelong fear of bikes or intolerance of pain.

And while I think this second failure mode is probably true for things like how offended or outraged people get by things, I don’t think it’s in our sight-lines just yet for “actual trauma.” Overprotective parents are a thing, always have been. If a kid falls off their bike, they are much more likely to cry if their parent freaks out.

And yes, to some degree how society treats a thing will inform how people react to it. There are some people who are sexually molested or emotionally abused and essentially move on from it without ever telling anyone, or seeking professional help. This is particularly something you’ll hear from people who are older, and grew up before modern perspectives on trauma or awareness of abuse or rape was as prevalent as it is. There’s a fairly famous older man who got in some hot water for saying something like “Well, I was raped a number of times at the male boarding school I went to, and it sucked, but that was just a thing that happened. The older boys would do that often to the younger ones. It wasn’t the end of the world.”

People will look at accounts like this and be somewhat reinforced in believing that the response to traumatic events is moderately, or even largely, to blame for how traumatic it is.

But the thing to remember about trauma is that by its nature it is anti-correlated to reports and disclosures. You will hear more from the people who recovered from traumatic events or were not traumatized by bad events more often than you will those who were. This is axiomatic to what it even means to be traumatized by something vs not.

On top of the other points, like how no two situations are alike, and no two people are alike, and so making a general rule out of anecdotes is dangerous, it’s also hard to think of people who are actually traumatized by the response to a thing versus the thing itself. My experience is that Eddie Kaspbraks are really, really rare in real life, even in less stereotypical, absolute incarnations.

What I do run across instead, and quite often, are the “stereotypical” examples of people who have spent years, if not decades, bottling up their trauma and appearing to all observers, even close observers, as if they’re okay, or as if the behaviors that they have that are harmful to themselves or others are just the result of who they are, and not what they’ve gone through, until something comes out and sheds light on dark machinery. Part of that just comes with the territory of my field of work, but even outside of it, that seems to be far more common than the inverse situation.

And when people who go through events others might call traumatizing, but who were not traumatized by it by some combination of factors that are so far unknown, see such people, I worry that their conclusion will be that this is proof that trauma is the result of low willpower or resilience or “grit” or whatever.

The pendulum may well be swinging toward society being too sensitive to traumatic fears and causing more harm than it’s preventing in highlighting bad experiences as “traumatic.” But so far I don’t know that I’ve seen enough evidence to conclude that for sure, and I hope we get better metrics and tools to determine if that’s in fact what’s happening before we start encouraging a narrative that might make those who suffer from trauma feel in some way as if it’s “all in their head,” like society used to.