Dear Therapist: You're Allowed to Be Human, Too

Interior Of Dark Living Room With Glowing Lamps, Sofa And Shelf At Night

If you're anything like me, I'd wager you've left a session at least once (probably more) thinking, "Why did I say that?" or "I should have handled that differently." Maybe you've had one of those days where you're sitting in your office before a session, quietly wondering if you actually know what you're doing. Or perhaps you look around at other clinicians and convince yourself they've all figured out some secret sauce that you somehow missed. If any of this sounds familiar, welcome to being a therapist. More accurately, welcome to being human.

Somewhere along the way, many of us quietly adopted the belief that being a "good therapist" means never getting it wrong. That's a fairly unreasonable standard to hold ourselves to. We tell ourselves we should always know exactly what to say, never miss important clinical information, never feel uncertain, and never leave a session wishing we could rewind the last five minutes. We want every intervention to feel groundbreaking and every one-liner to land perfectly, all while watching TV therapists deliver flawless dialogue and wondering why we can't think that fast on our feet, conveniently forgetting that it's a script, rehearsed dozens of times.

We Hold Ourselves to an Impossible Standard

Let's take a moment to consider what we actually ask of ourselves each day. We're expected to remember the histories of dozens of clients, hold complex and often heavy emotions, manage crises as they arise, stay current with research, navigate ethical gray areas, document everything accurately and on time, and somehow say the right thing in the moment, every time. We're also expected to be fully present for every client, every session, every day. That's an extraordinarily high bar, and an unrealistic one.

The irony is that most of us would never expect this level of perfection from a colleague, let alone a client. Yet we hold ourselves to it without question and with little room for error. It's worth asking why.

The Goal Was Never Perfection

Early in my career, I believed the best therapists always knew exactly what to say, delivering polished insights that shifted a client's entire perspective in a single sentence. I equated confidence with certainty: certainty about what to say, how to say it, and how the client would respond.

After years of clinical work, I've come to see this differently. Some of the most meaningful moments in therapy haven't come from a perfectly executed intervention or a well timed clinical skill. They've come from simple, human statements like: "I think I misunderstood you. I'm sorry, and I'll do better next time." "Help me understand that a little more." "How can I help you feel safe right now?" "Thank you for telling me. You're not alone in this." These unscripted moments of genuine connection have consistently proven more powerful than any rehearsed intervention.

What I've learned is that clients aren't looking for perfection. They're looking for authenticity, consistency, and a clinician willing to stay present with them through the difficulty of their experience. Nothing more is required.

Feeling Like an Imposter Doesn't Mean You Are One

As we make room for our own imperfections, it's worth remembering that everyone around us is navigating the same thing. Imposter syndrome has a way of convincing us that our colleagues have it all figured out while we're quietly trying to keep pace. In reality, most therapists have questioned whether they're good enough, replayed sessions on the drive home, worried they missed something important, or said something they wish they hadn't. These thoughts don't necessarily reflect poor clinical skill. More often, they reflect a clinician who genuinely cares about doing this work well and who reflects critically on their practice.

There's an important distinction here. Sometimes uncertainty is a signal that we need more consultation, supervision, or continuing education, and that's simply part of practicing ethically and staying committed to growth. But there's a meaningful difference between recognizing an area for development and concluding that we don't belong in this field. Growth sounds like, "That was difficult, but what can I take from it?" Imposter syndrome sounds like, "You didn't know that, so you never belonged here." The first leads to development. The second keeps us stuck.

We Ask Clients to Practice Self-Compassion. Do We?

Every day, we encourage our clients to challenge unrealistic expectations, accept that mistakes are part of growth, and speak to themselves with more kindness. And then many of us leave the office and speak to ourselves with far less grace than we'd ever extend to a client. There are likely many reasons for this: a sense of responsibility for our clients' healing, the weight of high stakes work, or a profession that quietly rewards competence while rarely acknowledging how vulnerable it feels to sit in the therapist's chair.

Whatever the reason, therapists deserve compassion too. We're human beings managing a demanding role, juggling multiple responsibilities, and often buried in administrative work that slowly wears us down. It may be time we extended ourselves the same grace we consistently offer our clients.

Final Thoughts

One of the most meaningful aspects of this work is that it asks people to show up exactly as they are, not as polished or perfect versions of themselves. If that were the expectation, there would be little room left for growth. We ask our clients to show up as real people doing their best. Perhaps we should extend that same invitation to ourselves.

Being a good therapist doesn't mean never missing something, never feeling uncertain, never needing consultation, or never saying something we later regret. Being a good therapist means staying curious, continuing to learn, repairing when repair is needed, and showing up as our authentic, genuine selves. Because despite what our inner critic may tell us, our clients don't need perfect therapists. They need human ones.

DBT Made Doable
DBT Made Doable

DBT Made Doable is a collection of customizable interventions for using DBT flexibly, realistically, and in your unique voice.

DBT Crash Course for Clinicians: 15 Core Techniques to Improve Emotional Regulation, Manage Distress and More
DBT Crash Course for Clinicians: 15 Core Techniques to Improve Emotional Regulation, Manage Distress and More

Whether they’ve been diagnosed with trauma, anxiety, depression or any number of the conditions you see in your office each day, DBT empowers clients to navigate the challenges of everyday life and relationships so they can heal, grow, and achieve their goals.

Alexa Mulee LMHC, C-DBT

Alexa (Lexi) Mulee, LMHC, C-DBT, is a highly sought-after speaker and DBT instructor who has worked extensively with DBT in both inpatient and outpatient care settings for almost a decade. The owner and founder of Wise Mind Counseling in New York City, she focuses her work on DBT and offers a multitude of services, including skills groups, individual sessions, treatment teams, and phone coaching. Her expertise working with individuals dealing with borderline personality disorder, eating disorders and addiction. Known for her ability to make learning fun and accessible, Alexa has a knack for making even the most complex concepts feel easy to understand.

 

Speaker Disclosures:
Financial: Alexa Mulee has employment relationships with Wise Mind Counseling, LLC. and Inter-Care. She receives compensation as a presenter. Alexa Mulee receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Alexa Mulee is a member of the American Counseling Association.
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