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4 Things Your Therapist Wishes You Knew About Your 'Secret' Thoughts and Feelings

  • Writer: Sarah Cosway | BABCP
    Sarah Cosway | BABCP
  • May 27
  • 5 min read

The "Behind the Door" Series Part 1


There are things your therapist wishes you knew...normal, human thoughts that almost every client has but rarely says out loud.


Have you ever been sitting in the waiting room before a therapy session, running through what you're going to say, and already editing it in your head?


Toning it down. Making it more palatable. Deciding there are some things you're just not going to bring up, today...or maybe ever...


If that's familiar, then this series is for you!


"Behind the Door" is a collection of insights from therapists...not the textbook version of therapy...but the real, human stuff that actually goes on in (and out of) the room.


Those thoughts that people are convinced are too much, the feelings they've never said out loud.


The things they're certain will make their therapist think differently of them.


This first instalment of the series brings together four guest therapists sharing what they genuinely wish their clients knew about those secret thoughts and feelings.


I hope you find it reassuring.



I Feel Judged by My Therapist: Is It Them or My Inner Critic?


A photograph of Sophie Rapsey, BABCP Accredited Psychotherapist

Website: SMR Wellbeing Instagram: @SMRwellbeing



Most therapists work hard to stay non-judgmental.


Therapy isn’t about deciding whether you’re “good” or “bad”. It’s about understanding patterns, pain, and what’s keeping you stuck.


From a CBT perspective, we focus on how your thoughts, feelings, and behaviours interact and where they have come from, not on blaming you.


So why might you still feel judged?


Sometimes, it might be that your mind is mind-reading, a common thinking style that is shaped by our experiences in the past.:


“They must think I’m weak”


Or your inner critic is speaking louder than your therapist.


Sometimes shame gets activated when you speak about painful experiences, and when shame is present, even neutral expressions can feel like disapproval.


Therapy can also trigger old emotional memories, especially if you’ve been criticised or misunderstood in the past.


If this happens, don’t keep it to yourself.


Try saying:


“I’m noticing I feel judged right now."


We will explore with you why this is and invite you to bring a compassionate response to yourself.


We as therapists are trained to slow down, explore it with you, and help you feel safe again.


We have seen pain in the therapy room and hold great respect for those who enter therapy to address parts of their lives or selves that are difficult to experience.


Feeling judged isn’t failure; it’s a natural response for many. It’s often where the real healing starts.



Sophie often shares her insights with us as a guest writer. You can find her deeper dive into this topic in her collection:





It is Okay to Cry


A photograph of Emily Fisher-Smith, a BABCP Accredited CBT Psychotherapist, specialising in OCD and Anxiety


Why do we feel the urge to apologise when we are crying in front of another person?


That urge to say sorry can come from years of hearing "don't cry", "you're alright", or being handed a tissue so quickly it's basically a reflex.


These responses are well meant, but they can accidentally teach us that strong emotion is inconvenient or "too much"


Therapy is a safe space where you will never hear "don't cry" and where expressing emotions of all shapes and sizes will be encouraged.


Crying isn't a disruption or a sign that you are failing or not coping.


It is often a sign that something important has surfaced; something your mind has been carrying for a long time.


In therapy, you won't be rushed back into feeling fine, but instead, your emotions will be given space and will be validated. 


Tears tell us we've reached something meaningful, but also tell me you feel safe enough to let go, which is not something to apologise for but instead is something to feel proud of. 





Why You Are Never Just Reacting To One Thing


A photograph of Jenny Palmer, a Cognitive Behavioural Psychotherapist and EMDR therapost, specialising in trauma, low self-esteem and couples


In my practice, I frequently see clients apologise for being "dramatic" over relational friction: perhaps a partner’s distracted tone, a friend’s slow text reply, or a small disagreement about plans.


If you have ever felt this way, please know: your reaction is valid.


We are rarely reacting to just a single standalone event.


Instead, we react to how a moment impacts us emotionally and the deeper weight it carries.


This intensity is often the result of emotional stacking.


Our brains recognise patterns; when a current interaction feels similar to an "unprocessed" past hurt (like being ignored as a child or let down by someone you trusted) your brain bridges the gap between all those events at once.


To heal, we must shift from judgement to curiosity.


Instead of asking "What is wrong with me?", ask what the feeling reminds you of, and have there been any other earlier experiences that have made you feel this way?


Recognise that the intensity of your reactions is a map of the history of your experiences.


You aren't being dramatic — you are being human — we all do it!




Your therapist isn't embarrassed by your sex life.


A photograph of Lou Goodwin, CBT and psychosexual therapist specialising in sexual difficulties and trauma


You've already edited yourself before you walked in. Toned down the details.


Found a more palatable way to say it.


Decided, somewhere between booking the appointment and sitting down, that there are things you simply won't be bringing up.


Not yet. Maybe not ever.


I see it in session. The pause before the real sentence.


The "I don't know if this is relevant, but—".


The laugh that tries to make something smaller before I can react to it.


Here's what I need you to know:


as a psychosexual therapist, my role is to help you talk honestly about your sex life


No topic is too much. The kink. The affair. The thing from childhood. The years of pretending. The desire you've never told anyone.


I haven't flinched yet.


What really stays with me is not the details you share, but how much people suffer in silence before opening up.


Speaking honestly is where progress begins; shame shrinks when you talk about it.


You don't need to protect me.


Take the step: say what's truly on your mind.


When you speak, healing begins.


You are not alone in this.



Lou has shared her insights with us as a guest writer in the past. You can find her other contributions in her collection:



If you've read this and felt even a small flicker of recognition, that's not a coincidence.


Therapists see these things every single day...and they meet them with curiosity, not judgement.


Whether you're already working with a therapist, thinking about taking that first step, or just here for a read, I hope something in this post has made you feel a little less alone with whatever you're carrying.


More parts of the "Behind the Door" series are on their way, with contributions from therapists who want the same thing you do: for the idea of getting support to feel a little less daunting, and a little more human.



Logo for Cosway CBT - Sarah Cosway, Cognitive Behavioural Therapist and Acceptance and Commitment Therapist, specialising in Anxiety and Worry, in Canterbury, Kent

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Photograph and signature of Sarah Cosway, Cognitive Behavioural Therapist and Acceptance and Commitment Therapist, specialising in Anxiety and Worry, in Canterbury, Kent

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