The Devastating Effects of Therapist Abuse

I want to share a few posts on a different kind of abuse. Therapy abuse is something I was not aware existed before I experienced it. While years have past, it is something very difficult for me to talk about, so I will use the words of others.

Those who have experienced abuse, are filled with grief, or isolated are at a greater risk for this violation. Because I wish I knew then what I know now, I wanted to make others aware of its dangers. I want to share what it is and the lasting effects. And most importantly, the warning signs.

Because this is an important and difficult topic, I will share several posts over this upcoming week.

The following article is from When Therapy Harms with permission from the author.

The Devastating Effects of Therapist Abuse

The Aftermath

The harm caused according to one study:

14% were suicidal after therapist abuse,
another 1% died from suicide, and an additional 11% were hospitalized as a direct result of therapist abuse and misconduct.

That’s 26% of people dead, suicidal, or hospitalized because of therapist abuse.

And in another study:

92% had PTSD after a therapist’s sexual misconduct.

The effects of therapist abuse are huge and wide-reaching. Many women, myself included, say they don’t know if they will ever get over it. This illegal and unethical behavior destroys the very lives of people already hurting — people who had every reason to trust that their therapist would not harm or abuse them.

Some of the links on the resources page go in-depth in describing the effects therapist abuse and misconduct have on people victimized. TELL, in particular, has information for a wide range of people, from those who have been hurt to family members to information for other therapists. It’s an excellent website with a lot of material.

Because the power-dynamic is so unequal; because people who go to therapy are already vulnerable; and because therapy, by law and ethics statutes, is that the client is 100% safe from violation; when abuse and misconduct happen, it is devastating. The entire foundation of the client’s trust shatters. Many will never again see a mental health professional. Some won’t receive medical or dental care.

When the one person legally and ethically mandated not to hurt you uses you for their own enjoyment and satisfaction, the consequences can have broad and far-reaching impact.

Common Emotional Damage

Clients of unethical therapists and mental health professionals experience a range of emotions. They can include:
• Sadness
• Depression
• Anger/Rage
• Grief
• Loneliness
• Shame
• Guilt
• Confusion
• Despair
• Bewilderment
• Ambivalence
• Anxiety

Ambivalence in Therapist Misconduct

Ambivalence is a complicated component that causes misunderstanding, confusion, and minimization by people who don’t understand the scope of therapist abuse.

The perception that sexual misconduct or other boundary violations is between two consenting adults is wrong. The client is a victim — always.

The client is often dependent on the therapist, and the therapist is in a very powerful position. The client is not an equal, and the client is never responsible for a therapist’s misconduct. When therapists cross the line, they are breaking the law in many locations, and violating their ethics code in all. The therapist has the legal and ethical obligation to maintain a safe, healthy, and professional therapeutic relationship.

Experts have loosely likened therapist abuse to incest. It’s easier to understand the ambivalence many people feel about reporting an unethical therapist via the incest metaphor. We understand when a child doesn’t want to tell on an abusive parent. The child knows the abuse is wrong, knows they’re getting hurt, but the parent is powerful, important, and knows them deeply and intimately. It’s very similar in therapy. After you’ve invested time, trust, and emotional dependence in a therapist, the same turmoil and ambivalent thinking applies.

It’s very confusing for victims. The misconduct doesn’t happen from the beginning; it evolves over time. An adored and trusted therapist gradually becomes a source of pain and harm. The therapist knows everything about you that you typically would not tell someone else. It’s crazy-making when a therapist, who is supposed to be helping you, begins using the information you’ve shared in trust against you. It’s even worse, when the therapist twists it into being “for your own good.”

Compounding the damage, people victimized often already have a trauma background, the details of which the therapist knows. For instance, Terry Ganaway knew that when a man expressed sexual interest in me in a private setting, I froze in fear. He knew that because I had told him, and he used that information for his own pleasure.

The very dynamic of the therapeutic setting creates a situation ideal for predators and causes people victimized  a great deal of pain, confusion, bewilderment, fear, and shame.

Additionally, people in therapy typically don’t have a strong support system. A client may feel their therapist is their only source of support, comfort, and advice. Like a child who doesn’t want to lose a parent, a client may not want to lose their sole source of support even though it’s hurting them. These are all natural reactions.

The Scope of Harm

In a study I read, 14% of respondents claimed they were suicidal after therapist abuse, 1% died from suicide, and 11% were hospitalized as a direct result of therapist abuse and misconduct.
Others, like me, also become so terrified of medical and mental health professionals that they refuse to see doctors and dentists at all. Small issues can become large health challenges because former victims cannot handle the anxiety and fear of being alone in a room with another medical or mental health professional after the trauma they’ve suffered.

Since people are often more damaged from the therapist’s abuse than they were before starting therapy, they are in dire need of mental health care they are too terrified to receive for fear of more abuse, backlash, fear of being disbelieved, or an understandable unwillingness to trust another therapist and be in another vulnerable, one-sided relationship.

PTSD is very common, as are nightmares, anxiety, panic attacks, and severe depression. Former clients may also resort to drugs or alcohol to numb the shame, guilt, self-reproach, and self-loathing so common after therapist abuse.

Because a crucial trust-relationship has been destroyed, abused clients can feel on shaky ground all the time. They stop trusting their instincts and no longer know who they can trust and who they can’t.

Another common fallout for people who have been victimized by a therapist is that they make increasingly poor decisions in their relationships with others, their finances, and work situations.

Lastly, the client is usually not the only person harmed. Marriages and relationships break up as a result of the therapist’s misconduct, children’s lives are forever altered, friendships crumble, and many women find they are far worse off financially after such a horrible trauma to their lives.


It can take years to recover from the damage caused by therapist abuse. Lives are shattered. Many women, ten years later, say they still haven’t gotten over it. This kind of psychological damage burns deep, and there is no quick fix. Coupled with the general public’s lack of understanding, victims are often left very isolated.

… I wish I had magic words for anyone going through this. I don’t. I strongly feel it is important to advocate for more accountability, more understanding and support for victims, and more rigorous punishment by state officials. Therapist abuse and misconduct is too devastating for ‘slaps on the wrist’.

At the same time, if we, the people victimized, continue to disappear into oblivion and try to nurse our wounds in private, nothing will change. It’s up to us to make our voices heard so something starts to get done about this issue. We deserve it. We have paid dearly.

To read the full article:


25 thoughts on “The Devastating Effects of Therapist Abuse

    1. It drove me into isolation for years. And in some ways still has. I have never really faced it. I am usually numb to it until I try to create a post like this or try to talk about it. Thankfully, others have been brave enough to speak on the topic.

      Liked by 1 person

  1. Thank you for spreading awareness about this. It’s such an awful breach of trust, I really don’t know how people who abuse others in this way live with themselves. It’s so difficult to find compassionate people to work with in the mental health care field. I feel very fortunate to have found a good fit, but even when the fit is good, the power relations you speak of are still present. Thanks again and sending good vibes. 🙂

    Liked by 2 people

  2. I just wanted to say thank you for sharing. I know how easy it is to get close to a therapist as that has happened between me and my therapist. We are both of the same sex so it’s not the same thing nor is there any abuse but I have a hard time not viewing her as a “friend” because we have lessened our boundaries.

    Liked by 1 person

    1. You are welcome. It certainly is a very confusing relationship. But they are supposed to be trained to avoid an unhealthy attachment rather than fostering one. There are many ways they can abuse their power. I will be sharing a post soon on the signs to look for. Thank you for taking the time to comment.


      1. It was the first time I’ve admitted it out loud so to speak. We have been working together for about 6 years but she has been there for me in ways that no other mental health professional has and I have seen quite a few to know. Sometimes I think that I wouldn’t be able to open up as much as I do if our relationship is as close as it is. We’ve never hung out or anything like that outside of the office. I do look forward to your next post and reading your other ones as I am new to this blogging thing.

        Liked by 1 person

        1. Thank you for sharing this with me. And welcome to blogging! It is nice to meet you! I look forward to reading your blog. The best thing I can say to you is to listen to your gut instincts and follow them. The attachment to a therapist can be hard to break. Their job is to help you be strong enough so that you no longer need them. And this can take time, and only with living your life to the point where you realize you don’t need them. This can’t happen if your attachment is too great and they are not giving you the tools to realize your own strength and power.

          Liked by 2 people

        2. You’re exactly right. WOW! I didn’t think I’d ever find the answer to this and you said it right there. Thanks so much!!

          Please read my blog. You may not enjoy it and I apologize. I’m not very organized but need to voice my thoughts somehow.

          Liked by 1 person

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