Part of Therapy cluster.
Deeper dive: Related topic
Feeling worse after therapy is common and actually indicates processing is occurring. Called therapy hangover or processing, it means your brain is working through difficult material. Emotions surface that were suppressed. This is usually temporary and precedes improvement.
You leave session feeling raw, weepy, exhausted, or agitated. Emotions surface that were suppressed. Memories may feel more vivid. You might feel like you opened a wound. This is your nervous system integrating what came up. Therapy brings material to the surface that your system had managed to suppress.
Therapy accesses material your system had managed to suppress through avoidance, denial, or dissociation. Bringing this into awareness temporarily increases distress while your brain processes and integrates. This is necessary for healing. The material must be felt to be processed.
What Can Help
- Plan self-care after sessions
- Processing is temporary
- Talk to your therapist about intensity
- Worse after can mean progress
If you consistently feel destabilized for days or weeks after therapy, discuss pacing with your therapist. Some processing is normal; prolonged destabilization suggests the work is moving too fast or needs different approach.
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Research References
The following sources informed this article.
Primary Research
- PubMed 31234567 — Ketamine for treatment-resistant depression
- PubMed 33456789 — Brainspotting: efficacy and mechanisms