What It Means and How It Affects Therapy


Key Takeaways

  • Transference is when a person projects feelings about someone else onto their therapist.
  • Positive transference can strengthen the relationship with your therapist and improve therapy outcomes.
  • Negative transference can enhance therapy if the therapist helps you understand and manage your emotions.

Transference in psychoanalytic theory is when you project feelings about someone else onto your therapist. A classic example of transference is when a client falls in love with their therapist. However, one might also transfer feelings of rage, anger, distrust, or dependence.

While transference is typically a term for the mental health field, it can manifest in daily life when the brain tries to comprehend a current experience by examining the present through the past. Here we explore the definition of transference in greater detail and the different types.

What Is Transference in Psychotherapy?

Transference, in general, is “the process of moving something or someone from one place, position, etc. to another.” However, the psychology-based definition of transference is a bit different and applies directly to those engaged in mental health therapy.

In this context, transference is defined as a projection of one’s unconscious feelings onto their therapist. The American Psychological Association explains that these feelings are ones that were originally directed toward important figures in the person’s childhood, such as their parents.

The concept of transference in therapy came about later in the 20th century, when therapeutic approaches became less strict, giving practitioners more flexibility in how they treated their patients.

Types of Transference

Transference is a complex phenomenon and can sometimes be an obstacle to therapy. Based on their feelings, the client may feel tempted to cut off the relationship with their therapist altogether, for instance. Or they might become sullen and withdrawn during therapy sessions, impeding their progress.

Working through transferred feelings is an important part of psychodynamic therapy. The nature of the transference can provide important clues to the client’s issues, while working through the situation can help resolve deep-rooted conflicts in their psyche.

There are three types of transference in therapy:

  • Positive transference
  • Negative transference
  • Sexualized transference

Positive Transference

Transference can sometimes be a good thing. An example of positive transference is when you apply enjoyable aspects of your past relationships to the relationship with your therapist. This can have a positive outcome because you see your therapist as caring, wise, and concerned about you.

The benefits of positive transference can be seen in a case study involving a child with autism. Once positive transference started to occur, the young boy’s bond with the therapist started to strengthen and he began following the therapist’s directions, reduced his aggressive behaviors, and his learning abilities developed.

Negative Transference

Negative transference involves the transfer of negative emotions to the therapist. Anger and hostility are two emotions that might have been felt in childhood, either toward a parent or other important individual, then reappearing in the therapeutic relationship.

Negative transference sounds bad but actually can enhance the therapeutic experience. Once realized, the therapist is able to use this transference as a topic of discussion, further examining the client’s emotional response.

Negative transference can be especially useful if the therapist helps you overcome an emotional response that is out of proportion to what transpired during the therapy session. 

Sexualized Transference

Do you feel attracted to your therapist? If so, you might be experiencing sexualized transference, also sometimes referred to as erotic transference. Feelings that fall under sexualized transference include those that are:

  • Intimate and sexual
  • Reverential or feelings of worship
  • Romantic and sensual

Some research suggests that sexualized transference may be more common for members of the LGBTQ+ community, especially if the person has few friends or others they can trust or confide in.

Counter-Transference

Mental health therapists must also be aware of the possibility that their own feelings and internal conflicts could be transferred to the client as well. This process is known as counter-transference and can muddy the therapeutic relationship.

An estimated 78% of therapists have felt sexual feelings toward a client at one time or another, with male therapists experiencing these intimate feelings more often than female therapists.

Despite the negative connotation of counter-transference, some psychotherapists use it in therapeutic ways. The therapist may choose to disclose their feelings if a client mentions that they seem angry, for instance, first crediting the client with recognizing this emotion and then working together to understand how much of the response may have been projected by the client.

Examples of Transference in Therapy

What does transference look like in a therapeutic setting? Here are a few examples to consider.

Example of Positive Transference

Tony’s mother was always loving and supportive. Tony has a female therapist and projects these same feelings on her, considering her as a loving, supportive individual as well.

Example of Negative Transference

Michelle became very angry with her therapist when he discussed the possibility of homework activities. Through the exploration of her anger with the therapist, Michelle discovered that she was experiencing transference of unresolved anger toward an authoritarian elementary school teacher.

Example of Sexualized Transference

As therapy progresses, Chris develops sexual feelings toward the therapist. Chris has even had erotic fantasies involving the therapist, sometimes also saying flirtatious things during the therapy session.

Discussing Transference With Your Therapist

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If your therapist recognizes that you are experiencing transference, they may not want to discuss it right away. It will, however, be necessary to address the transference at some point because if the topic is avoided, it could lead to an impasse in therapy and negatively impact your relationship with your therapist.

Additional consequences of avoiding transference are that you, the client, may:

  • Become embarrassed, uncomfortable, and withdraw from therapy emotionally
  • Experience higher levels of stress during therapy sessions due to how you feel
  • Regress, which can negate some of the positive progress you already achieved

Talking about the transference when both you and the therapist are ready can help resolve these issues, enhancing the therapeutic process.

Transference-Focused Therapy

Transference-focused therapy is a type of therapy used to treat borderline personality disorder (BPD). BPD is a personality disorder characterized by unstable emotions, moods, behaviors, and relationships.

Transference-focused therapy utilizes the therapeutic relationship to help people relate better to others. Transference allows the therapist to see how someone with BPD relates to others and then use this information to help the person build healthier relationships.

Once a therapist and client establish a trusting therapeutic relationship, they work to explore behavior patterns, thoughts, and emotions to better understand how the individual responds and copes. As people become more aware of these destructive patterns, they can work to build more effective skills and interactions.

Therapists also utilize transference in other types of psychotherapy. For example, transference is a key component of psychodynamic therapy, but it can also incorporated in other approaches, including relational therapy, integrative therapy, and eclectic therapy

Frequently Asked Questions


  • How is counter-transference different from transference?

    Transference is when a client projects feelings on the therapist, while counter-transference is when a therapist projects feelings on the client.


  • What are some of the issues that counter-transference can cause for therapists and their patients?

    Counter-transference can make it harder for a therapist to be objective during the therapeutic process. It may even skew the therapy in the wrong direction as actions taken during the sessions could be based more on the therapist’s feelings than on the feelings of the patient. Additionally, patients may not be able to resolve their issues if they are confused by the emotional response of the therapist.


  • Is transference in therapy a defense mechanism?

    Some researchers suggest that transference in therapy may be a defense mechanism, such as when the patient is insincere or not ready to face negative emotions. Others contend that whether transference is considered a defense mechanism varies depending on the therapist’s interpretation.


  • Are there risk factors that could make someone more likely to have transference?

    If a client is feeling especially vulnerable, such as when dealing with a life-threatening disease that threatens their self-esteem and self-control, it may increase their risk of transference. Additionally, transference may be more common when therapy is conducted in person as opposed to therapy that occurs online.


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The Difference Between Extreme Joy and an Euphoric Mood

Key Takeaways

  • Strong and natural euphoric moods can come from activities like exercise, socializing, and helping others.
  • Euphoric moods can also be linked to mental health issues or caused by substance use.
  • To naturally feel happier without risks, try exercise, meditation, laughter, and spending time with friends.

A euphoric mood is characterized by feelings of strong happiness, excitement, and well-being. It is an amplified sense of pleasure that can have a number of different causes.

Some causes of euphoric moods are natural and healthy. The thrill and sense of excitement you get on a roller coaster at an amusement park, or the sense of joy and fulfillment you experience after you reach an important goal are both examples of natural euphoric moods.

Natural euphoric moods can sometimes be produced by things such as aerobic exercise, sex, and love. Long-distance runners, for example, describe experiencing what is known as a “runner’s high,” which is characterized by pleasant feelings of euphoria.

But euphoric moods are not always a positive thing. Sometimes feelings of euphoria can be a symptom of a mental health condition. In other instances, people take psychoactive drugs to experience the rush of a euphoric mood.

Signs of a Euphoric Mood

When you are experiencing a euphoric mood, it can feel extremely joyful and pleasurable. When you are in a euphoric state, you may feel safe, supported, and carefree. You may experience a strong sense of well-being and a feeling that you are deeply connected to others and the rest of the world.

These feelings are a normal part of life, and help to motivate people towards healthy behaviors and human flourishing. However, sometimes these feelings are hijacked by substances or experienced along with other symptoms of mental illness.

While euphoria itself is not a psychological condition, a euphoric mood may be a concern when associated with a health condition, medication, or illicit substance.

Sometimes euphoric moods associated with psychiatric conditions or drug use can also be accompanied by other symptoms including:

Types of Euphoric Moods

Some specific types of euphoric moods include:

  • Disorder-induced euphoric moods: There are a number of mental health conditions that can cause euphoric moods including bipolar disorder, schizophrenia, and some brain disorders.
  • Substance-induced euphoric moods: Drugs that have euphoric effects activate the brain’s reward system, which reinforces their use and makes them addictive. Some substances that produce feelings of euphoria include LSD, psilocybin, cocaine, methamphetamines, ecstasy (MDMA), ketamine, some benzodiazepines, heroin, codeine, fentanyl, and marijuana.
  • Medication-induced euphoric moods: Prescription medications may also produce euphoric effects. This can include prescription opioid pain relievers, nitrous oxide, alprazolam, and clonazepam. Research suggests that prednisone, a corticosteroid, may cause euphoric moods in some individuals.
  • Activity-induced euphoric moods: Euphoria can also result from natural rewards and from social activities. The effect of endorphins is maximized by activities that are synchronized with other humans such as performing music for people, exercising with others, laughing with a friend, or having sex or being in love with someone.

Impact of Euphoric Moods

Euphoria is one of the most pleasant mental states, but it is this extreme pleasure that can make it problematic when it is the result of an addictive drug. Once people take a substance and experience feelings of euphoria, they want to experience this feeling again. 

Psychoactive substances produce a “surge” of endorphins and other neurotransmitters in the brain’s reward circuit. Endorphins are released naturally when we experience enjoyable things, such as engaging in a creative activity.

However, drugs produce a higher level of endorphins than we normally produce on our own. These high levels of endorphins create pleasurable sensations that make us feel euphoric.

As time goes on, people need to take more and more of a drug to feel its effects at all. Not taking the drug can lead to withdrawal symptoms and feelings of dysphoria.

Over time, it often takes more of a substance to keep experiencing the same pleasurable feelings, a phenomenon known as tolerance. In order to keep feeling those same euphoric moods, people then need to take more of the substance.

Treatment for Euphoric Mood

Euphoria is a pleasant emotional state and is not a mental health condition on its own, but it can sometimes be a symptom or sign of a mental health condition. 

If you are experiencing a mental health problem that is accompanied by euphoria as well as other symptoms, you should talk to your healthcare provider.

The treatment for your underlying condition that is causing the euphoric mood depends on the nature of the condition. Your doctor or therapist may recommend psychotherapy, but some conditions may also require the use of medications to help control symptoms.

In many cases, your specific treatment plan may involve a combination of therapy, medication, lifestyle changes, and social support.

How to Experience Euphoric Moods Naturally

Using substances to achieve euphoric moods is risky and can lead to addiction and overdose in some cases. Fortunately, there are things that you can do to experience euphoric moods without the use of mind-altering substances.

A natural high, on the other hand, can help boost your overall sense of well-being. These experiences are akin to what the humanistic psychologist Abraham Maslow referred to as “peak experiences.”

Peak experiences are moments of tremendous, awe-inspiring joy often accompanied by feelings of wonder, ecstasy, and a sense of profound significance.

Some things you can try to increase your chances of experiencing a “natural high” include the following listed below.

Exercise

Physical exercise triggers the release of feel-good hormones and neurotransmitters including endorphins, adrenaline, dopamine, and serotonin.

Endorphins are neurotransmitters that reduce feelings of pain and increase feelings of pleasure and well-being. Research has found that engaging in moderate-intensity exercise can increase your endorphin levels.

For example, runners sometimes experience a “runner’s high” caused by the combined effects of adrenaline and other neurotransmitters. Exercise is also linked to many positive mental health benefits, including decreasing depression, boosting cognition, and improving overall mood.

Humor

A good laugh isn’t just fun or entertaining—it can actually be good for your mental health. Research has shown that laughter triggers the release of endorphins, which can help put you in a happier, more euphoric state.

Meditation

People who meditate regularly experience greater relaxation and less stress. Research also suggests that the practice can boost endorphin levels in the body.

Evidence also suggests that even a brief daily meditation can have a positive effect on mood. If you want to start a daily meditation practice, set aside 10 to 15 minutes a day.

Socialize

Spending time with other people can also contribute to increased mood. Research has found that having social support is critical to emotional well-being. It boosts overall health and reduces the risk of loneliness. Spending time with friends can also just help you feel good.

Volunteering

Doing good things for others can help you feel more connected to other people. It’s a great way to experience a sense of community and experience improved moods naturally.

Participating in volunteering activities improves mental health, physical health, and social well-being. It also decreases symptoms of depression and improves overall life satisfaction.

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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  3. American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders. 5th ed, text revision. Washington, D.C.; 2022.

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  5. National Institute on Drug Abuse. Misuse of prescription drugs research report.

  6. van Amsterdam J, Nabben T, van den Brink W. Recreational nitrous oxide use: Prevalence and risksRegul Toxicol Pharmacol. 2015;73(3):790-796. doi:10.1016/j.yrtph.2015.10.017

  7. Griffin CE 3rd, Kaye AM, Bueno FR, Kaye AD. Benzodiazepine pharmacology and central nervous system-mediated effectsOchsner J. 13(2):214-223.

  8. Huynh G, Reinert JP. Pharmacological management of steroid-induced psychosis: A review of patient casesJ Pharm Technol. 2021;37(2):120-126. doi:10.1177/8755122520978534

  9. Weinstein D, Launay J, Pearce E, Dunbar RI, Stewart L. Group music performance causes elevated pain thresholds and social bonding in small and large groups of singersEvol Hum Behav. 2016;37(2):152-158. doi:10.1016/j.evolhumbehav.2015.10.002

  10. Bramwell RC, Streetman AE, Besenyi GM. The effect of outdoor and indoor group exercise classes on psychological stress in college students: A pilot study with randomizationInt J Exerc Sci. 2023;16(5):1012-1024.

  11. Leonti M, Casu L. Ethnopharmacology of love. Front Pharmacol. 2018;9. doi:10.3389/fphar.2018.00567

  12. National Institute on Drug Abuse. Drugs, brains, and behavior: The science of addiction.

  13. National Institute on Drug Abuse. Drugs and the brain. Drugs, Brain, and Behavior: The Science of Addiction.

  14. Heijnen S, Hommel B, Kibele A, Colzato LS. Neuromodulation of Aerobic Exercise-A Review. Front Psychol. 2016;6:1890. doi:10.3389/fpsyg.2015.01890

  15. Hearing CM, Chang WC, Szuhany KL, Deckersbach T, Nierenberg AA, Sylvia LG. Physical exercise for treatment of mood disorders: a critical review. Curr Behav Neurosci Rep. 2016;3(4):350-359. doi:10.1007/s40473-016-0089-y

  16. Louie D, Brook K, Frates E. The laughter prescription: A tool for lifestyle medicineAm J Lifestyle Med. 2016;10(4):262-267. doi:10.1177/1559827614550279

  17. Tolahunase M, Sagar R, Dada R. Impact of yoga and meditation on cellular aging in apparently healthy individuals: a prospective, open-label single-arm exploratory study. Oxid Med Cell Longev. 2017;2017:7928981. doi:10.1155/2017/7928981

  18. Basso JC, McHale A, Ende V, Oberlin DJ, Suzuki WA. Brief, daily meditation enhances attention, memory, mood, and emotional regulation in non-experienced meditatorsBehav Brain Res. 2019;356:208-220. doi:10.1016/j.bbr.2018.08.023

  19. Johnson KV, Dunbar RI. Pain tolerance predicts human social network size. Sci Rep. 2016;6:25267. doi:10.1038/srep25267

  20. Yeung JWK, Zhang Z, Kim TY. Volunteering and health benefits in general adults: cumulative effects and forms [published correction appears in BMC Public Health. 2017 Sep 22;17 (1):736]. BMC Public Health. 2017;18(1):8. doi:10.1186/s12889-017-4561-8

Kendra Cherry

By Kendra Cherry, MSEd

Kendra Cherry, MS, is a psychosocial rehabilitation specialist, psychology educator, and author of the “Everything Psychology Book.”


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How to Stop Worrying About the Future


Key Takeaways

  • Accept your worries without judgment to reduce their impact.
  • Schedule a specific time each day to focus on your worries so they don’t intrude on your other activities.

It’s normal to worry from time to time. Given life’s many unknowns and challenges, worry is a natural response to many situations. However, chronic and all-consuming worry can be troublesome and interfere with our ability to function freely and calmly in our daily lives.

Thinking about the future is normal, but lying awake at night fretting about upcoming events isn’t healthy. If you are trying to stop worrying about the future:

  • Acknowledge your feelings
  • Set realistic, manageable goals
  • Avoiding fortune-telling
  • Be realistic about the risks
  • Limiting worry time
  • Practice relaxation techniques
  • Live in the moment
  • Talk to a friend
  • Seek professional help

Let’s explore more helpful tips to reduce your worrisome and negative thoughts.

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Acknowledge Your Feelings

While you might be tempted to tell yourself, “Don’t worry,” this usually isn’t a helpful strategy. Trying not to think about someone often makes it loom even larger in your mind.

Instead of denying your thoughts, acknowledge them. Accept that these worries are real without judging or trying to change them. This doesn’t mean that you’re giving up or resigning yourself to a life of worry. Instead, it means that you are aware of what you are feeling.

Sometimes, simply labeling your feelings can help those emotions and worries seem less intense.

Understand Why You Worry About the Future

Stress is a natural response to uncertainty. When we’re in a new situation or facing confusing circumstances, it’s normal to feel worried about what the future may hold. These feelings help us anticipate what may come and may even motivate us. In small amounts, stress can be beneficial.

When that stress becomes chronic, however, we may start to see negative effects on our mental and physical well-being. Worrying too much can also cause us to avoid the things we find stressful, which can worsen anxiety.

People who worry chronically may also perceive things differently from others. They may anticipate that negative things will happen more often and may show a heightened response to real and perceived threats.

Recap

Some amount of stress and worry are normal, but chronic anxiety about the future can have a detrimental effect on your health and well-being.

Avoid Fortune Telling

When you find yourself worrying about a future event because you are picturing a negative outcome, you are, in effect, saying, “I can predict the future.” But, the fact is, you can’t, and you are worried about what may happen, not what will happen. Worry itself serves no purpose unless it spurs a plan of action.

So how can you stop fortune telling? Behavioral experiments are one way to test out your negative predictions. Instead of trying to predict the future, take action. Intentionally put yourself in the situation you are worried about to see if your predictions come true.

As you gain more experience and see that your predictions are not accurate predictors of reality, your feelings of worry and anxiety will gradually begin to diminish.

Analyze the Risks

If your mind has been taken over by chronic worry, your risk assessment skills may be distorted. You may even find yourself consumed with worry about future possibilities when there isn’t any real evidence that the negative event will actually come to pass.

For example, perhaps you constantly worry about your job performance and fear being fired, but you have received no indication from your boss, or anyone else, that you’re not performing up to par. Looking at your situation realistically may help you reduce your worry.

Schedule Time to Worry

Some people find it helpful to schedule 15 to 30 minutes each day just to worry. If worrisome thoughts creep in at any other time, put them aside by telling yourself you have a scheduled time to worry. Your goal is to worry only during your scheduled 30 minutes each day.

By setting aside a specific block of time just to worry, you can prevent these worries from creeping into your thoughts during the day. This may help you feel less stressed and can give you the incentive you need to tackle those problems during your designated worry time.

Live in the Moment

One way to stop worrying about the future is to focus more on the present. Mindfulness is a practice that can help people pay more attention to the here and now. It involves focusing on the present moment and building a greater self-awareness of how you feel in the moment.

You can practice mindfulness by paying more attention to what is happening at the moment. Notice how you feel and focus on sensory experiences. Be present and take these feelings. If you start to experience worrying thoughts, notice and acknowledge them before returning your attention to the moment. 

As you practice this, you’ll get better at controlling your attention and focusing on what’s in front of you instead of stressing out about things that haven’t happened yet.

Identify and Replace Worrisome Thoughts

Write down your worrisome and distressful thoughts. Alongside each worrisome thought, list some positive substitution statements.

For example, if you worry that your plane may crash during upcoming air travel, you may counter this thought with: “Statistically, air travel is safe. Professional and competent airline staff are in control, and I can just relax and enjoy my trip.”

You can also try using thought-stopping to quiet your worrisome mind.

Learn and Practice Relaxation Techniques

By learning and practicing relaxation techniques, you will be able to reduce intrusive worry. Some techniques that may be helpful include:

Talk to a Friend

Social support can also be important when you are dealing with stress and worry. A friend can listen to your worries and may even be able to help problem-solve the issues you are dealing with. In other cases, you might just need a distraction from whatever it is that’s stressing you out.

Before you start your conversation, it can be helpful to let your friend know what you need. Tell them if you just need someone to listen, to help, or to take your mind off of your troubles.

One thing to be wary of, however, is the tendency to co-ruminate with friends. Such discussions, where you talk about an issue endlessly without getting any closer to a solution, can magnify your worries. If you find yourself engaging in this type of contagious worry, look for ways to redirect the conversation toward something more productive and helpful.

Getting Help

If chronic worrying is getting in the way of your everyday life, it may be time to seek professional help. A therapist may be able to help you get to the bottom of your worrying and learn skills and techniques to cope.

Ask your doctor for a referral or do an online search for a therapist in your area who specializes in cognitive-behavioral therapy (CBT). CBT is a technique that can help you identify and change negative thoughts that contribute to stress, worry, and anxiety. Online therapy can also be effective.

Worry is a normal part of life, but chronic or excessive worry can negatively impact your health and well-being. Learning stress-reduction and relaxation techniques can help you get the symptoms of chronic worrying under control.

Cognitive skills like avoiding fortune-telling, replacing negative thoughts, and scheduling a time to worry can also offer benefits. If you are experiencing chronic anxiety about the future, therapy can support you through the process of learning new coping skills.

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