A client once apologised seventeen times in a single session for crying. Between sobs, she kept saying: "I'm sorry, I'm so sorry, I don't know why I'm being like this, I'm wasting your time, I'm sorry."
I gently interrupted: "This is exactly what this space is for. You're not wasting my time—this is the work."
She looked genuinely shocked. "Really? You don't mind?"
Really. We don't mind.
If you're wondering whether it's okay to cry in therapy, whether you should cry, or what it means if you do (or don't), this article is for you.
The Short Answer: Yes, It's Completely Normal
Crying in therapy is not only normal—it's common, healthy, and often a sign that therapy is working.
Therapists expect tears. We have tissues within arm's reach. We don't find it awkward, dramatic, or burdensome. Emotional expression is literally what we're trained to support.
Why People Cry in Therapy
Tears happen for many reasons, and they're all valid.
1. You Finally Feel Safe Enough
Many people spend their daily lives holding it together—at work, with family, in public. You can't fall apart because you have responsibilities, deadlines, people depending on you.
Therapy creates a rare space where you don't have to be okay. The safety of that container—a non-judgmental person whose job is simply to listen and understand—often unlocks emotions you've been suppressing.
One client described it as: "I didn't realise how much I'd been holding in until I finally had permission to let it out."
2. You're Touching on Something Painful
When you talk about grief, trauma, rejection, failure, or loss, tears are a natural response. Crying doesn't mean you're weak—it means you're human and the thing you're discussing genuinely hurts.
3. You Feel Understood
Sometimes tears come not from pain, but from relief. When a therapist truly gets it—when they reflect back something you've struggled to articulate and you feel seen—that recognition can be profoundly moving.
4. You're Processing Unfinished Grief
Therapy often unearths losses you never fully mourned:
- Childhood you didn't have
- Relationship that ended
- Version of yourself you've lost
- Dreams that didn't materialise
Crying is how we complete that grief.
5. Anger Turning to Tears
For many people (especially those socialised not to express anger), rage gets channeled into tears. You might feel frustrated that you're crying when you want to be angry, but tears are still a valid emotional release.
6. Overwhelm or Exhaustion
Sometimes you cry because you're just tired—tired of struggling, tired of pretending, tired of carrying everything alone. The tears aren't about one specific thing; they're about the accumulated weight.
What If I Don't Cry in Therapy?
Just as common as the question "Is it okay to cry?" is the worry: "What if I don't cry? Does that mean therapy isn't working?"
Absolutely not.
Not everyone cries in therapy, and that's equally fine. Some people:
- Process through talking rather than tears
- Experience emotions differently
- Have learned to disconnect from feelings (and therapy helps reconnect, which might eventually lead to tears—or might not)
- Simply aren't criers
Therapy isn't a crying competition. The goal isn't to produce tears—it's to process emotions, gain insight, and move toward wellbeing. Crying is one way that happens; it's not the only way.
How Therapists Actually React to Crying
Let me demystify what happens from the therapist's side when you cry:
What We Don't Do
❌ Judge you ❌ Feel awkward or uncomfortable ❌ Want you to stop ❌ Think you're being dramatic ❌ See it as a problem to fix
What We Do
✅ Sit with you: We stay present, calm, and grounded ✅ Offer tissues: Practical, not symbolic of wanting you to stop ✅ Give you space: We don't rush to fill the silence or make it better ✅ Validate: "It makes complete sense that this is bringing up big feelings" ✅ Follow your lead: If you need to pause, we pause. If you want to continue, we continue ✅ Notice what's happening: Your crying might be giving us important information about what matters most
What We're Thinking
Honestly? Usually something like:
- "Good, they're letting themselves feel this"
- "This is important—they're touching something real"
- "I'm glad they feel safe enough to cry here"
We're not judging your mascara running or counting how many tissues you use. We're witnessing your pain with compassion and respect.
Different Types of Therapeutic Tears
Not all therapy crying is the same. Different tears mean different things:
Grief Tears
Deep, full-body sobs connected to loss. These often come in waves and can feel exhausting but also cleansing.
What they mean: You're processing something significant, working through loss, completing unfinished mourning.
Relief Tears
Gentle tears that come when something finally makes sense or when you feel understood.
What they mean: Release, recognition, the relaxation of finally being seen.
Frustration Tears
Hot, angry tears that feel more like rage than sadness.
What they mean: You're accessing anger (which might have been suppressed) and it's channeling through tears.
Overwhelm Tears
A sudden flood that feels like too much all at once.
What they mean: Your system is releasing accumulated stress or emotion.
Quiet Leaking
Not full crying, just tears slowly rolling down your face while you talk.
What they mean: Emotions are present but you're still processing through words—tears are just happening alongside.
All of these are normal and valuable.
When Crying Becomes Overwhelming
Occasionally, crying in therapy can feel like it's tipping into overwhelm—like you're going to lose control or never stop.
What helps:
Grounding techniques: Your therapist might guide you to:
- Notice your feet on the floor
- Name five things you can see
- Focus on your breath
- Feel the chair supporting you
Slowing down: Your therapist might say: "Let's pause for a moment. Take your time."
Titration: Good therapists manage intensity. If you're at risk of becoming overwhelmed, they'll help you step back slightly—not suppressing the emotion, but making it manageable.
Reassurance: "You're safe. You're not going to break. The feelings will pass."
If you regularly become completely dysregulated (unable to speak, hyperventilating, dissociating), let your therapist know. They can adjust the pace and introduce more stabilisation techniques.
Cultural and Personal Differences Around Crying
It's worth acknowledging: attitudes toward crying vary enormously based on:
Gender socialisation:
- Many men have been taught that tears equal weakness
- Many women have been taught that tears are manipulative or excessive
Cultural background:
- Some cultures value emotional restraint
- Others encourage expressive grief
- Some see therapy tears as cathartic; others as shameful
Family patterns:
- If your family dismissed crying ("Stop being silly"), you might feel intense shame around tears
- If emotions were explosive and frightening, you might be scared of your own crying
These backgrounds shape how you experience crying in therapy. A good therapist will be sensitive to this and never pressure you to cry or judge you for not crying.
What to Do If You're Afraid of Crying
Some people avoid therapy specifically because they're afraid they'll cry.
If that's you:
1. Tell your therapist
"I'm worried I might cry and that feels really uncomfortable for me."
A good therapist will:
- Reassure you that it's okay either way
- Explore what the fear is about
- Work at a pace that feels safe
- Help you build tolerance for emotion gradually
2. Remember you're in control
You can:
- Change the subject if something feels too intense
- Ask to pause
- Say "I need a minute"
Therapy isn't about forcing emotions. It's about creating safety so emotions can emerge naturally when you're ready.
3. Understand the fear
Often, fear of crying is really fear of:
- Losing control
- Being judged
- Never stopping once you start
- Vulnerability
- Overwhelming pain
Exploring this fear with your therapist can itself be therapeutic.
The Healing in Tears
Crying in therapy isn't just emotional release—it's often where real transformation happens.
When you cry in the presence of someone who doesn't try to fix it, dismiss it, or make it about them, you experience something rare: your pain is witnessed and held without judgment.
This teaches you that:
- Your emotions are valid
- You can survive difficult feelings
- You don't have to be okay all the time
- Vulnerability doesn't destroy you
- You deserve compassion
For many people, this is profoundly healing—especially if you've spent your life believing that emotions are dangerous, shameful, or burdensome.
After You Cry: What Happens Next
Immediately after: Your therapist will usually:
- Check in: "How are you feeling?"
- Help you ground if needed
- Gently explore what came up
- Normalise the experience
Later that day: You might feel:
- Exhausted (emotional release is draining)
- Lighter or relieved
- Vulnerable or exposed
- Uncertain
All of this is normal. Be gentle with yourself.
In future sessions: Crying once doesn't mean you have to cry every time. Sessions will vary. Some will be emotional; others more analytical or practical. Both are valuable.
Final Thoughts
If you've been holding back from therapy because you're afraid of crying, please know: your tears are welcome. They're not a problem, a sign of weakness, or a waste of anyone's time.
And if you've been in therapy worrying that you should be crying but aren't, please know: you're doing therapy just fine.
Therapy is a space where you can be exactly as you are—tearful, stoic, angry, numb, confused, or all of the above in the same session. There's no right way to feel.
If you're looking for a therapist in London who will meet you exactly where you are—with or without tears—I offer person-centred, humanistic therapy both in-person in Fulham and online. The goal isn't to make you cry or to keep you composed; it's simply to create a space where whatever you need to feel can be felt safely.
Therapy is one of the few places where you don't have to perform, manage, or hold it together. You can just be. And if being includes crying, that's exactly what this space is for.
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