Therapeutic practice
What to Say When a Client Says 'My Last Therapist Did It Differently
Offers strategies for validating a client's past experience while establishing your own therapeutic approach.
A client who has been with you a few sessions pauses mid-stream, looks just past you, and says it. “My last therapist used to do it differently.” Maybe she would have handed them a worksheet. Maybe he asked harder questions. The line lands as a complaint, and most of us answer the complaint. The more useful read is that the client has just put a third person in the room, and what you do with that figure decides how much of the relationship you get to keep.
What the comparison is actually doing
The previous therapist is now an invisible third party in the dyad. The client is telling you about the past and running a test on the present at the same time, watching how you handle a part of them that is still attached to someone else.
Take a client whose former therapist was warm and directive, generous to the point of breeding dependency. The client raises it because that is the only template of help they have. “She would have given me a worksheet for this.” Underneath the sentence is a pull. They are trying to install you in the role of Rescuer, the figure who steps in and fixes. If you decline by explaining that you do not work that way, you have taken the opposite seat. You are now the Withholding Figure, and the client’s internal model of how relationships go stays exactly as stable as it was before they walked in. They have reproduced a familiar pattern with a new actor. Rescuing and withholding both keep the work pinned to the old therapist’s methods and out of the client’s present experience.
There is a second thing the comparison does. It manages closeness. Talking about a relationship that already ended is far easier than sitting inside the one that is live in the room. As long as the conversation stays on what she did, the client gets to be near you without being with you. The comparison is the buffer that lets them keep the distance.
The moves that feed the pattern
Under the pressure of the moment, most of us reach for one of four responses. Each one feels like good clinical instinct, and each one hands the loop more fuel.
The methodological defense. You explain your modality, gently. “That makes sense. In my work we tend to explore the feelings that come up rather than use structured exercises.” The sentence is accurate. It also moves the focus off the client’s experience and onto your theory, and a client braced for rejection can hear it as a verdict that they were wrong to want what they wanted.
The competitive validation. You lean into how good the old work sounds. “It sounds like she was incredibly helpful. Tell me more about what worked.” You mean it as generosity. What you have actually done is hand over the frame and sign up to be the audience for someone else’s therapy, agreeing by implication that you are the runner-up.
The quick redirect. You note the comment and steer back to the agenda. “Good to know. So, back to what you were saying about your boss.” The client just showed you a piece of their map of relationships, and you walked past it. The signal they receive is that this part of them is not welcome here.
The pure inquiry. You ask the question that keeps everything safely historical. “What was it about that approach that helped so much?” It looks like a clean therapeutic probe. In this context it is avoidance dressed as curiosity, holding the energy in the there-and-then so the live dynamic between the two of you never has to be touched.
The shift that opens the room
The change is not a better sentence. It is a change of aim. You are not trying to win the comparison, defend your approach, or even fully understand the previous therapy. You are using the client’s statement as a door into the relationship that is happening right now. The intervention sits at the meta level. You comment less on the content, the other therapist, and more on the process, the fact that this person is raising that person, in this room, today.
Treat “my last therapist did it differently” as relational data the client has handed you. It is a blueprint of how they attach, what they fear about the work, how they test a connection before they trust it. Your job is to take the information about the past and walk the focus back to the present dyad without erasing the figure they brought in. You turn to the client and ask, in effect, what it is like to have that memory sitting here with the two of you now.
Done this way, you step out of the triangle the client built for you. You start a different conversation, one about the experience of comparing itself. You validate the past without becoming a copy of it, and you establish your therapy as a place where every part of the client, their loyalties to other people included, can be looked at without anyone getting punished for it.
Language that fits the new position
These illustrate the move. The client puts the rest in their own words, and you watch which way they go.
“Thank you for telling me that. It helps me understand what has felt useful to you. What is it like to notice that difference between us right now?” This frames the comment as data worth having, grants that the client’s read is real, and pulls the focus straight onto their present experience of the comparison.
“It sounds like you are carrying something important from that work. I find myself wondering what it was like to bring it up with me today.” This honors the old attachment and uses a process question to open the feeling underneath the timing of it.
“That is valuable for me to know. I get the sense that part of you might be missing how she worked, and part of you is wondering whether I can be helpful in the same way.” This names the ambivalence out loud and shows the client you can hold both the loyalty and the hope, or the fear, at once.
“I hear that. It makes me wonder whether there is a worry about how we are working together that we have not put words to yet.” This translates the comparison into a possible concern about the live alliance and opens the door to talking about it directly.
What to listen for in the next session
Watch where the client goes after you turn the focus to the present. If they can stay with the question of what it is like to compare you, the loyalty test is loosening and the dyad is starting to hold weight. If they slide straight back to what she did, the buffer is still doing its job, and the closeness still reads as more than they can take.
Listen for the first line that owns the move. Something like “I think I do this with people” or “I am not sure I let anyone help the way she did” is the pattern becoming visible to the person living inside it. Nothing got solved, and solving was never the point. That is the work surfacing.
Notice your own pull, too. If you catch yourself still explaining your method three sessions later, or still asking warm questions about the old therapy, you have been recruited. The figure is in the room and you are talking to it instead of to the client.
When the comparison is not a test
Sometimes the client is telling you something accurate. The previous approach genuinely fit them better than yours does, and the comment is a real piece of feedback about your formulation rather than a defense against intimacy. The tell is whether it softens when you turn toward the present. A client running a loyalty test relaxes once you name the dynamic. A client with a real mismatch keeps pointing, steadily, at the same gap. Take the second one seriously and adjust the work.
And some comparisons sit on top of an ending that was never grieved. When the prior therapy stopped abruptly, or was lost to a move or a death or an insurance change, the client may be carrying an attachment rupture that the comparison is only gesturing at. The room cannot metabolize that as a process comment alone. The loss itself becomes the work, and it deserves to be named as loss before anything else moves.
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