The authors interviewed eight experienced therapists regarding their dreams about clients and analyzed the transcribed interview data using consensual qualitative research. Results indicated that dreams typically were about difficulties with clients, intense personal concerns, and negative interpersonal interactions. Therapists used multiple methods to work with the dreams and made gains in insight focusing on countertransference or overidentification and the need to make fundamental changes in the therapeutic relationship or in the therapist's life. On the basis of the insight, therapists made changes in the treatment of the dreamed-about clients and in their personal lives. Implications for practice and research are discussed.