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tomatenoir
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#21
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I think it's why I like LT's therapist so much. |
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LonesomeTonight
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BudFox
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#22
Saying no terminations could be a largely semantic distinction... the therapist might still have pushed a boatload of people out the door by various means, such as making authoritarian pronouncements about improper fit or modality, leaving the client feeling they have no choice in the matter. In other words, could be many de facto terminations.
Also I dont accept the premise that unilateral/dictatorial terminations necessarily result from challenging cases. Therapists can drop-kick clients for any reason. Could be entirely self-serving. |
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BudFox
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#23
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Also, forced terminations have the potential to do more damage than anything else. The most dangerous element in such situation is the the delusional therapist who believes that he/she knows what is best for others. |
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ArtleyWilkins
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Member Since: Oct 2018
Location: USA
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#24
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Poohbah
LabRat27
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Member Since: Mar 2018
Location: CA
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#25
I didn't realize it was quite that rare. I mean, I didn't think it was common, but ...
I guess I have some questions for my T I wonder if I was the first/only one he ever terminated... |
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LonesomeTonight
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starfishing
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Member Since: May 2017
Location: USA
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#26
I'm not surprised. The therapist unilaterally ending therapy should be rare. Other than unusual exceptions, it should be up to the client to decide whether things are beneficial and whether to continue.
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#27
I highly agree with the semantics argument and with Budfox that there are many ways to get rid of problem clients that aren’t formal terminations. I’m guessing most experienced therapists know how to do this, though the % of time this is done... I couldn’t foster a guess. I strongly suspect this happened in my case though “I” technically quit. In many ways I think this makes sense because it leaves the client feeling at least partially in control.
I think the majority of therapies end in really normal ways - either the client feels good enough to move on, or things fizzle out. Termination isn’t anything I’d spend a lot of time worrying about as a new therapy client. That said, I think it’s important to remember that therapy isn’t “forever and ever” and life happens, therapists retire etc. Would I believe a therapist who said they never formally terminated a client? I think so. Even with the ethical responsibility to refer out, ultimately it’s the client’s choice. Most therapists would probably stick with a client who would never see another therapist rather than let the client go without a therapist. |
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Anonymous56789
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#28
I asked my therapist about this ages ago. He said there was only one person he had to let go over 30+ years.
Credentials do matter, so I disagree with those who assert that it does not. MD therapists (psychiatrists) often see more complex clients than other therapists, such as those with chronic psychosis. I agree with those who think therapists may let a client go in more subtle ways. Those who are not up to the task of terminating a client could do things to drive the client away or try to convince the client to quit. Rather than the norm, I believe this would likely only occur with those who are unprofessional/ incompetent. |
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#29
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underdog is here
stopdog
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Member Since: Sep 2011
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#30
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I also think this is a super bad plan in general- no therapy is not worse than bad therapy. Quite the opposite in my opinion. __________________ Please NO @ Selfishness is not living as one wishes to live, it is asking others to live as one wishes to live. Oscar Wilde Well Behaved Women Seldom Make History - Laurel Thatcher Ulrich Pain is inevitable. Suffering is optional. |
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Always in This Twilight
LonesomeTonight
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#31
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I said something similar to your last paragraph to my T, when he claimed that the client holds all the power in the relationship, because they can terminate at any time, while he ethically can't do so. I said that he could do things to make clients leave without terminating them. Like for me, he knows email is important to me. So he could choose to take that away (he said he never would) or otherwise not meet my needs. He could shame me. Insist on a particular psychological technique that I feel doesn't work for me. Etc. |
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Anonymous41422
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#32
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I do agree with you especially on the second point. I am immeasurably better with no therapy. |
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Poohbah
LabRat27
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#33
Doesn't that seem cruel?
Idk maybe it's naive, but I'd like to take my T at his word that he really thought terminating was in my best interests, even if it was ****ing stupid, and that it was difficult to do and he didn't want to but felt that he should. He left the door open for if I finished DBT, but I kind of convinced myself that he was only saying that to try to make me feel less abandoned. (Though he's the one who initiated us working together again so I guess maybe he did mean it) ineffective therapy to get a client to quit seems super unethical. You're letting them pay you and using their time to provide what you know to be not what they need. |
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LonesomeTonight
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Anonymous56789
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#34
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Like losing empathy, indifference. Telling clients they dont have the skills when in reality its their countertransference such as feeling helpless or their needs not getting met, like a need to save someone. Their inability to keep their own stuff out of the therapy, where they are afraid to terminate. Afraid of client anger or suicide attempt. Even those who truly don't want to hurt someone. There's no doubt in my mind this stuff does not happen infrequently. |
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