Question

One of my clients decided she didnt want to continue with therapy. She said it was "her and not me," and that therapy just wasnt helping her. I feel accountable. How often does this happen? How would you have handled it?

Answer 1

It's not uncommon for clients to discontinue therapy, and there are various reasons why this might happen. Sometimes clients may feel that therapy is not meeting their needs or expectations, or they might believe they can handle their issues on their own. In such cases, it's important to remember that it's not necessarily a reflection of your abilities as a therapist.

Here are some points to consider:

1. Client Autonomy: Remember that therapy is a collaborative process, and clients have the right to make decisions about their own treatment. It's essential to respect their autonomy, even if you believe therapy would be beneficial for them.

2. Open Communication: If your client has expressed her reasons for discontinuing therapy, listen attentively and without judgment. It might help to have an open conversation about her concerns to understand her perspective better.

3. Normalize Termination: It can be helpful to normalize the idea of therapy termination from the beginning of treatment. Inform clients that it's entirely okay to decide when they feel ready to end therapy, and that they are free to return in the future if they wish.

4. Self-Reflection: While it's natural to feel a sense of responsibility, it's important not to take it personally. Instead, use this experience as an opportunity for self-reflection and growth as a therapist.

5. Seek Supervision/Consultation: Discuss the case with a supervisor or a trusted colleague for guidance and support. They can offer valuable insights and help you gain perspective.

6. Feedback Surveys: Consider providing clients with feedback surveys anonymously to gather information about their experience with therapy. This can help you identify areas for improvement and gain a broader understanding of your clients' perspectives.

7. Continuing Education: Engage in ongoing professional development to refine your therapeutic skills and stay up-to-date with evidence-based practices.

Remember, therapy outcomes are influenced by numerous factors, many of which are beyond a therapist's control. Some clients might not be ready for change at a given time or might benefit from a different therapeutic approach or therapist. The most important thing is to remain open, empathetic, and supportive to all clients who seek help.