It is not typical for a psychoanalytic psychotherapist to outright refuse help to a patient in a significant crisis, especially if the therapist has been working with the patient for a considerable amount of time. While therapists may have certain areas of specialization and expertise, they are generally trained to handle a broad range of emotional and psychological issues.
In such situations, it would be more typical for the psychotherapist to do one of the following:
Offer support and empathetic listening while helping the patient explore the crisis within the context of the therapeutic relationship.
Collaborate with the patient to develop coping strategies and tools to navigate the crisis, even if it falls outside their usual modality.
Suggest seeking additional support or referrals to another therapist who may be more specialized in dealing with the particular crisis.
Consult with a supervisor or seek guidance from colleagues to ensure the patient receives appropriate care.
If your psychotherapist has stated that they cannot help you with your current crisis and has not provided any alternatives or referrals, it may be worth discussing this issue with them openly. Communication is essential in therapy, and it's essential to address any concerns or doubts you have about the therapeutic process.
If you feel that your current therapist is not adequately supporting you or addressing your needs, you may consider seeking a second opinion from another mental health professional or exploring other treatment options. Remember that finding the right therapist is essential for a successful therapeutic journey, and it's okay to seek help elsewhere if you feel the need to do so.