Question

Would a therapist contact an ex-client at some point after therapy ended to ask how they were doing? Assuming the client was still very unwell in the last session.

Answer 1

The ethics and practices regarding contacting former clients can vary depending on the therapist's profession, jurisdiction, and specific circumstances. In general, most therapists adhere to strict guidelines regarding client confidentiality and boundaries. After therapy has ended, it is common for therapists to refrain from contacting their ex-clients to maintain professional boundaries and avoid potential complications.

There are several reasons for this approach:

1. Confidentiality: Therapists are bound by ethical guidelines to protect the confidentiality of their clients' information. Initiating contact with a former client could risk breaching this confidentiality, even if the intention is to check on their well-being.

2. Client Autonomy: Clients have the right to decide when and if they want to maintain contact with their former therapist. Contact from the therapist might be perceived as intrusive or unwelcome, potentially causing distress to the client.

3. Dual Relationships: Therapists must be mindful of dual relationships, where they occupy more than one role in a client's life. Reaching out to a former client could blur the professional boundaries and create potential conflicts of interest.

4. Continuing Care: If a client is still struggling or unwell after therapy has ended, it is essential for the therapist to trust that the client has the resources and support system to seek help if needed. A therapist's involvement may not be appropriate, and the client should be encouraged to reach out to the appropriate resources, like seeking another therapist or contacting emergency services if necessary.

However, it is essential to note that different therapists and therapeutic approaches may have varying perspectives on this matter. Some therapists may choose to have a "termination session" at the end of therapy to review progress, discuss coping strategies, and offer referrals if needed. Others might use a follow-up protocol to check on their client's well-being after a certain period of time has passed since the therapy ended, but this usually happens in specific therapeutic contexts and with the client's prior consent.

If you are a former client and still struggling, it is crucial to reach out for support. Many therapists provide follow-up resources or recommendations for other mental health services to ensure their clients have access to help if needed in the future.