What Ending Therapy Actually Looks Like

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When I was taught about what it looked like for therapy to end with our clients, it was always a graduation-like, kumbaya moment where were had a full session or two to process things ending, reminisce on our clients' growth, and help them plan for a successful future without therapy. There would be a beautiful send-off. Tears might be shed.
In reality, most of my clients don't end therapy this way. It's actually relatively rare (in my practice at least). So in this video, I thought I'd shed light on some of the more common ways that therapy ends. I also go on a rant about why I have a deep dislike of the word "termination" and I hope we can change our vocabulary regarding the close of the therapeutic relationship.
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This video is geared toward therapists of all kinds, including psychologists, MFTs, LPCCs, social workers, and others in the clinical counseling field.
Welcome to Private Practice Skills! I’m Dr. Marie Fang, psychologist in private practice. I post videos offering tools I learned the hard way about starting and growing private practice so that you don’t have to.
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This video is not intended as professional or legal advice. Be sure to seek the services of a professional if you are in need of them.

Опубликовано:

2 окт 2024

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Комментарии : 14

@vee5555 2 месяца назад

Love that you covered this topic with so much transparency. These are the conversations worth having. You touch on the real life experiences we have as therapists. Your channel is so supportive thank you! 😊

@collettehonsowetz3468 2 месяца назад

Another reason to "terminate" may be change in schedules and lack of availability for new needed time slots? Also love the thought process behind not returning and impact on therapist. I've heard the theory of give the greatest interpretation behind others actions which is exactly what you said. Maybe they feel good and don't see a reason to call to say they're not returning.

@PrivatePracticeSkills 2 месяца назад

Yes thank you! I thought of the scheduling reason partway through editing. Happens to me all the time. I like that phrasing of giving the greatest interpretation to others, that’s a great approach!

@KimberlySchildbach 2 месяца назад

I love that you bring these (what can be) shame filled experiences into the light. So helpful for all of us - newbies and more experienced alike!

@meriamnjah8633 2 месяца назад

Agreed!

@rerenicole01 2 месяца назад

When clients pass away. School did NOT prepare us for the grief that you experience from losing a client.

@kakunamatatta 2 месяца назад

My therapist resigned without notice recently due to her own health concerns, so I didn't get to talk to her about it or say goodbye. Even though I saw her the week before

@henryhealing444 Месяц назад

So much of what you say resonates. Including the use of the word, 'termination' rather than something like ... 'graduation'

@D0GSniffer 2 месяца назад

I was looking up Changed endings not this

@jessietirrell6939 2 месяца назад

I love that you brought up this topic! I have been having to be very intentional with myself that people dropping off are likely less often to be related to something I did right or wrong and that my job is to be present for people when they are ready. So glad to have some external validation that this happens.

@labdian 2 месяца назад

One reason for ending therapy I often encounter working with children is that the immediate symptom disappears (like bed-wetting or stuttering) and the parents often immediately take it as a sign that everything is okay now and there's no need to come again. Sometimes (but not often) I don't even get to say goodbye to the child, they just don't show up, and the parents text me that the reason for therapy is no longer there. There are some rare cases that they come back after a time if the symptoms reappear under stress or significant life-changes. Other than that, all the reasons I've encountered were listed, and to my own surprise I felt really relieved after watching this video.

@meriamnjah8633 2 месяца назад

I so loved this video, thank you so much Marie. Love it when you shine light on the darkest corners of shame for therapists 😅