Behavior OnLine Forums  
The gathering place for Mental Health and
Applied Behavior Science Professionals.
Become a charter member of Behavior OnLine.

Go Back   Behavior OnLine Forums > BOL Forums > General Discussion


Thread Tools Display Modes
Unread June 2nd, 2007, 10:03 PM
littlethree littlethree is offline
Join Date: Jul 2004
Location: Spokane, Washington
Posts: 21
Unhappy ending psychotherapy


Is there any place I can look that describes how a psychotherapeutic relationship should end, from an ethical and legal persepective?

Or is there a concise description of how psychotherapy should end?

And this includes:
1. when the psychotherapy is ended because the psychotherapist's style and methods are not effective any more and the patient and psychotherapist is not seeing changes.


2. when psychotherapy is ended because the goals have been met.

More emphasis is given on number 1.

The therapy was going on for 3 years and we have had a great relationship for pretty much all of it, until recently, and now the therapist has ended the relationship through a "form letter" without any face-to-face discussion of why -- only a terse phone call made with the tag: I'm only making this call because I said I would be available for 30 days for emergencies. The abrupt and confusing way the relationship ended has cause some grave issues, such as requiring a hospitalization for my own protection, and even after knowing this, the therapist still only gave that terse phone call. My desire is to have a more gentle end to the relationship. I can understand the relationship is no longer working and it should be ended. But my desire is to have a face-to-face closure, something that shows the 3 years of consistent tender care was not a "sham".

I tell you true, the relationship was wonderful even just a couple weeks ago. So this abrupt change in her approach is very baffling and it has hurt me deeply.

I'm not asking for specific advice on how to achieve anything for my specific issue. I'm just wondering if there are rules on how to end a therapeutic relationship.

(As an aside, she did give me some referrals and I have an appointment to see a one of those referrals in just a couple days.)
Reply With Quote
Unread September 25th, 2009, 03:11 PM
philimon123 philimon123 is offline
Join Date: Sep 2009
Location: Temple, TX
Posts: 4
Default Re: ending psychotherapy

Discaimer: I am not an attorney at law. I am aware that state have laws that require treatment plan maintanence. I am not aware of any Texas state law that regulates how termination of relationship. My guess it is still left to personal ethics.

From the psycho-therapeutic perspective, it sounds like you know what would have been useful for you. But because you where unaware of the therapist's thought process, you could not have communicated how you would have liked to have been transitioned.

In my practice's policies and procedures, I have treatment plan reviews (regardless if you are insurance or private pay). My advice is to ask about policies before entering into your next therapeutic venture. This is to include what are the criteria for termination and the specific process(es).
Reply With Quote
Unread August 11th, 2010, 01:13 PM
witnessing_presence witnessing_presence is offline
Join Date: Aug 2010
Posts: 6
Default Re: ending psychotherapy

I think the psychotherapist should not have sex with the patient
Reply With Quote

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Forum Jump

All times are GMT -4. The time now is 10:06 PM.

Powered by vBulletin® Version 3.7.3
Copyright ©2000 - 2022, Jelsoft Enterprises Ltd.
Copyright © 1995-2004 Behavior OnLine, Inc. All rights reserved.