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Withdrawing that support could have unwanted consequences.
Further, to whom should it be “reasonably clear” that termination is in order?
Martin seemed to love using therapy as a place to ruminate about his various existential concerns.
Some clients may believe they are addressing their difficulties simply by attending therapy sessions, even if they are not making behavioral changes.
The decision to terminate a no-longer-productive therapy is difficult, but a number of practices can help us act ethically.
Through regularly reviewing goals and progress and soliciting client feedback, the therapist creates an atmosphere where clients feel they can safely acknowledge dissatisfaction with the therapy or express a desire to terminate.
Should the client and therapist agree to continue therapy, that decision to continue treatment should be clearly justified, perhaps with adjusted goals.
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Plateaus are commonplace in therapy, as is slow progress.
Additionally, even if we don’t perceive progress in therapy, our support may be preventing the client from deteriorating.
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