top of page
  • Writer's pictureStacy Taylor, LCSW

What Do You Expect?

Updated: 4 days ago

One of the most challenging experiences for a therapist is when a client leaves angrily. Fortunately, it is rare. But when it happens, it is hard on both the client and the therapist.

What makes a client suddenly terminate therapy? The reasons tend to be: one, insurance issues and, closely linked to that, financial ones; second, if the therapist says something that the client doesn't like; and, third, if the therapist makes a mistake.

To explain each of them: the insurance issues can be due to the therapist having problems getting paid and turning the unpaid claims over to the client. Or, perhaps, the client has switched to a different insurance or a difference plan, one that the therapist doesn't take and doesn't want to sign up for.

Next, the client may have left because the therapist said something that hurt. Maybe the therapist brought up a touchy topic, such as the client's substance use or temper issues.

Lastly, the therapist could have made a mistake, which triggered the client's leaving. Perhaps the therapist got confused about an appointment time or charged an erroneous fee.

For these types of reasons, a client may leave angrily. But the question is: were the client's expectations realistic in the first place?

Therapists are human. We make mistakes. If the errors are willful, that is a different thing. And if the therapist keeps making mistakes, that would be concerning.

But generally mistakes are due to our imperfect human nature. If, for instance, "Mary" sees her therapist as all-knowing and perfect that would be a set up for disappointment.

Or if Mary views the therapist as a loving and always supportive parent figure, the client's expectations may be dashed before too long. Lastly, if the client takes insurance problems personally, rather than just the down side of using insurance, the client can have hard feelings around it.

One last point: I would encourage folks to go into therapy open to what the therapist thinks, even if it isn't always easy to hear. If a therapist says something that a client doesn't want to hear, talking about it together may be better than just stopping.

56 views0 comments

Recent Posts

See All

An Ally to All People

I have a web page through Psychology Today (PT).  On there, they ask us to check off the groups in which we are allied.  I wasn’t sure at first what it meant to be an ally so I googled it.   The defin

Does Couples Therapy Work?

Jake and Jan have been married for eight years, and have two children. But for the last couple of years, they have bickered almost nonstop. They've tried on their own to communicate better, but to n

When a Friendship Ends

An old and dear friend ended our friendship by text. I'm still not sure why. She ended the text with, "I wish you the best." I was very upset, and let her know this in an email that she never respo


Commenting has been turned off.
Post: Blog2_Post
bottom of page