- They start to miss more and more appointments
- They start to fall behind in their payments
- They cancel a block of time (i.e. “taking a break for the summer, winter, semester, etc…”)
There may be ways to address this if it is caught early but that is no guarantee that you can prevent losing them. Avoidance of their issues will probably be a dominant theme in their life and counseling is just one more thing they are avoiding. At the beginning of the therapeutic relationship it is wise to ask them their counseling history. If it seems they jump from therapist to therapist you have a perfect opportunity to ask them why that seems to happen and if that in-and-of-itself might be another issue to look at.
Some Counter-Transference Stuff
If I’m honest, some of my stuff starts to creep into the room. I want to be ‘The Therapist’ that breaks this trend because I’m “just that good”. I lost a client recently this way, and I’m trying not take it personally. Chances are, the client will enjoy his few months of “feeling good” until the next small crisis, dismiss all the work he’s done so far, start over from scratch with another therapist who has a different approach, and stay there until his felt needs are met, leave him and continue the cycle.
Life moves on.
Image Credit: x0x0_jess
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