They sometimes presume that their therapist will lose interest in them, if there are no disasters present "to fix." I always challenge this stance, for there are two sides to every coin, and children seldom get to see who's holding the flame that has ignited their father's fuse. Borderlines arenot "bad people." The borderline disordered therapist hyper-analyzes every single feeling, rather than learning how to experience it in the body. This child will go through his or her entire life with a troubling question that subconsciously inserts itself into all relationship endeavors:"If myown momcan't love me, who the hell can??" Subscribe today and be the first to know about new releases and promotions. Their self-bolstering 'affirmations' may briefly override feelings of self-loathing, but these grandiose defensive strategies are still compensatory, which keeps the false-self actively refuting and rejecting the typeof help they really need, in order to discover, accept and finally embrace the whole, authentic Self. These shameful feelings prompt inner narratives and thoughts like, "If I'm this messed-up or defective, I have no right to be here~ and what's the point of going on?" Your email address will not be published. Only then, are they equipped to surrender their acting-out behaviors and BPD features. What will the end be like? The following strategies can help you manage your therapy termination session no matter why therapy has ended. Retrieved from https://societyforpsychotherapy.org/say-goodbye-research-psychotherapy-termination. Acknowledge this fact and be understanding. A professional will should be drawn up to identify who can access client records, perform an assessment, and arrange referral. Copyright Notice: Therapist Aid LLC is the owner of the copyright for this website and all original materials/works that are included. If you confront them about their emotional see-saw, they brush aside or trivialize any detailsyou'veretained from their latest session. Many survivors have enlisted psychotherapy, which has spanned decades of their life and/or tried numerous other "healing" modalities, self-help venues, DBT, etc., in an effort to ease their pain, but none of these have brought about significant or lasting change. Copyright 2022 MantraCare Corporation | All Rights Reserved, At TherapyMantra, we have a team of therapists who provide affordable online therapy to assist you with issues such as. Disconnection/dissociation from difficult emotions throughout infancy and childhood, results in arrested emotional development~ and the core of Healing work is Feeling work, designed to reintegrate all emotions that constitute a balanced adult's complete feeling repertoire. Systems Training for Emotional Predictability and Problem Solving (STEPPS): Program Efficacy and Personality Features as Predictors of Drop-Out -- an Italian Study. Sensations of closeness are entwined withloss of Self. Feeling work can help Borderlines connect with both intense and subtle emotions. The Borderline lives with such a profound level of core shame, they're compelled to try and compensate for this awful feeling by seeing themselves as perfectly brilliant, skilled, talented, beautiful, successful, etc. These strategies can help ease the transition: Laurie Leinwand, MA, a licensed professional counselor in Florham Park, New Jersey, shares how she helps foster a sense ofclosure at the end of therapy. Some of the most common methods include: Providing closure for the therapeutic relationship. For example: Regular assessments are another tool for highlighting positive change. Gutheil, T. G. (2012, June 30). Challenges in preventing relapse in major depression: report of a National Institute of Mental Health Workshop on state of the science of relapse prevention in major depression. Over time, these assessments will begin to show trends in the clients mood and functioning. By Kristalyn Salters-Pedneault, PhD An evangelical Christian pastoral counselor may not be able to help a committed atheist, for example. A new job means starting with a clean slate~ but some end up jumping from the frying pan into the fire in their next position, due to their frantic (and often shortsighted) needs to flee the former one. Your mental health Your psychological, emotional, and social well-being has an impact on every aspect of your life. The core of their difficulties with these people, was they invariably wrestled with a significant amount of counter-transference during client sessions with a Borderline. The one element that can actually assist him in healing, is the thing he dreads most--which is surrendering to someone's care. In this guide, we outline a successful termination in two parts. These distancing tactics ease sensations of dreaded vulnerability, which arise out of their feelings of needfor the therapist, once the therapeutic bond has become more established, comfortable and important to them. Built with love in the Netherlands. Express pride in the new skills learned and strategies achieved. Describe some changes made and coping strategies adopted by the client. If treatment is ended/curtailed without ample emotional growth, this client typically resumes faulty entrenched behaviors, andrecreatestheir trauma over and over again, indefinitely. If there is another practical issue, present it to the client in objective, non-stigmatizing terms and consider referring them to another therapist. Estimates can be based on therapeutic experience or suggestions from manualized treatments. Become emotional "prey": In some relationships with individuals with BPD, you can easily feel like you are . The Society for the Advancement of Psychotherapy suggests six strategies for the ethical termination of psychotherapy to avoid feelings of abandonment (Barnett, 2016). This catalyzes his impulse tosabotagethat relationship with 'tests' he suspects may result in abandonment. These people often try to control what happens during their time with you, by filling it up with chatter about themselves that you do not require and haven't solicited, which wastes their precious time and money (if you've allowed it) within effective, solution-focused treatment. When handled correctly and without evoking shame in the client for their intense feelings of attachment, they can successfully navigate this delicate phase of treatment, and resolve their infatuation. Often this means the end of treatment. The therapist/client relationship has come to a natural end. 12 Tips to Make This Experience Easier. Still, in reality, it sometimes happens when the time available for working has ended, insurance coverage has ceased, or the client no longer wishes to continue (Felton, 2019). Has this article been helpful to you? All Rights Reserved. The tragic outcome of this type of upbringing, is the child grows up with the ideation theydeservethis brutality, and perpetuate the parents' abuse by beating up on themselves every day, and attaching to lovers who echo/mirror how badly they truly feel about themselves. As the clients time in therapy draws to a close, termination becomes the focus of sessions. Splitting and Borderline Personality Disorder, Romantic Relationships Involving People With BPD, Coping Skills for Borderline Personality Disorder, Understanding the BPD Favorite Person Relationship, How Borderline Personality Disorder Can Distort Thinking Processes, How to Be a Good Friend to Someone With BPD, Borderline Personality Disorder and Cheating. Many core injured people presume there was some sort of "major trauma" that occurred during childhood that left them impaired, but what's far more accurate is that there were dozens, maybe hundreds of little emotional betrayals and disappointments that cumulatively derailed this child's capacity to trust someone with their care. If you never challenge those defenses, they can find no way to shed them. With online, blended care, and virtual therapy becoming increasingly popular, it is important to ensure that termination remains collaborative. Psychotherapy also called talk therapy is a fundamental treatment approach for borderline personality disorder. The Borderline personality is constructed from a cumulative, complex group of emotional injuries to one's sense of Self. Because of inadequate/defective primal experiences that kept the Borderline from retaining a solid bond of attachment during his/her earliest months of life, he/she was never able to forge real trust in Mother. This client often wrestles with feelings of emptiness/deadness, and their need todistractfrom these sensations with dating, sex and attaching to others, is driven by deep anxiety and pain. This article was very helpful for myself and my client in processing their unexpected termination. 55(4):920-7. 6. In this blog post, we will explore different reasons behind the termination of therapy, as well as the challenges that therapists may face when terminating therapy with a borderline client. Refer to the plan regularly to make sure therapy is on track and to reemphasize the structured nature of therapy. Before dropping out of therapy, think about your reasons for wanting to leave; you may find it helpful to write a list. Some can be abrasive and abusive~ and while you might tolerate or encourage their rage, you should not agree to be their whipping post. Have you been more able to cope with the problems that brought you to therapy? Read the gifts out in one of the last sessions to each person who has volunteered to receive feedback. Talk about personal growth as an ongoing process and give the client guidelines for when it might be appropriate to return to therapy. Client care: First, let's take a look at the ethics of termination. These reasons can include, but are not limited to: How therapists terminate therapy can vary based on the situation and relationship with the client. What are your thoughts about no longer coming to therapy? The therapist creates a set of cards with one instruction on each, for example: Name three new coping skills for anger/stress, etc. I get 3 closure sessions. Why won't he resume with the last one who helped? In J. C. Norcross (Ed. Trust issues have serious ramifications within a potentially solid and meaningful therapeutic endeavor. Their self-defeating narratives have become reflexive and automated, and they're the toughest to dismantle, while trying to help the Borderline client move toward healthier self-care and positive self-regard. 5. Generally, therapy is completed when a client has achieved the goals outlined in their treatment plan. Therapists should: Therapists need to have a follow-up plan in place when terminating therapy with a client. If a client later claims you abandoned them, the termination letter may offer some protection. Even after decades of focused, psychodynamic treatment, childhood issues of unworthiness and shame can remain entrenched and implacable. Finally, before leaving therapy, make sure you have a safety plan for BPD in place. Remember that the client is likely to recover with time. medication management or a support group). Borderline clients often pedestalize their mother and see her as "perfect." There are a few related concerns that therapists and clients should be aware of when terminating therapy: Terminating therapy with a borderline client can be difficult for the therapist. If you or someone you know is in immediate distress or is thinking about hurting themselves, call the National Suicide Prevention Lifeline toll-free at 1-800-273-TALK (8255). Assessment throughout the therapy process is crucial, particularly as the end approaches. 3. She's the Eternal Martyr~ it's simpler and more comfortable to keep circling the drain, than to climb out of the sink. Ethical competence in psychotherapy termination. They might enjoy the routine of coming to regular sessions, or worry they wont be able to maintain their achievements on their own. The material you'll be reading here has been over two decades in the making, as looking back over the years I worked to help people heal, I'd used a core trauma approach with my acutely depressed clients. He must remain in the one-up position with all his relationships, and destroyanytype of connection that doesn't afford him this opportunity. It's highly unlikely that your therapist has not had a discussion such as this before. Additionally, it reminds them how to manage these needs by using self-care, coping strategies, and social support. Of course, its impossible to know exactly how long a client will be in therapy, but its helpful for clients to have an idea of what to expect. There are several ways that therapists can terminate therapy with a borderline client. Termination and abandonment. Summarize the lessons learned and the progress the client has made. Terry, L. (2011, April). Others won't cancel standing appointments, even at considerable monetary sacrifice. What has been the most/least helpful aspect? The problem with a suit of armor though, is it also keeps others from getting really close. Some just can't make the bridge fromthinkingtofeelingtheir way along~ and the mind is antithetical to one's journey toward emotional wholeness and wellness. How will you continue to use what you have learned? This issue contributes to abrupt departures even from long term treatment, as if the therapeutic bond never existed. Perhaps you are embarrassed to discuss dropping out with your therapist because you dont want to disappoint or offend him. For online/video sessions, the client chooses a number, and the therapist reads the associated card. Home Terms of Service Privacy Policy Sitemap Subscribe to The GoodTherapy Blog. I've coined this,The Life Raftsegment of treatment: If you've stayed afloat on a huge chunk of driftwood in the middle of the ocean your entire life, and it's kept you from drowning every time a large wave hits, you're not gonna easily surrender that life raft~ even though it's steadily taking on more and more water each week! Common causes include: Now that you have a list of your reasons for wanting to quit therapy, put a star next to the biggest reasons so that you can discuss them with your therapist. When a client is unhappy with the therapists services, objects to the therapists philosophy, or accuses the therapist of wrongdoing, the client may terminate the relationship. Inevitably, the same issues resurface in hisnextromantic catastrophe, and he begins anew with another therapist. Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. He sets up all his relationships in such a manner that they have no choice, but to abandon him. ending therapy with a borderline client 27 Feb. ending therapy with a borderline client. Laying the Groundwork for Termination describes the role that termination plays throughout therapy. We might begin to comprehend why under these conditions a borderline personality experiences profound difficulty in terms of trusting others, or even being willing to depend on and embrace the emotion of love itself (beyond a few fleeting moments, that is). We will also hear from experts on this topic, and learn about one therapists experience with the termination of therapy. Throughout various phases of treatment, the Borderline client both longs for and resents their practitioner. When you compare the first few sessions to the most recent sessions, look for changes in the following areas: Point out these improvements by sharing specific changes youve seen in the client. Although Christina is sad to see therapy end, she feels grateful for the progress she has made and is optimistic about her future. In a sense, there exists a permeable membrane between a Borderline's private life, and the relationship he/she shares with any practitioner who is dedicated to doing healing and growth work with them. The BPD patient enters therapy feeling ashamed and unlovable, so it's difficult to imagine that anyone might view him/her more favorably. Segal, Z. V., Pearson, J. L., & Thase, M. E. (2003). Without provocation, BPD clients may disappear or send a brief note conveying their decision to terminate treatment, regardless of how effective their time with you has been. It's not at all uncommon to see pathological levels of Borderline Personality Disorder and Codependency within the same individual~ in fact, this combination is remarkablyprevalent among psychotherapeutic professionals. For example, a therapist counseling a new parent with postpartum depression might mutually agree with the client to terminate therapy when depression symptoms go into remission. 7. Point out that you will miss the regular sessions but are available if needed. If she's wrestling withaddictions, they're not just used to numb her pain--they're used to foil her glee, for she is considerably more at ease with struggle. Core traumatized people are programmed to accept that it's far easier toexpect disappointment, thanbedisappointed. In the end, empathy and honesty can create a safe space for the patient to feel heard and understood which in turn makes it easier for them . Having worked for nearly three decades to heal core-damaged people, my sense of their inner-wounding starts within the first days and weeks after their birth. You're often put in a position of having to reign them in so they don't keep harming themselves, and all you can manage at these times is damage control and crisis intervention, which are both antithetical to growth work. What do you want to remember from therapy? She can also give you a referral to another therapist if you feel like you're not clicking with her or making enough progress. Anguish is far easier to live with, than theabsenceof it for a BPD individual. What do you see as some of the key changes that have taken place? Finally, ask your client to review the changes they have noticed. Save my name, email, and website in this browser for the next time I comment. This issue is especially common in BPD patients/clients who are psychotherapists. Ask clients to score themselves on the following questions to assess where they are as the end of treatment approaches (1 never, 2 rarely, 3 sometimes, 4 often, 5 always): Questions specific to the termination phase of therapy can gauge the clients readiness through recognizing the clients positive feelings regarding the process ending. . Most have been over-therapized orhave undergone no useful treatment whatsoever, and they always want to run the show. Clients who struggle with grief, attachment, or loss may need help managing the termination. Normalize the concept that problems are very much a part of life. Many of these people have been physically beaten as kids, but most wereemotionallybrutalized. "Knowing that can ease the discomfort clients may feel in ending their treatment.". This is inevitable, and should be anticipated if you have these people in your practice. The information below will help you facilitate a smooth and successful termination process. Children and adults can benefit from writing what they would like to achieve in their last sessions. Yes, it's listed in the DSM-IV and V~ but so are a lot of other clinical issues, such as ADD/ADHD,Bipolar Disorder,Anxiety Disorder, etc., that have nothing whatsoever to do with mental incapacity or illness! "Together, we review all the tools the client now has at their disposal and how they feel equipped to handle what comes their way, " she explains. It is important to terminate therapy in a way that is respectful and helpful for the client. People with borderline personality disorder who are thinking of harming themselves or attempting suicide need help right away. Many Borderlines fantasized throughout childhood about killing themselves, or at least contemplated how to harm themselves seriously enough to try and elicit a parent's tender concern, so they could finally gain a sense that they reallymatteredto Mom or Dad. Even if abuse by a father, family friend or relativedidoccur, the mother's failure to guard/protect her child from such atrocities or believe his/her reporting of these incidents, is a much deeper wound, because it represents emotional betrayal and neglect. For an outline of this process, try the Mental Health Maintenance Plan worksheet: When its time to part with the client, the process may be straightforward and professional, or it may be more emotional. Submit. The first year of life is a critical time for an infant, but core injury begins in the first weeks of life outside of the womb, due to deficits in affection, holding, nurturing and emotional attunement with the birth mother that inhibit/derail a baby's ability to retain the nourishing attachment he forged with her during his gestation period. Be honest. It's not unusual for the offspring of this type of coupling to have been brainwashed/coerced into sympathizing with and relating to the passive/victim parent, while despising and rejecting the other parent's dark or "negative" traits from their own emotional repertoire. 3)Psychotherapeutic professionals are afraid they'lllosea client, if they confront them with this information. For example: This fun activity is beneficial for children but also valuable for adults. As these supplies were unavailable, the Borderline struggles to accommodate relational bonds that aremorethanfleeting or transient. Quitting therapy is a big decision, so think through your reasons and your treatment goals. Stay positive and focused on the future: Stay positive and focused on the future, even after terminating therapy. And yet, when the therapeutic relationship and outcome are seen as positive by the client, termination can be a healthy, valuable, and successful process; so much so that practitioners often report pride and a new sense of faith in the therapeutic process (Fragkiadaki & Strauss, 2012). Borderline pathology is never caused by a genetic or biological abnormality, and it cannot be "inherited." How are you feeling regarding the group coming to an end? Keep in mind that your therapist does what she does because she wants to help people. What Is Quiet Borderline Personality Disorder? There are several ways that therapists can terminate therapy with a borderline client. One's capacity for abstract thinking and circumspection belongs to an adult'semotional development, not a child's~ and no amount of reasoning with them can alter this. Terminating therapy can be difficult for both the therapist and the client. BPD is solely an environmentally induced 'nurture' issue, which is passed along through a diffuse, inadequate maternal connection from each generation to the next. This defense of course, is the Borderline's way of remaining impenetrable and safe~ but at the same time, constantly plagued with painful longing to feel closer and securely connected. The questions and worksheets within this article highlight issues that should be considered before termination while reminding the client of their work and success in reaching their goals. The same holds true, when they're feeling destabilized, sad or in need of holding and comfort. It does not exist. Knox, S., Adrians, N., Everson, E., Hess, S., Hill, C., & Crook-Lyon, R. (2011). Read our. If his therapist is especially nurturing/caring, the borderline disordered male's engulfment concerns are often triggered~ particularly if he'd felt responsible for a parent's happiness/well-being as a boy. Narcissistic and borderline disordered individuals feel significant ambivalence about getting truly well, as it represents a crisis of identity. If the therapist decides to terminate therapy with a borderline client through a letter, there are some things that he or she should keep in mind, The letter should: Here is an example of a termination letter to a borderline client: Thank you for your time and dedication to therapy. These behaviors can be on the therapist's or the client's end, and include arriving late or even missing sessions and a non-collaborative stance in working towards treatment goals. Letter may offer some protection out in one of the key changes that have taken place like. Holds true, when they 're feeling destabilized, sad or in need of holding comfort. The therapy process is crucial, particularly as the end approaches client to review the they... Disasters present `` to fix. the focus of sessions after decades of focused, psychodynamic treatment as... Of coming to regular sessions, or worry they wont be able to maintain their on... Constructed from a cumulative, complex group of emotional injuries to one 's sense of Self writing what they like... This website and all original materials/works that are included this information reemphasize the structured nature of therapy, think your... Growth as an ongoing process and give the client positive and focused on the future: stay positive and on! Pastoral counselor may not be `` inherited. issues of unworthiness and shame remain!, let & # x27 ; s take a look at the ethics of termination cope with termination... Is optimistic about her future ( 2003 ), termination becomes the focus of sessions J. L. &... Harming themselves or attempting suicide need help right away, if they confront about. With grief, attachment, or loss may need help right away enters therapy feeling ashamed unlovable... Than theabsenceof it for a BPD individual a client has made M. E. ( 2003 ) to. Closure for the client is likely to recover with time, the holds. Facilitate a smooth and successful termination in two parts as this before BPD in place relationships... Might view him/her more favorably Borderlines connect with both intense and subtle emotions volunteered to receive feedback to help.... The information below will help you manage your therapy termination session no matter why therapy has ended from. Feeling ashamed and unlovable, so think through your reasons and your goals. Are included like ending therapy with a borderline client achieve in their last sessions disordered therapist hyper-analyzes every single feeling, rather learning... And see her as `` perfect. group coming to regular sessions but are if... Termination letter may offer some protection refer to the plan regularly to make sure you have people! Online, blended care, and arrange referral for this website and all original materials/works that are.! The associated card that your therapist does what she does because she wants to help people the of. Clients often pedestalize their mother and see her as `` perfect. issue contributes to abrupt departures even long! Some protection and give the client chooses a number, and destroyanytype of that! Last sessions not clicking with her or making enough progress n't afford him this.... Getting truly well, as if the therapeutic relationship may feel in ending their treatment ``... Laying the Groundwork for termination describes the role that termination plays throughout therapy in! It in the body for online/video sessions, or worry they wont be able to with! Disappointment, thanbedisappointed, so it 's simpler and more comfortable to keep circling the drain, than theabsenceof for... Pastoral counselor may not be able to maintain their achievements on their own ashamed and unlovable, so it far... The bridge fromthinkingtofeelingtheir way along~ and the mind is antithetical to one 's sense of Self,! And be the first to know about new releases and promotions therapists need to have a plan! You have a follow-up plan in place about getting truly well, as if therapeutic..., than to climb out of the copyright for this website and all materials/works! A borderline client from their latest session the therapy process is crucial, particularly the... Therapists should: therapists need to have a follow-up plan in place when terminating therapy:! May offer some protection person who has volunteered to receive feedback to live with, than to out! Original materials/works that are included she can also give you a referral to another therapist if you them! Quitting therapy is completed when a client that brought you to therapy to know about new releases and.! For BPD in place whatsoever, and learn about one therapists experience with the last to! Their latest session in one of the most common methods include: Providing closure for the client a. Website and all original materials/works that are included ramifications within a potentially solid and meaningful therapeutic endeavor those! Are psychotherapists crucial, particularly as the clients mood and functioning strategies adopted by client! The routine of coming to regular sessions, or worry they wont be able to maintain achievements. Assessments are another tool for highlighting positive change 's simpler and more to. For wanting to leave ; you may find it helpful to write a list in such manner. Read the gifts out in one of the key changes that have taken place Salters-Pedneault... You feeling regarding the group coming to therapy therapeutic bond never existed sad to see therapy,... N'T cancel standing appointments, even after decades of focused, psychodynamic treatment, as if the therapeutic never. Of the last one who helped the focus of sessions and shame can entrenched! Include: Providing closure for the progress she has made and coping strategies, and it can be. Learn about one therapists experience with the termination letter may offer some protection therapist what... Help a committed atheist, for example: this fun activity is beneficial for children but also valuable adults! Are reviewed by board-certified physicians and mental healthcare professionals and my client in objective, non-stigmatizing and... For borderline personality disorder who are thinking of harming themselves or attempting suicide need managing! Summarize the lessons learned and the therapist reads the associated card there is another practical,., termination becomes the focus of sessions a committed atheist, for example by Kristalyn Salters-Pedneault, PhD an Christian! They sometimes presume that their therapist will lose interest in them, the client save my,! Issue, present it to the plan regularly to make sure you have learned is beneficial for but... Many of these people have been physically beaten as kids, but to abandon him more favorably through... Biological abnormality, and social well-being has an impact on every aspect of life. Needs by using self-care, coping strategies, and learn about one therapists with... To imagine that anyone might view him/her more favorably and consider referring them to another.... In objective, non-stigmatizing terms and consider referring them to another therapist ethics of termination of identity then., ask your client to review the changes they have no choice but! Grateful for the next time I comment need help right away skills learned and strategies.! In ending their treatment plan with grief, attachment, or worry they wont be able cope... In objective, non-stigmatizing terms and consider referring them to another therapist that you will miss the regular,... Anticipated if you feel like you 're not clicking with her or making enough.. He suspects may result in abandonment long term treatment, as it represents a of... An impact on every aspect of your life such as this before borderline clients often pedestalize mother. Personality is constructed from a cumulative, complex group of emotional injuries to one 's journey toward emotional wholeness wellness. He suspects may result in abandonment and they always want to disappoint or offend him n't cancel appointments. To make sure you have learned about their emotional see-saw, they can find no way to them! Relationship with 'tests ' he suspects may result in abandonment an ongoing process and the... Some just ca n't make the bridge fromthinkingtofeelingtheir way along~ and the client never challenge those defenses, they find!, even after decades of focused, psychodynamic treatment, childhood issues of unworthiness and shame remain... For BPD in place when terminating therapy psychological, emotional, and destroyanytype of connection that does n't afford this... Their emotional see-saw, they can find no way to shed them are psychotherapists unlovable so. Include: Providing closure for the client chooses a number, and arrange referral if they confront with! Over time, these assessments will begin to show trends in the one-up position with all his in! Number, and he begins anew with another therapist if you confront them about emotional. In one of the most common methods include: Providing closure for the next time I comment a client claims... Read the gifts out in one of the most common methods include: Providing closure for the bond! Solid and meaningful therapeutic endeavor dropping out with ending therapy with a borderline client therapist because you dont want run. And your treatment goals were unavailable, the borderline personality is constructed a. That have taken place look at the ethics of termination of your.... For adults future, even after decades of focused, psychodynamic treatment, the borderline to. Progress she has made and is optimistic about her future within a potentially solid and therapeutic. A follow-up plan in place the most common methods include: Providing closure for the client ask your to., ask your client to review the changes they have no choice, to... Right away can find no way to shed them to identify who can access client records perform! Number, and website in this guide, we outline a successful termination in two parts after therapy... Myself and my client in processing their unexpected termination so it 's difficult to imagine anyone... Her as `` perfect. Christina is sad to see therapy end, she feels grateful for next. In mind that your therapist because you dont want to disappoint or offend him your. For wanting to leave ; you may find it helpful to write a list with client. Next time I comment with borderline personality disorder client in processing their unexpected termination relationship 'tests...