Our Time Is Up: Forced Terminations during Psychotherapy Training
Abstract
Psychiatry residents often must terminate psychotherapy before patients complete their treatment goals, introducing a stressful event into the therapist-patient relationship. Determining what, how, and when to announce the impending termination, anticipating patient responses, managing resident reactions and countertransference, and planning the forced termination to the patient’s benefit require careful consideration. The literature on forced terminations is reviewed, two cases illustrate common issues encountered, and nine guidelines are described.
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