Ending psychotherapy or counselling should ideally be a part of therapy itself and as such a part of reparative therapeutic relationship. If done appropriately, endings can have a therapeutic impact also and can offer the client a new experience as to how relationships in life can be handled. Even though therapy relationships can differ based on the approach used and also based on the “depth” of psychotherapeutic work, ending therapy should ideally be planned ahead and agreed as part of treatment.
Psychotherapy or counselling relationship should ideally terminate when the end goal is met. This is the goal that the client and therapist set as their therapy goal (in transactional analysis we call them treatment contracts). This kind of ending is an ideal one. However, sometimes we find a client terminating psychotherapy or counselling relationship unexpectedly—prior to therapy coming to its natural end. I will focus on the latter scenario of terminating therapy in this post.
Can owning real estate be a defence for one’s own emotional insecurities and deficiencies? Is that the reason for climbing the London property ladder? Can it reduce our existential anxiety? OK, maybe I’m making a giant leap here in my assumption, but still—no reason for the assumption to be completely off—and not all of the time either.
What you will find reading this post is my own personal reflections on starting a private therapy practice in a big city—be it in counselling or psychotherapy. I am sure there is no cookie cutter approach to it—especially given that geographic location is such a massive factor to a therapist’s work—but I guess anyone can learn from anyone else’s experience. At least somewhat. And if they choose to.
Borderline personality disorder (BPD) is a developmental disorder of the self. It is characterised by extreme emotional reactions, impulsivity, difficulty of properly engaging in relationships and diminished sense of self. Individuals with borderline personality disorder have difficulties with their sense of self, their self-esteem and self-worth. Relationships are a measure of gaining their sense of self and that is why they put great importance onto others, which is why they may often come across as overly pleasing sometimes.
Obsessive-compulsive personality disorder (OCPD) is a developmental disorder that needs to be differentiated from obsessive-compulsive disorder (OCD). It is important to know that obsessive-compulsive personality disorder (OCPD) resembles OCD much less than the name suggests if we take a look at the DSM criteria—in the way that OCPD is not characterised neither by obsessions nor by compulsions. However, looking at OCPD as a point on neurotic spectrum leading to OCD might be a better way to look at it—also when facing with OCPD or OCD in therapy.
April is stress awareness month. Stress is becoming more and more part of our everyday—we cannot even think of daily life without stress anymore—and as such is also either cause or accompanying many mental health and other psychological issues people bring into psychotherapy and counselling. However, a closer look at the internet search statistics, reveals astonishing figures related to stress, anxiety and depression, which are the top three mental health-related searches in the UK.