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.
A corporate executive that spent half of her life chasing her career, getting one promotion after the other and moving up the corporate ladder, only to find out—usually in her thirties—that she in fact never achieved what she wanted, whilst her life is slipping by. She wakes up anxious, not knowing what she is doing, where she is going and slightly doubting that she knows what she wants to achieve. She cannot take pleasure in fruits of her hard work although she can afford to. She sees younger generation as competition and starts wondering how long she can keep this up. And what then? When? She can no longer relate to the little girl that sat on her daddy’s shoulders, pulling his hair as they walked through the zoo.
In therapy room this topic is likely to come up at some point. And it will usually come up in many forms. From questions like “Will therapy make me happy?” to statements from the client that therapy is making them feel more sad or depressed or even claiming therapy is making things worse for them in general. Any therapist working with wide variety and number of clients will get used to these questions and allegations. But, even though, this might not be something new to the therapist, it is very much new to the client.
Narcissism by nature of the personality structure manifestation makes it hard for a narcissist to engage in authentic and intimate relationships. People who engage in a relationship with a narcissist will often be subject to the lack of connection, empathy and intimacy. They may find themselves under fire of allegations that they are too controlling and smothering. Even though these accusations will be part of narcissist’s distorted reality, there will often also be some pathology related to why someone gets involved with a narcissist in the first place. Usually such pathology will be unconscious.
For anyone interested in group therapy, there will be a new Group Therapy North London starting in March 2017. The group will be run as transactional analysis (TA) process therapy group. Focus of Group Therapy North London The group is suitable for anyone interested in personal development or therapy in general or specifically in transactional analysis psychotherapy […]
Comparing depression and therapy search results conveys interesting trends—also looking at their correlation. However, what is worrying is the increase in the number of searches for depression—in the UK and compared to worldwide numbers. Similar to the increase in anxiety numbers, the search for depression-related keywords is growing faster in the UK than it is in the rest of the world.