I worked with a patient for 8 years. I had to refer them. Today was our last session. I’m beyond sad. Ii cried in the session. I no longer was the therapist suited for them. But I was available.
They wrote me a letter. I am having a terrible time terminating services. I feel awful.
I’m a good therapist. I’ve had lots of training post-grad. Other therapists refer patients they struggle to help. I’m great at what I do.
However, having a caseload who has primarily experienced chronic trauma is a problem for me. I can work well with folks who have been disappointed by previous experiences in psychotherapy. I would prefer a more balanced caseload though. Send me the worried well. Not sure how to address this with work. Just because I’m skilled, I wind up with the patients with the most difficult, complicated histories.