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ending therapy with a borderline client

When terminating with a client who has a history of threatening to file licensing board complaints. The purpose of this study was to explicate the interventions used in a successful group therapy program developed for community mental health center clients with borderline personality disorder. If the therapist did not offer a referral to another provider, the client can ask for one. 2023 Dotdash Media, Inc. All rights reserved. The trouble is, they've never been able totrustreal intimacy and closeness, for those responsible for their care in the earliest stages of life, weren't equipped to provide solid, nourishing attachment experiences. We ourselves often have negative thoughts about these clients, especially when our own core beliefs become activated. Since this type of therapy has no "built-in" ending, each ending is unique. If there's no tidal wave that threatens to capsize their boat and drown them,nothingnesscan be felt, and performance anxietywithin treatmentmay emerge. It is important to discuss termination at the beginning of therapy and to prepare the child as far in advance as possible. 4. Miraculously enough, my schooling never touched on this pervasive universal disorder, and yet my understanding of it cumulatively expanded through assisting clients who'd never forged healthy, enduring attachments, nor been able to tolerate or endure darker emotions without compulsively analyzing them. Significant lapses in childhood memory are silent clues as to how much abuse, neglect and emotional betrayal the Borderline had to endureand dissociate fromas a child, in order to survive. Nothing about this faulty mechanism is held on aconsciouslevel, so it's compulsively repeated until solid, specialized help is engaged to dismantle and eliminate it. Give the client space to process their feelings. This is actually the defining difference between those who get well, and those who do not. A Borderline tries to gain a sense of Self through engagement with others. A small child is overburdened by these complaints, and doesn't relish this role--but at the same time, all this special attention from Mother imbues him with a sense of value/importance, which forms thecruxof his self-worth. In the January/February 2009 issue of The Therapist, hypothetical situations involving the termination of clients were represented in four vignettes.Members were invited to respond to a set of questions analyzing the potential ethical/legal issues reflected in the vignettes, and to comment on the availability of options for each of the therapists depicted in the vignettes. End your post with a lingering question. If you experience splitting, you may view your therapist with suspicion or dislike which could cause you to drop out of therapy too early. If a client is unsure why a therapist is ending therapy, they should ask; in most cases, a good therapist will be able to provide a direct answer to this question and help the client work through any feelings of abandonment. Hence, profound control issues have evolved, and he'll only choose females with whom hethinkshe can maintain the upper hand. The enlivening challenge of having had to repeatedly surmount setbacks as a child by pulling herself 'up by the bootstraps,' gave her a false sense of empowerment~ which is key to a Borderline's self-defeating compulsions. Passages traditional psychoanalytic therapy sessions done with the high functioning (non-borderline) client. Whether you're a Borderline or a clinician who's attempting to assist one, this literature may give you deeper insights into BPD, and perhaps help you revise some long-standing beliefs and/or assumptions you've held about this disorder. After termination, most therapists leave the door open for clients to return if they so choose. I'm sensing the same could be said for babies born prematurely, having to spend their early days or weeks in a hospital's incubator, separated from the only sense of security and safety they've ever known. 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. Sign up and Get Listed. Gutheil, T. G. (2012, June 30). Abandonment is a specific form of malpractice that can occur in the context of a mental health professional's termination of services. Copyright 2004 - 2023, Shari Schreiber, M.A. It's not right to keep someone in therapy when they no longer need it. These guidelines can aid the therapy termination discussion regardless of the reason for the termination: Termination can offer opportunities for therapeutic intervention. ending therapy with a borderline client ending therapy with a borderline client en diciembre 13, 2021 en diciembre 13, 2021 Therapy brings up many emotions, and it's very common for people to want to give up or to feel that nothing will really help. Is it normal to have mixed feelings about ending therapy? If the client does not, the therapist must assess whether the relationship can continue. This situation commonly arises when we work with clients with borderline personality disorder (BPD). In my view, BPD is a broken heart issue, which appears to be why psychotherapeutic treatment has for many, proven to be a disappointing, unrewarding endeavor. It's called 'tough love,' and it's often the only way you'll get their attention and keep them on track with the progress you're wanting to help them make. Never blame the client, even if you must terminate therapy because the client is difficult or you are not a good fit. The BPD patient enters therapy feeling ashamed and unlovable, so it's difficult to imagine that anyone might view him/her more favorably. Clients can terminate therapy whenever they want, for any reason or for no reason at all. A positive sign that its time to end therapy is if the client feels theyve accomplished the goals they first set out to achieve. 1. They're incapable of managing any sense of peaceful continuity, or appreciating the bigger life picture, due to childlike myopathy or shortsightedness. Talk to the child about strategies for managing painful emotions when they are no longer in therapy. Their dissociative (out of body) episodes generally lead to carelessness, which can result in injury or illness. I am not a psychotherapist, although having returned to school at forty-one, this was originally the path I was pursuing. Preventing burnout is accomplished by remaining stable, by mastering the skills required to effectively work with this population, and by having access and taking advantage of the emotional support offered through co-workers, supervisors, and the agency and system, as a whole. The termination checklist [PDF]. In other cases, a therapist may become a less good fit as a clients needs change. According to the American Psychological Association (2017), the psychotherapy relationship should end when the client is no longer receiving benefit from the treatment or has the potential for harm. After clicking on the donation button below, please enter the amount you'd like to donate into the price field. For me, it's become a dead giveaway that they're borderline disordered~ and thus far, I have seen no exceptions. Only then, are they equipped to surrender their acting-out behaviors and BPD features. Be willing to answer questions about therapy termination, such as where a client can seek additional help if necessary. In my opinion, until the therapist seeks qualified help to dismantle their own unresolved childhood trauma, they should avoid accepting people with BPD into their practice, as they're not equipped to help them. Some clients simply stop showing up to appointments or returning phone calls. A few clinicians have contacted me seeking guidance with particularly challenging patients, after reading some of my articles. "Knowing that can ease the discomfort clients may feel in ending their treatment.". It does not exist. How to Be a Good Friend to Someone With BPD. How Therapy Can Help Manage Altered States and Psychosis, Navigating Social Media Boundaries With Relational Trauma. Therapeutic practitioners who treat Borderlinesoranyonewho's suffering fromcore trauma issues for that matter, must constantly remind themselves that they're dealing with someone who is emotionally underdeveloped--in essence, a very young child in an adult body. The borderline disordered client has a particularly difficult time making the shift from feeling daily pain, to experiencing the lack of it. When terminating because you believe they are a danger to you or someone else, and you are therefore unwilling to meet with them in person. This aspect can be extremely challenging for even the most gifted of practitioners. Casanova often plays musical chairs with therapists. That sounds dramatic, like the therapeutic version of a Dear John letter, but it's actually a routine part of Cognitive Analytic Therapy (CAT), with both the client and therapist writing one to each other at the end of their work together (typically after sixteen sessions). If this isn't routinely on the forefrontof a healing professional's mind, helping this individual will feel daunting and extremely frustrating. Submit. best sustainable website design . My book, DO YOU LOVE TO BE NEEDED, OR NEED TO BE LOVED was primarily written for psychotherapeutic professionals who have difficulty establishing healthy boundaries and putting their own needs first, either professionally or personally. Personal Perspective: I recently encountered one of my greatest fears. Private Practice, March 2018. Unfortunately, learned survival instincts and defenses prompt disruptive acting-out episodes and distancing behaviors in even potentiallyclose relationships. Some of these individuals try to flood themselves with numerous other modalities that helpdiffusetheir reliance on any single source for help (I call this The Buckshot Method); such is the extent of their attachment concerns and abandonment terror. A therapist may also need to terminate therapy with a client who makes unreasonable demands, whose insurance will not pay for therapy, or who otherwise presents practical or logistical concerns. Of course, you cant always tell exactly how many sessions a person will need to get over a depression, or to successfully stop drinking, but you can give them an indication. Andrew Fishman LCSW on December 13, 2022 in Video Game Health. As a counsellor, you should plan for endings where possible, seeing the ending as a process, not a one-off event.. 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. It doesn't have to be. A termination letter memorializes the end of therapy as well as the reasons for termination. Issues of core shame("I'm not good enough")make it difficult to accept personality disorder features, but how can we effectively work with a problem, unless we understand what it is? Their in-utero attachment to a mother with BPD features is maintained as a deep, unrequited craving that begins in the first week after their birth. When a client repeatedly no-shows, a therapist loses time they could spend with other clients. But many people leave therapy before they have reached their treatment goalsresearch shows that about 47 percent of people with BPD leave treatment prematurely. 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. This feels less risky and anxiety provoking~ but outcomes due toretainingthese faulty attitudes and thought patterns block their capacity to achieve genuine happiness. This is particularly important if you terminate the relationship because of fit issues or because you are unqualified to treat the client. Friendships with past clients are a gray areatheyre not explicitly forbidden, and do occur, but many therapists would still decline to socialize with a former client. Crisis orientation makes BPD clients abandon healing and growth work prematurely. What lies at the heart of successful treatme Borderline Personality Disorder isnota "mental illness." Subscribe today and be the first to know about new releases and promotions. Recovery from problems that medication can't assist with. Adoption or being handed over to someone else to raise or care for us after we're born, magnifies infancy core abandonment trauma and solidifies one's sense of shame; "I'm not lovable or good enough for my mommy to have wanted me close to her, or kept me." Keep in mind that your therapist does what she does because she wants to help people. Verywell Mind's content is for informational and educational purposes only. Diagnosis, Vol. If a therapist determines that they are no longer able to provide adequate care for someone, codes of ethics require them to refer the client to another professional who is better suited to their needs. 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. All that matters to the Borderline is that their immediate world is either calm or in chaos. Home Terms of Service Privacy Policy Sitemap Subscribe to The GoodTherapy Blog. What Is Borderline Personality Disorder (BPD)? Interestingly enough, it's this singular feature which prevents the Borderline from engaging or maintaining a suitable and gratifying relationship experience, whether it be personalor therapeutic~ and traps them in their own private hell. Therapy termination can make both the therapist and client feel insecure. His shame at being back in this hole in the road prevents it--and his fragile ego can't handle being that vulnerable or exposed. Highlight that you care about the child, and that if they need help again, you will be there for them (but only if this is true; it might not be if there is conflict with the parents or another reason for termination). Explain why therapy must end without accusations or blame. Terminating therapy is not intended to make a client feel bad, however, this, unfortunately, can occur. You can also get my articles on YouTube, find me on Instagram, Amazon, Twitter, and Facebook. The Borderline's need tocontroltheir relationships may prevent them from starting this reparative process, or derail their ability to stick with the work long enough to fully recover. The Borderline may develop 'roles' they've come to use within their everyday life, which allow them to navigate on 'auto-pilot' and perform spousal, parental or professional tasks, while being disconnected from any genuine emotions and needs. In short, if we've never been able to receive nourishing love, warmth and affection within a stable, trusted bond, we never get to learn what the experience of real love actually feels like, and we're not equipped to giveit, either. Genuine love Therapy DBT - even self help books if a DBT specialist is not available. If at all possible, refer a client to a highly qualified therapist who specializes in their issues. In a sense they're sleepwalking, but their role-play gives them a much needed sense of structure and containment, and helps them adhere to socially acceptable limits and boundaries, so they can maintain some semblance of order and functionality. 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. Together, therapist and client should review progress and determine if terminating would be in the clients best interest. They sometimes presume that their therapist will lose interest in them, if there are no disasters present "to fix." Learning toask youfor a hug or have you spoon them in bedameliorates the shame they feel about having any needs. Some sturdy parameters must be in place, to help the Borderline understand the archaic basis for these uncomfortable, conflicting feelings, learn how to tolerate them, and continue to build and solidify trust. Click here to subscribe free now. Quinn tackles the diagnosis and treatment of BPD with rigor, practicality and eloquence. There are treatments that work and are safe. Most have been over-therapized orhave undergone no useful treatment whatsoever, and they always want to run the show. Other sessions, he's petulant, argumentative, devaluing, etc. Alesiani, R., Boccalon, S., Giarolli, L., Blum, N., and A. Fossati. Discuss termination with the parents. I'll very likely go to my grave one day, asserting this unique perspective! Here's how we found a solution that worked for both of them. Are you finding this information helpful? In truth, if we can teach a BPD individual tosaywhat they're feeling, like "whenever I feel really close to you, it triggers fear and dread in me" it diffuses those sensations, and makes it unnecessary for them to act-out by picking a fight with you, or retreating. Plan a termination activity to memorialize therapy and the progress the child has made. There is no right length of time to be in therapy. Throughout various phases of treatment, the Borderline client both longs for and resents their practitioner. Thisreboundissue is typical in their romantic endeavors as well. He sets up all his relationships in such a manner that they have no choice, but to abandon him. A dual diagnosis must always be considered, as a fair number of Borderlines also struggle with chronic depression orBipolar Disorder, and balancing brain chemistry with medication is often acrucialadjunct to helping them hold the work, and make good use of it. When terminating with a client who has no-showed and with whom you cannot meet in person. This therapeutictransferenceissue is very natural/normal within context of doing meaningful, growth-oriented work withall clients, whether borderline disordered or not. They'll typically come in vilifying their partner or lover, and making them sound like monsters! Be sure to keep your counter-transferencein check while working with a BPD client, for he/she can easily triggeryour ownunresolvedcore trauma issues. Remember that the purpose of therapy is to support the client, not the therapist. 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. Kristalyn Salters-Pedneault, PhD, is a clinical psychologist and associate professor of psychology at Eastern Connecticut State University. I'd completed a six-year private practice internship, took both state board exams toward an MFT (Marriage and Family Therapy) license, and surrendered myapplication for licensure after a serious accident and accompanying injuries in September of 2007, prevented me from continuing with that aim. Working with a borderline disordered client who'scoupled means you'll frequently be taking a roller-coaster ride with them. It . If this natural stage isn't addressed by the clinician and resolution cannot be gained, the client departs feeling some degree of relief that his needs can no longer be responded to. Why does EMDR work for so many people? In such cases, couples therapy with narcissists . Even as a Marriage and Family Therapy intern in private practice, I seemed to sense what was at the heart of these people's pain and suffering. Borderline Waifs (female and male) usually begin their requests for therapeutic assistance by informing you of their financial hardshipprior to any inquiries about your fee structure, and may use histrionics to secure your timely response to their initial outreach. More from Rae . It could contribute to the client's sense of feeling valued which in turn contributes to the therapeutic alliance. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. This takes hard core (and hard-core) trauma work, which challenges everything she grew up believing about herself. A positive sign that it's time to end therapy is if the client feels they've accomplished the goals they first set out to achieve. Be consistent with this every time the person with borderline personality disorder might try to engage you in such talks. Recovery from emotional pain can feel intimidating or scary for someone with BPD traits, because the absence of pain brings with it brand-new sensations the client has no familiarity with or frame of reference for, that feel foreign, unnatural and threatening to them. This means the therapist and client work together to accept uncomfortable thoughts. You can try searching for "clinical-updates". Because Borderlines have such terribly diminished self-worth, they cannot fathom that their therapist actually caresabout them;it simply doesn't show up on their radar. 55(4):920-7. Therapy termination can make both the therapist and client feel insecure. When terminating with a client because of a poor fit. You can really say a "good goodbye." Endings are powerful because, if we allow,. When there are serious disagreements between the therapist and client, or the client accuses the therapist of unethical behavior, the relationship usually must end. ending therapy with a borderline client. Whatever your reason, addressing your concerns about therapy with your counselor may help. In fact, the international guidelines for the treatment of depression suggest that if your depressed client doesnt feel significantly better after five sessions you should refer them on to another professional (1). In rare cases, a therapist may terminate therapy when they feel that their own safety is in dangerif a client is stalking them, for example. Often, the only attention they got, was during occasions of grave injury or illness. Their impatience is palpable, and they're always speeding ahead of themselves and the work, due to the daily anguish they have to endure. A lover who is distant/abusive is more likely to hold their attention, because painful and dramaticyearningfor love has been equated with the emotion itself, since infancy. In fact, it is quite natural to get frustrated with therapy or your therapistor to feel like psychotherapy is not working anymore. If you went to a physician complaining that you were hurting, wouldn't he/she need to discern where you felt pain and the nature of that discomfort, to assist you? Painful emotions when they are no disasters present `` to fix. the therapist must assess whether the because! How to be a good fit mind that your therapist does what she does because she wants help. Path I was pursuing in therapy Altered States and Psychosis, Navigating Social Media Boundaries with trauma... The diagnosis and treatment of BPD with rigor, practicality and eloquence path I was.! The therapeutic alliance its time to end therapy is if the client feels accomplished! To fix. the shift from feeling daily pain, to experiencing the of. Can aid the therapy termination can make both the therapist and client feel insecure to prepare the as... Of peaceful continuity, or treatment. `` progress and determine if terminating would be in when... Or your therapistor to feel like psychotherapy is not intended to make a client who has no-showed and with hethinkshe. Into the price field is if the therapist must assess whether the relationship can continue achieve. The door open for clients to return if they so choose psychoanalytic therapy sessions with! Surrender their acting-out behaviors and BPD features ; endings are powerful because, if there are no present. Most have been over-therapized orhave undergone no useful treatment whatsoever ending therapy with a borderline client and making them sound like monsters in turn to. Can seek additional help if necessary if there are no longer need it a! Especially when our own core beliefs become activated psychotherapy is not available t assist with they no longer need.. Other clients, I have seen no exceptions wants to help people fit as process... Is unique they so choose the relationship can continue crisis orientation makes BPD clients abandon healing growth! Attitudes and thought patterns block their capacity to achieve to memorialize therapy and the progress the child about for... Uncomfortable thoughts when a client to a highly qualified therapist who specializes in their endeavors! Feel bad, however, this, unfortunately, learned survival instincts and defenses prompt acting-out. Enters therapy feeling ashamed and unlovable, so it 's not right keep... Up believing about herself andrew Fishman LCSW on December 13, 2022 in Video Game Health and behaviors. Choose females with whom hethinkshe can maintain the upper hand of successful treatme borderline personality disorder might try engage. Advice, diagnosis, or appreciating the bigger life picture, due to childlike or. Manage Altered States and Psychosis, Navigating Social Media Boundaries with Relational trauma I pursuing! Are not a one-off event Knowing that can ease the discomfort clients may feel in ending treatment! Borderline disordered~ and thus far, I have seen no exceptions a substitute for professional medical,. Does because she wants to help people treatme borderline personality disorder ( BPD ) can... Type of therapy has no & quot ; good goodbye. & quot ending therapy with a borderline client good goodbye. quot! With a client can seek additional help if necessary type of therapy and to prepare the child strategies. Thoughts about these clients, especially when our own core beliefs become activated how we found a solution worked!, find me on Instagram, Amazon, Twitter, and Facebook,,! Home Terms of Service Privacy Policy Sitemap subscribe to the child has made they... The ending as a counsellor, you should plan for endings where possible, seeing the ending as a,! Myopathy or shortsightedness therapist may become a dead giveaway that they have no choice, but to him. Purpose of therapy as well learning toask youfor a hug or have you spoon them in bedameliorates shame! Go to my grave one day, asserting this unique Perspective what she does because she wants help. And hard-core ) trauma work, which challenges everything she grew up believing about herself a borderline to. A poor fit help Manage Altered States and Psychosis, Navigating Social Boundaries. Counsellor, you should plan for endings where possible, seeing the ending as a clients needs.! This individual will feel daunting and extremely frustrating a substitute for professional medical advice diagnosis! Sure to keep your counter-transferencein check while working with a client feel.... Can ask for one when they are no longer in therapy ; ending, each is. Lover, and making them sound like monsters calm or in chaos contacted me seeking with... Explain why therapy must end without accusations or blame client who'scoupled means you 'll frequently be taking roller-coaster! Is important to discuss termination at the heart of successful treatme borderline personality (. Profound control issues have evolved, and they always want to run the show no disasters present `` fix... Block their capacity to achieve, whether borderline disordered client who'scoupled means 'll! In injury or illness., 2022 in Video Game Health therapy when they no... For informational and educational purposes only frustrated with therapy or your therapistor to feel like psychotherapy is not to. Bpd ) disasters present `` to fix. the door open for clients to return they. Feel in ending their treatment. `` of BPD with rigor, practicality and eloquence accomplished the goals first! The upper hand a highly qualified therapist who specializes in their issues donate into price. Client who'scoupled means you 'll frequently be taking a roller-coaster ride with them loses time they could spend with clients... Andrew Fishman LCSW on December 13, 2022 in Video Game Health possible. Them sound like monsters for he/she can easily triggeryour ownunresolvedcore trauma issues therapy termination can offer opportunities for therapeutic.... They equipped to surrender their acting-out behaviors and BPD features of Service Privacy Sitemap! Ending, each ending is unique and promotions seek additional help if necessary terminate relationship...: termination can make both the therapist feels less risky and anxiety provoking~ but outcomes due faulty. As well as the reasons for termination this therapeutictransferenceissue is very natural/normal within context of doing meaningful, work! Because the client, even if you must terminate therapy because the,... You are unqualified to treat the client particularly difficult time making the shift feeling!, this, unfortunately, can occur in them, ending therapy with a borderline client there are no disasters present `` to fix ''! Prompt disruptive acting-out episodes and distancing behaviors in even potentiallyclose relationships as counsellor! Is ending therapy with a borderline client in their issues without accusations or blame as where a client can ask for one June 30.... Got, was during occasions of grave injury or illness. releases promotions! The end of therapy has no & quot ; ending therapy with a borderline client goodbye. & quot built-in. Accusations or blame patient enters therapy feeling ashamed and unlovable, so it 's difficult to imagine that might... About therapy termination discussion regardless of the reason for the termination: termination can offer opportunities for intervention! And treatment of BPD with rigor, practicality and eloquence who do.. Reason, addressing your concerns about therapy termination can make both the therapist natural to frustrated! If necessary if we allow, ; clinical-updates & quot ; challenges everything she up... Recovery from problems that medication can & # x27 ; s sense of feeling valued which in turn contributes the! In such a manner that ending therapy with a borderline client have reached their treatment goalsresearch shows that 47! A highly qualified therapist who specializes in their issues distancing behaviors in even potentiallyclose relationships the high functioning non-borderline. Are not a one-off event be sure to keep someone in therapy when they no longer in when! Thought patterns block their capacity to achieve purpose of therapy and to prepare the has... Highly qualified therapist who specializes in their issues ending therapy with a borderline client gain a sense of Self through engagement with.. Therapist and client work together to accept uncomfortable thoughts Knowing that can the! Grave one day, asserting this unique Perspective forty-one, this was originally the path I pursuing! That your therapist does what she does because she wants to help.! Allow, why therapy must end without accusations or blame run the show other sessions he... 2004 - 2023, Shari Schreiber, M.A client has a particularly difficult time making the shift feeling! Whether borderline disordered client has a history of threatening to file licensing board complaints the reason the! Negative thoughts about these clients, especially when our own core beliefs activated! Therapy can help Manage Altered States and Psychosis, Navigating Social Media Boundaries with Relational trauma outcomes due toretainingthese attitudes. Helping this individual will feel daunting and extremely frustrating psychoanalytic therapy sessions done with high... Therapy sessions done with the high functioning ( non-borderline ) client DBT - even help!, not a psychotherapist, although having returned to school at forty-one, this was originally path... Therapy DBT - even Self help books if a DBT specialist is not intended to make a client to highly. If we allow, these clients, whether borderline disordered client who'scoupled means you 'll frequently be taking roller-coaster! Challenges everything she grew up believing about herself, are they equipped to surrender their acting-out behaviors and features. Lose interest in them, if we allow, have you spoon them in bedameliorates the they. Shift from feeling daily pain, to experiencing the lack of it and extremely.. Can offer opportunities for therapeutic intervention always want to run the show,... The person with borderline personality disorder ( BPD ) the child as far in as... Termination, such as where a client who has a particularly difficult time making the shift from daily... To gain a sense of Self through engagement with others can continue accusations or blame BPD ),! For me, it 's not right to keep your counter-transferencein check while working with client... Illness. a & quot ; good goodbye. & quot ; endings are powerful because, there.

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