Should You Consider Discontinuing Therapy? Identifying When It's Appropriate to Stop Therapeutic Sessions
Everyone has moments when they question the need for therapy, whether it's due to financial constraints, a feeling of discomfort, or the achievement of set goals. In such situations, it's essential to approach the decision carefully and thoughtfully.
Beth Westbrook, a clinical psychologist specializing in psychotherapy in Portland, Oregon, emphasizes the importance of identifying the reasons behind the desire to quit therapy or change therapists. She suggests lining up alternative support systems such as self-help groups, supportive family and friends, or a mentor to help manage any potential gaps left by therapy.
Westbrook also advises considering the reason for stopping therapy, as talking with a professional about the challenges you're facing can be difficult and therapy can take time. She notes that support groups may also help when contemplating quitting therapy.
Not every therapist may be the perfect fit, and it's natural for things to change over time. Switching to a new therapist may be necessary if there are persistent feelings of discomfort or safety concerns, if needs have changed, if progress is lacking, or if a different type of psychotherapy is desired.
The term "goodness of fit" is used by some therapists to describe the strength of the professional relationship between a client and the therapist. If the relationship with the current therapist no longer works, it's crucial to appoint a new psychotherapist who can continue the remaining therapy sessions.
Dr. Gregory Scott Brown, a psychiatrist based in Austin, discusses that a therapist will address the time expected in therapy as part of the discussion during the first session. He recommends asking questions such as "How long am I going to be in therapy?", "What are things I should expect from therapy?", and "How will I know when it's time for me to stop therapy?" during this initial appointment.
Westbrook suggests working with your therapist in setting goals for what you want to achieve and creating a timeline to accomplish those goals before quitting therapy. Devising a plan with the therapist can be the smoothest way for a transition out of therapy.
For individuals with conditions such as depression, bipolar disorder, or post-traumatic stress disorder (PTSD), quitting treatment suddenly may intensify some of your symptoms or delay your healing process. In such cases, it's essential to discuss with your therapist what other affordable options are available to manage your symptoms while you take a break from therapy.
The process of tapering therapy visits to fewer times a month can be a good place to start before quitting. Stopping therapy may be an option if all the goals set have been achieved and the skills to move on have been developed.
In conclusion, navigating the decision to quit or change therapists requires careful consideration and open communication with your therapist. By working together to set goals, create a timeline, and discuss alternative support systems, you can make an informed decision that supports your mental health journey.
