It's also a "typical step down therapy or service" when clinics are tired or overwhelmed my the demands of clients.... When the clinic or the individual can't provide the support and/or guidance that they need to provide any longer. I'm sorry but I work in the field and I know that clinics and individual theapists feel "compassion fatigue" and refer clients for referral to group treatment because he/she can't realistically provide individual thearpy any longer. . . .now, it's one thing to talk that over with a client and it's another thing to just make that referral without the client knowing the true reason. I can't count the times that people have contacted me and said that happened to them without them being aware that the referral was being made. I get that one, two or three clients might miss that request for referral, but five, six or seven client, over the past five years saying that,doesn't sit right by me. It's wrong.