I understand that a termination letter is a clinical document, and that given that it goes in my chart, there's only so much you can say. You summarized parts of my treatment well. You also left out giant portions of it, or sanitized it through clinical language. A lot of what was left out felt like the core of the work to me.

It saddens me deeply to feel as if, after all of this time, you really don't know me at all. The thing that I feared most came true, and you hid behind some revisionist version of events that made you out not only to not be the bad guy, but to be acting in an ethical manner.

I don't understand at all why you would ask me to let you know that I received your letter. If you really needed confirmation of its receipt, you should have sent it as certified. I can't help but think that what you really needed confirmation of was the fact that you had made the right decision to abruptly cut off therapy. And yes, no matter how you try to rationalize your actions, I would think it would be difficult to deny that giving me two days advanced notice before our last session (which you deemed our last session, by the way) was not an abrupt decision.

I feel hurt that you didn't (and don't, as evidenced by your letter), appear to feel compelled to try to understand my point of view and to try to do things better.

Again, I understand that a termination letter, designed to cover your butt, can't convey much of anything useful to me. Your "hopes" for me were all of the most generic kind.

You have completely devastated me. Even if you can't acknowledge it to me, I need you to know this.