I’m not concerned at all about fairness to the therapist, I’m concerned about fairness to Sarah.

I think implying that Sarah should process or accept not being cared about is harsh, whether it was directly said that way or not. Especially when it’s obvious that Sarah is deeply invested in being cared about.

I realize my post came across as sympathetic to the therapist (not my intention), but I do think based on what Sarah describes that this was a close relationship that involved a great deal of caring. If Sarah felt cared about during her therapy, I think it’s highly unlikely that an awful termination changed any of that. I think looking at it as ‘cared’ or ‘didn’t care’ is too black and white.