Quote:
Originally Posted by piggy momma
It might feel that way, but they are ethically bound to refer you if you are not making progress. They cannot continue to take your money but be of no use for you. Whether it's a bad personality match, or you're beyond his scope of competence, or something else altogether, your T does have the right and sometimes the responsibility to refer you elsewhere.
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I know some therapists claim they have this responsibility, and I think this could apply if the therapist feels they're actively doing harm (or significantly risking harm) by continuing to see a client, but I find the idea of a therapist cutting things off because of supposed "lack of progress" to be completely disgusting in a case where the client disagrees and wants to continue. I think the responsibility to respect client autonomy is the actual ethical imperative in cases where therapy isn't harmful.
After all, why should the therapist get to impose their idea of what "progress" looks like over and above the client's?