I had a termination happen once that I would classify as somewhat vindictive, though because of the precise circumstances it wasn't nearly as negatively impact for me as it could have been. I had started seeing a psychiatrist who did both med management and therapy. After a few sessions we had a conflict over a medication issue, wherein he said some utterly ridiculous and incorrect things and we argued back and forth some. A couple of sessions later, after we'd hashed out a more reasonable medication strategy, we had what felt to me like a calm and reasonable conversation about the conflict--until he suddenly blew up at me, yelling about how if I wasn't able to trust his judgment then we shouldn't be doing therapy, and that we should scale back to medications only. I was somewhat stunned but agreed, since I wasn't going to argue with him that he should be my therapist, and I didn't want to have to suddenly find a new psychiatrist since it had been very, very difficult to find someone who took my insurance and whose schedule I could work with. I showed up for my next appointment and had barely sat down when he handed me a termination letter, and waited for me to read it rather than even just saying it out loud. It certainly felt vindictive, especially when he basically said that I'd questioned him too much and therefore he didn't want to treat me anymore. In retrospect, I dodged a bullet by not getting into any depth with him with therapy, but at the time it felt pretty awful. Not to mention the stress of having to find a new med prescriber ASAP.

Oh, and for an extra bonus, of the three referrals he included in the termination letter to meet ethics standards, two of them were clinics he knew I currently worked at or with and therefore couldn't use as a patient. The third was someone I knew was a) no longer in clinical practice and b) no longer lived in our state. When I told him this, he laughed and said I was being silly by "refusing" to receive care from colleagues, even though I had been clear that it wasn't just my personal preference (though that would have been a valid enough reason) but rather actual clinic policy that barred me from being a patient there.