I've been thinking about terminating or at least cutting back on therapy for a while now. I've been going to the same therapist for 9 years now, and I feel like I've been making progress throughout that time. We've focussed on very different things over the years, from dealing with childhood trauma, to dealing with current crisis, my depression and cutting, my self image, and now what feels like the final hurdle to me, over coming my social phobia. It's been incredibly expensive but worth it. I guess now I'm starting to feel like I have more social supports outside of therapy and that the incremental value of therapy is starting to diminish. I'm not going to make any changes over the summer, but it is in the back of my head.

The one thing I didn't agree with, was that if after 4-6 weeks you're not seeing improvement, then maybe it's time to change to approaches. It can easily take that long to build up trust with a therapist and much longer to doing any really hard work. To me it smacks of HMO's pushing for quick results based outcomes.

--splitimage