[ScarletPimpernel]

My fiance and I are planning to get married in October next year. When we marry, I will lose Medicaid and SSI. And none of my doctors accept the new insurance. So I have 10 months left with my Pdoc and we're starting to plan what I would like the termination to look like.

She won't give me a picture. That's okay...I got some from online. She won't give me a transitional object. She thinks that it'sunhealthy and will only make me hold onto the relationship. I know I'll probably get a hug from her. Maybe we talk about my progress?

I'm glad you've asked the question, I'm curious about this too, my ex-t urged me to do an ending with her, I'm wondering what we would have done, I will definitely do an ending with my current T, but don't know how we'd do it

I've had healthy terminations with several therapists and pdocs over the years. We simply say goodbye and best wishes. I generally gave them a card with a brief letter of thanks and appreciation. That was about it.

[Permacultural]

Generally a summary of progress made over course of therapy, key moments of change, potential stuck points, comparison of then vs now, and time to talk about life without a therapist (if relevant).

Originally Posted by Permacultural

Generally a summary of progress made over course of therapy, key moments of change, potential stuck points, comparison of then vs now, and time to talk about life without a therapist (if relevant).

That was pretty much my experience. It really wasn't at all traumatic.

[iheartjacques]

I hope I get a positive termination this time. Never had a positive ending before. Which is part of why I didn't want to walk away from current t after recent suicide attempt, or if be crying for years over that ending as well.

[divine1966]

I would ask him/her for a referral to a pdoc who takes your insurance. When my gyn retired years ago he referred me to someone whom I've been with for 15 years. My old t over 10 years ago also gave be referrals ( I didn't use it at the time)

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[ScarletPimpernel]

I don't think my Pdoc can give me referrals. She works within a clinic. That's probably her refferals. I'll ask though. I asked her if she would talk to my new Pdoc when I found one. She said no. She said she will send over my file to the new Pdoc. And she will be my Pdoc for one extra month in case I don't like my first new Pdoc.

At least I'm not in denial about this loss and have a chance to end the relationship with a good ending. Ex-T never gave me that choice. Maybe this termination will help somehow with ex-T's abandonment.

Oh. And I asked her if I really needed a Pdoc since many Primary docs prescribe mental health meds. She said, in her opinion, I will need a Pdoc because of the amount and type of meds I take.

[divine1966]

Maybe not a referral but names of other good docs she knows

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[Mygrandjourney]

Your new insurance should have a list of approved P-docs in your area. You could try to narrow it down to maybe 5-10 and ask your current P-doc is she knows any of them. Generally, formal termination does not happen, in my experience. I do think it is healthy for a lot of reasons as abandonment is a core issue for many clients in therapy/treatment and having a healthy termination helps with this. It is good that you have several months to plan this out.