Chapter 1: Understanding the Dynamics of Therapy
Therapy is intended to be a collaborative process, where the client and therapist work together to address issues and improve mental well-being. However, scenarios involving an unhelpful therapist who continues to press for sessions, even when the client feels otherwise, are not unheard of. This article aims to provide clarity on your rights and options when dealing with such a situation.
Chapter 2: The Power Struggle
Therapists are professionals offering a valuable service, one for which clients willingly pay. It is not uncommon for clients to feel frustrated when a therapist is pushing to continue, especially when the therapy is not perceived to be beneficial. This can feel like a power play, often associated with therapists trying to fill their schedules or make more money. However, from a legal and ethical standpoint, therapists do not have the authority to force clients to continue therapy sessions.
If a therapist is insisting you continue seeing them and making appointments, despite your feeling that you are not benefiting, it is important to assert your rights and take action. Do not feel you have to explain yourself or give any justification – simply use reasonable methods to cancel the appointment and limit further contact. This is your therapy, and you have the autonomy to make decisions about it.
Chapter 3: Empowering Yourself and Your Rights
Individuals in a therapeutic relationship are the ultimate decision-makers regarding the continuation of their treatment. While it is wise to consider and heed your therapist's advice, it is your prerogative to terminate therapy when you feel it no longer serves your needs. Even in a medical setting, patients have the right to leave against medical advice (AMA) as long as they sign appropriate paperwork.
It is crucial to understand that the therapy contract is a mutual agreement between the client and the therapist. As a paying client, you are entitled to make decisions that best serve your own needs. If you are an adult client, stopping payment is a powerful way to assert your right to discontinue therapy. For minors, the final decision often lies within the guardian or parents, but generally, teens have significant say in their own care.
Chapter 4: Ethical Standards and Client Rights
Licensed therapists are bound by ethical codes that mandate they act in the best interests of their clients. The National Association of Social Workers (NASW) Code of Ethics provides specific guidance on client rights and termination of services. Key Code of Ethics points relevant to this scenario include:
Termination of Services: Therapists must terminate services when such services are no longer required or no longer serve the client's needs or interests.
Self-Determination: Social workers respect and promote the right of clients to self-determination and assist clients in identifying and clarifying their goals.
No Coercion: Clients should not be coerced to stay in treatment unless a legal mandate or a threat of self-harm or harm to others is present.
These ethical standards emphasize the importance of the client's rights and their active role in the therapeutic process. If a therapist is pressuring you to continue despite your wishes, it is within your rights to request an explanation of their actions and to consider reporting the therapist if needed.
Chapter 5: Taking Action
If you feel you are being forced into continuing therapy sessions, it is important to assert your rights and consider the following actions:
Communicate Your Feelings: Speak openly with your therapist about your concerns and feelings. Express that you are not benefitting and need closure.
Cancel Appointments: Politely but firmly cancel future appointments and limit further contact.
Record Interactions: Keep detailed records of all discussions and communications with the therapist, including dates, times, and specific content.
Seek Alternative Therapists: If the current therapist is not meeting your needs, consider finding a new therapist who aligns better with your goals and expectations.
Report the Therapist (if necessary): If the therapist continues to be coercive, you may need to report them to the relevant licensing board. Contact your local licensing board for guidance on how to proceed.
It is crucial to prioritize your mental well-being and ensure that you are in a therapeutic environment that supports your needs and goals.