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Any resources/tips about ending long term therapy?

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Hi!

Crying is OK. And it is entirely normal in context. Likely a sign of your progress. Not my favourite either. And your therapist, no doubt, will be happy to end in whatever way works best for you. She sounds good.

And it is so lovely to see you are doing so much better that you are wanting to end. I think it's about 3 years since we spoke. Credit to you!!

Trusting what you need and honouring your feelings sounds perfect.
 
Thanks @Teasel @Movingforward10 @Abstract

Re: crying - I think I get overwhelmed by the fact that I'm crying in the first place, and then get doubly overwhelmed that someone is witnessing it
I don't remember I used to cry that much. Probably because I used to dissociate when I got overwhelmed. (Oh, how I miss dissociation sometimes!) And I think I'm more teary in perimenopause too!

It's just extreme discomfort - so intense - and I feel such a strong need to regulate so that I stop crying asap (or, even better, that I manage to get control and stop it before it starts!)

I'm not anti other people crying. And it's not that I think I'm wrong or weak or whatever to cry. It's just the overwhelm and the intensity and the struggle to stay in control and regulated so that I can keep my thinking brain online.

I have been practising some things to say to T out loud (?!) And, even then, when I'm just practising on my own, I can't stop the tears from coming.

It's annoying because, if I'm crying, I'm overwhelmed to the point where I would have dissociated before, I can't really think, I can't really speak...and that's not very helpful if I want to have some meaningful, reflective wrap up sessions!
 
I can relate to that extreme discomfort. Awful feeling!

Can you write a few things down that you really want to be able to say, so that you can hand it to her if needs be?
 
Hi!

Crying is OK. And it is entirely normal in context. Likely a sign of your progress. Not my favourite either. And your therapist, no doubt, will be happy to end in whatever way works best for you. She sounds good.

And it is so lovely to see you are doing so much better that you are wanting to end. I think it's about 3 years since we spoke. Credit to you!!

Trusting what you need and honouring your feelings sounds perfect.
@Abstract ! Yes, it's been a while. I didn't realise you were still around these parts! It's so lovely to see you and thanks for commenting here.
I hope you're doing well and that life has been treating you kindly :-)
 
Awful feeling!
Yeah, very challenging. It can really feel unbearable. Sorry you can relate. It's hard, isn't it?



Can you write a few things down that you really want to be able to say, so that you can hand it to her if needs be?
I'm still doing online sessions as my T never went back to f2f after Covid. So, I can't physically show her anything. I mean, I could potentially upload something into a chatbot or share my screen with some notes or something. But she's so tech phobic that she has all those settings off so I can't - I don't think she deliberately set those settings, because I don't think she's ever really used those functions. I don't think she even knew they are available.I tried to explain to her once how she could use those functions / how she could allow clients to engage in those ways. But she just looked like a rabbit in headlights! She goes into a panic-induced shut down with anything tech-related!

But I'll probably write some notes for myself. Worse case scenario, I have sometimes sent her a text while we've been on a Zoom call, when I haven't been able to speak. I would do so much better if I could just do therapy via text! :-)
 
Had T today to pick up the conversation about reducing sessions/working towards wrapping up.

It was odd.

I was trying to have a discussion about what that might look like…how we might structure that…and I asked how she’d done endings with long term therapy clients before…and she just looked a bit blank and then said that she couldn’t really answer that because she didn’t really know because everyone’s different… And that we could do it however I wanted. But then no suggestions,

So, that was that!

So, I guess I just have to come up with a plan and tell her.

I feel a bit disappointed and frustrated by that. At the same time, not massively surprised by the lack of any plan.

I’m realising that the discussions around my feelings about ending therapy/losing T is tapping into - and stirring up - lots of stuff around loss in general. About my mum in particular who died very suddenly a few years ago. I think my whole system is still in shock about that. And I think that’s why it becomes so intense and gets so overwhelming so quickly when I start to talk about missing T annd saying goodbye to her. It’s incredibly painful.

I don’t want to keep going to sessions to dig into my feelings about ending therapy and stirring up all this deep stuff about loss and grief and my mum. It’s too much and I don’t want to do it.

So, I think I want to just focus any wrap up sessions on reviewing the work, my progress and achievements, and looking ahead to the future post-therapy. Rather than focusing on the feelings of loss and endings and goodbyes.

So, I just need to come up with a timeline really.

I’m finding this whole thing very draining.
 
I can totally understand what you're saying.
However, I'm wondering about the avoiding talking about the loss. Because avoiding talking about it is not going to make the loss of it all go away. You're still going to feel it. But then, without the support of T to navigate it.

Maybe there are two things:
The structure of ending. Which T isn't the best at providing.
And then the feelings about loss. Which T can provide support on. Maybe focus the discussions around that with T?

In terms of a plan to reduce and stop. What does feel ok with you?
Because it can be anything you want it to be.
Do you want to start reducing down. If so, when?
What would that reduction look like?
Or do you want a few goodbye sessions? If so, what would that look like?
 
Yes, you're right - avoiding talking about it doesn't make the feelings go away. But I honestly don't see the point in talking about it because it doesn't change anything. I know how I feel about my mum dying and I know how I feel about saying goodbye to T. I genuinely don't see how any of that will be different by talking more about it. It's just very painful and makes me teary. And I don't see the point in keep going to sessions, stirring those feelings up, having it feel acutely painful, crying (which I hate!), feeling drained by it all...and then after the end of each session, nothing's changed (apart from that I maybe feel more dysregulated and destabilised)

So, no....no more conversations focusing on loss. She doesn't have anything to say in those conversations that I find helpful. And I know that she doesn't have a plan for working on that either for ending therapy or re my mum.

It's a hard no.

In terms of a plan to reduce and stop. What does feel ok with you?
Because it can be anything you want it to be.
Do you want to start reducing down. If so, when?
What would that reduction look like?
Or do you want a few goodbye sessions? If so, what would that look like?

I really don't know. There are too many options!

At the end of the session she said something like we don't have to end things at warp speed - that we can take our time. And that maybe I want to just continue with weekly sessions while we navigate it and 'feel our way together.' Which is at odds with me saying I want to reduce session frequency probably with a view to working towards wrapping up. I feel that she is sucking me into staying in weekly therapy (not will conscious ill-intentions, I don't mean) But, when I am saying I am struggling with the idea of goodbye and that I'll really miss her and feel that I will need to disconnect and unattached after spending a decade building a relationship with her in order to 'do the work' - her suggesting that I carry on with weekly sessions while we 'feel our way together' is not that. It's keeping me in relationship, feeling attached and avoiding an inevitable ending.

I'm also still feeling unwell so don't really have the energy or capacity at the moment to work out what I need and what would be a good time line for that.

I just feel fed up with it at the moment. I feel like I wish I'd come back from our 10 week plan with a clear plan of wrapping up. As now in limbo with no plan, no structure, and T just encouraging staying in weekly therapy....so I feel I'm reconnecting more, when I need to be unattaching and disconnecting. Ugh.
 
It's hard to navigate all that. Especially as you're experiencing her as not helping to contain this.

Understood about the discussions of loss.

In terms of what reducing/ending looks like. How about thinking how long in-between sessions feels ok. Staying weekly doesn't sound an option as that seems like just continuing with no plan?
So, fortnightly for next 3-4 sessions and then see about monthly?
Or going to monthly now for 3-4 months?
And then every other month?

From my perspective, I think I am struggling (maybe because of a combination of things, maybe I would have struggled anyway though? Idk), with a total end.
I'm now at a point where I want to check in now and then. The thought of never seeing her again: too much. So in my head I will see her again and that thought helps.
So, what 'feels' doable at this moment?
 
Sorry @Movingforward10 - I didn't mean to sound so curt about the loss topic!

Staying weekly doesn't sound an option as that seems like just continuing with no plan?

Yeah, that just feels like nothing will have changed and we will just pootle on with not real purpose or direction, with me just staying in limbo, attached and no closer to wrapping up.

I need to give it more thought. But think I might wrap up sooner than I expected. But I don't want to decide when I'm unwell and feeling annoyed!
 
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