Posted by ElaineM on July 17, 2006, at 20:48:23
In reply to get kicked out?, posted by Karolina on July 16, 2006, at 23:14:11
Hey Karolina: I'd guess that there could be a couple of reasons. 1- No progress is being made, and the T suggests that they are not able to work to your benefit. They concede that your diagnosis may be out of their range of expertise. 2- You develope new symtpoms suggesting more specialized treatment. (ie. I've had to switch from regular therapy to ED treatment professionals) 3- Client developes a strong erotic transference that the T cannot manage. Or, T developes a strong counter-transference that they cannot manage, and feel referral is necessary to protect the client. 4- T is retiring, or moving. 5- I suppose a T could refer out of frustration if a client is non-compliant (though I'd guess that that wouldn't be common, unless they had a waiting list of new clients)
That's just me brainstorming. I could be wrong. I could've missed a few. Just rambling.
Most of my endings were because I was either going into treatment, or my follow-up sessions ended. I usually go T, to hospital, to T. The first lady I parted with, was really traumatic - meds were a big deal. The first time we met, she told me what pills she wanted me on, before a full history was taken. Back then, I was adamant about never trying meds. She would get so mad. Then when I stopped eating she kept threatening to certify me. She was always telling me I was "Such a silly little girl", "You're so stubborn", "Stop trying to rebel against me. You think I'm your mother?" and "Stop worrying about the same stuff month after month. You're the exact same as a year ago!" I used to sit in the chair shaking, afraid to speak. When I would, she'd cut me off to tell me I was wrong -- she was always saying that. At one point she forced me to drink a protein shake in her office, and had the forms signed on her desk ready to go, if I didn't. My anxiety was through the roof, and I was becoming suicidal (mostly due to the An). I told her I needed help right now, something anti-anxiety, because nighttimes were becoming dangerous. She kept saying no way -- only the original pills she wanted a year earlier.
A few more sessions, I let her know that I was having severe SI urges. She started yelling at me saying she didn't know why I bothered coming, and that I shouldn't ever have come. I remember begging her to not give up on me, and help me control the panic. Then she took out her prescription pad, quiet-yelled "Is this want you want? Here, take it then and go! I can't do anything else with you". Then she threw a 30day prescription for Ativan at me. I started bawling, picked it up, and stumbled out her door. I never went back. I never filled the prescription. And it took over a year for me to even take regular medicine - like antibiotics. My doctor (the one I just finished with) picked up the slack and "baby-sat" me until my name came up on the waiting list for ED inpatient.
I always think of that as her terminating me, in a way, for refusing ADs. It was terrible. It took a long time for me to realize that, if she could treat me like that, I was better far away from her. All I new at the time though, was that my world had been turned upside-down, and I was missing the person who I had grown so used to.
One other time, I was kicked out of ED outpatient treatment for refusing anti-psychotics. Another round, it was because I refused a colonoscopy!
Are you still concerned that you could be referred elsewhere? Is he still talking about you seeing an ED person?(that was you right?) Would you ever ask your T, "Out of curiousity..." what would all his reasons be for terminating a client.
EL
poster:ElaineM
thread:667642
URL: http://www.dr-bob.org/babble/psycho/20060703/msgs/667866.html