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Mental health

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Question for therapists/counsellors

6 replies

MyNiftySheep · 14/01/2026 19:48

I am being vague here but would a counsellor ethically have to stop seeing a client or refer elsewhere if their client admitted to a lapse in a negative coping mechanism after a difficult session? The negative mechanism hadn't been used for 6 months but feelings got too strong one day :( not happened again since.
Weekly sessions for 18 months give or take a few missed sessions for hols etc

OP posts:
Changefromsugartolard · 14/01/2026 19:56

Not sure why you need to be vague as the appropriate response from the therapist probably depends on the details.
Are you talking about SH?

mynameiscalypso · 14/01/2026 20:00

I have SH’d after particularly difficult therapy sessions. I would discuss it with the therapist so we could agree how to reduce the risk of it happening again - for example, this might including ‘finishing’ a session 10 mins early and spending the rest of the time talking about something different or discussing different grounding techniques. It wasn’t a problem from a therapeutic perspective at all.

MyNiftySheep · 14/01/2026 20:05

Changefromsugartolard · 14/01/2026 19:56

Not sure why you need to be vague as the appropriate response from the therapist probably depends on the details.
Are you talking about SH?

Yes, SH albeit very minor form and not same as previous methods. Shame played a big part in it.

I admitted to it near towards the end of previous session. Therapist spoke about being kinder to myself and discussed tools previously covered in other sessions.

Inner critic has ramped up a lot again recently and seems to be impacting how I feel therapist perceives me and how I am responding to her.

Thank you for responding.

OP posts:
MyNiftySheep · 14/01/2026 20:08

I feel like a failure and that I have let her down.

OP posts:
MyNiftySheep · 14/01/2026 20:12

mynameiscalypso · 14/01/2026 20:00

I have SH’d after particularly difficult therapy sessions. I would discuss it with the therapist so we could agree how to reduce the risk of it happening again - for example, this might including ‘finishing’ a session 10 mins early and spending the rest of the time talking about something different or discussing different grounding techniques. It wasn’t a problem from a therapeutic perspective at all.

Thank you. I know I need to discuss it with her.

OP posts:
Changefromsugartolard · 14/01/2026 20:23

You do need to be kinder to yourself. I think
SH is so common that your therapist isn’t going to be shocked about it and you definitely haven’t let her down. 💐

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