19/10/2026
Imagine going to a mechanic because your car has a terrifying engine rattle. They fix the rattle, but then they tell you that you can never take your car to another garage, you shouldn't tell your family how the car runs, and if you stop coming in for weekly check-ups, the engine will fail completely. Years pass, the original rattle is long forgotten, but you are still paying them every single week just to sit in the waiting room.
That is not vehicle maintenance. That is a hostage situation.
I recently heard a story that made my blood boil. A client sat down and said, "If my therapist knew I was here, she would be furious!" This poor guy had spent years trapped with a counsellor who explicitly discouraged him from talking to anyone else about his therapy, not even his own family. He was actively told that leaving would be bad for his mental health. Meanwhile, the panic attacks he had originally sought help for had all but been forgotten.
It reminded me of the words of psychologist Joe Griffin "A good therapist should not leave footprints in the lives of their clients."
Let us be completely honest about the industry. Quite often, the problem with therapists is that they are too busy stroking their own ego, trying to be liked, and securing a regular weekly income. They become entirely reliant on the salary generated by keeping clients on the hook and relying on s**tty old software thats out of date (their experience and skill).
Any good therapist who is actually worth their paycheck will be authentic and ethical. If they realise they cannot work effectively with a person, they should signpost them to someone else and have a clear strategy.
From day one, whenever I have a client walk through my door, I have a strategy in place. The client does not know it, but I do. My ultimate goal is always to get them to where they need to be in the shortest space of time possible.
Of course, sometimes it takes longer. Mental health is a journey, and some people have to travel a very long road. I once worked with a lady who had escaped a cult. A situation like that is never a quick, "wham-bam, thank you, see you in a few sessions" fix. When you are working with individuals who carry some of the heaviest, most complex traumas, it is incredibly insensitive to try and bosh everything out in half a session.
But if you gauge it correctly, a client can move forward happily when they are given nurturing care, genuine support, and the right psychoeducation tools to build their own independence.
Knowing how to end therapy elegantly is a core therapeutic skill. It is not about throwing clients out on the street when they still need professional help. It is about setting clear guidelines from the beginning and helping them become emotionally ready to stand on their own two feet.
Once a therapist has done everything they can do, it should be: "Adios, amigos!" If I see a client again, I would honestly rather not, because it means they are thriving without me. But if I do see them, it is not a problem and it does not mean we failed.
What is a failure is keeping people trapped in a cycle of dependency for flipping years!!
With love,
Lisa@
Hello Mind X