Mind Over Matter

In full-fee, self-pay, it's easy to know when to stop. When you start to feel like the value isn't there, and that you're spending money you'd be better off spending elsewhere, you start to get concerned. If you feel that way after three or four sessions in a row, you stop. No muss, no fuss.

I respect Cynthia's point of view and opinion. But I respectfully disagree. Cynthia describes what she sees as a clear-cut case for ending treatment: 3 or 4 sessions in a row that don't seem worth the price. However, in my experience as a patient and as a therapist, what Cynthia describes can be a resistance, and many times a significant breakthrough occurs if the patient discusses his or her thoughts and feelings about this with the therapist, as Ms. Zarel suggests, and works through the material that the patient is unconsciously or consciously trying to avoid.

Agree with Cynthia as when you feel you are not getting anything out of it, it's time to stop.

Similar to physical therapy, if your body is not responding you are not helping yourself.