4.
Check-ins & Maintenance
Discharging someone that you've worked with months or even years to achieve your dream is a momentous occasion. It means we have thoroughly processed experiences, emotions, worries and dreams, and I have adequately prepared you for the next stretch of your journey. But even after we've done all of our work, former patients sometimes want (need?) to come back for a check-in. There may be new circumstances, triggers, relationships or old demons that have reared their ugly head. That is where check-ins come in handy. You don't need to start with a new therapist. You can pick up right where you left off, which makes the best use of your time, energy and money. I always make room for my former patients for both check-ins or maintenance appointments, which people request when they feel ready to spread their wings, but they aren't quite ready to fly on their own just yet. I know that someone is ready to be discharged when I hear statements like "I think someone else might need you more than me now," or "I can't tell you how much I am going to miss our time together." When those disclosures happen, it means I have done my job well.
Some of the issues we might address in a check-in could be:
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Your little sister just announced a spontaneous pregnancy
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You have run out of fertility benefits
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You have to deliver in the same hospital that you delivered your angel baby
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Your 10 year old, donor-conceived child just asked why they don't look like you