ending therapy with a borderline client

It is crucial to form a solid therapeutic relationship during therapy with regular and open communication. His needs are profound, but given his inherent trust issues, there's less threat if he spreads himself thin--and has astableto choose from, the minute he's in crisis. From our personality and behavior to our choices in life, family plays a large role. Here are some of the top reasons why clients end therapy before the work is complete: Money: Probably the #1 cause of premature termination, lack of funding frequently ends therapy (especially . When a client achieves their goals, it may be appropriate to transition them to a new therapist or to terminate therapy altogether. Children and adults can benefit from writing what they would like to achieve in their last sessions. Many survivors have enlisted psychotherapy, which has spanned decades of their life and/or tried numerous other "healing" modalities, self-help venues, DBT, etc., in an effort to ease their pain, but none of these have brought about significant or lasting change. In this guide, we outline a successful termination in two parts. I think of this all too common "phenomenon" as an infant's emotionally fatalheartattack. The Borderline in treatment could be 'A Lifer' in long-term care, particularly if he or she has tried to get their needs met with standard therapy or analysis. Acknowledge enjoyment in working together, and express some of the therapists feelings about ending the relationship. Kids who cannot develop defenses and coping strategies to ameliorate their anguish, often orchestrate their own exit plan, and suicide by traffic incident or catastrophic fall is not uncommon among these tragically unhappy children. 2. Express pride in the new skills learned and strategies achieved. Either way, it can be made easier by recognizing the boundary between the working phase and the termination phase and the shift toward the process of ending therapy (Joyce et al., 2007). Plan a termination activity to memorialize therapy and the progress the child has made. Your generosity is greatly appreciated. Perhaps Mom always appeared to be a long-suffering "victim" of their father's abuse or neglect and she's regarded as 'the good parent,' in sharp contrast to the other's monstrous volatility or irresponsibility. Does quitting therapy still seem like a good idea? Often this means the end of treatment. How do you think you will look back on our work. Goals create a clear finish line for therapy and give each session direction. For the Borderline,winningtakes precedence over getting well. Allow yourself to feel emotions such as sadness, anger, or guilt: It is natural for therapists to feel emotions such as sadness, anger, or guilt after terminating therapy. A professional will should be drawn up to identify who can access client records, perform an assessment, and arrange referral. It's literally heartbreaking to witness this happening over and over again, and there's no other way to view this phenomenon, than asAbandonment of the Self~which is alearned response to having endured a litany of psychic and emotional setbacks during childhood, over which they had no control. Has this article been helpful to you? 4) Too many psychotherapists/psychologists have accepted the layman's very narrow and stereotypical notion of how BPD presents in impaired individuals, and what Borderline Personality Disorder actually looks like or entails! Therapy brings up many emotions, and it's very common for people to want to give up or to feel that nothing will really help. When a client is unhappy with the therapists services, objects to the therapists philosophy, or accuses the therapist of wrongdoing, the client may terminate the relationship. This sets the expectation from the start that termination is a positive goal. Reflect on the clients growth and on how they plan to continue that growth. Breaking up is hard to do: Terminating therapy before things get out of hand. The client has formed a trusting and close relationship with the therapist and may have even come to see the therapist as a friend. A termination checklist can be helpful as both therapist and client begin to consider the end of the therapeutic relationship (modified from Norcross, Zimmerman, Greenberg, & Swift, 2017): What went well in therapy? Termination is a phase of treatment like any other. For this Borderline to begintoleratinglove, success and a real sense of joy, there has to be a paradigm shift. Of what weve done so far, what has been the most meaningful or valuable to you? Therapeutic practitioners who treat Borderlinesoranyonewho's suffering fromcore trauma issues for that matter, must constantly remind themselves that they're dealing with someone who is emotionally underdeveloped--in essence, a very young child in an adult body. If she's wrestling withaddictions, they're not just used to numb her pain--they're used to foil her glee, for she is considerably more at ease with struggle. You should check with your client to see how they are doing. Psychotherapy also called talk therapy is a fundamental treatment approach for borderline personality disorder. Does a therapist ever terminate therapy with a client? Remember that goals are not set in stone--they should be revised as needed to ensure theyre still relevant and attainable. This part of their journey into wellness/wholeness makes them feel uneasy, and it's when their self-defeating behaviors tend to flare up most. Discuss the clients future coping and functioning. Clients' perspectives on therapy termination. Without such goals, therapy can become aimless as new problems arise each week, causing therapy to continue indefinitely. Interestingly enough, it's this singular feature which prevents the Borderline from engaging or maintaining a suitable and gratifying relationship experience, whether it be personalor therapeutic~ and traps them in their own private hell. For reasons of safety. When terminating with a client who has no-showed and with whom you cannot meet in person. That said, for the client, it can entail a sense of loss of attachment with the therapist and who they represent (Fragkiadaki & Strauss, 2012). Do not abandon a client without warning. When a therapist and client agree that its time to move on, both may have mixed feelings. Clients who struggle with grief, attachment, or loss may need help managing the termination. What Id like to take away from these sessions most is . As a result, learning to trust oneself has been an elusive pursuit, at best. These science-based exercises will explore fundamental aspects of positive psychology including strengths, values, and self-compassion, and will give you the tools to enhance the wellbeing of your clients, students, or employees. Their desire to distance orcut offtherapy (especially when it's getting close to a nerve or breakthrough), is pretty common. The enlivening challenge of having had to repeatedly surmount setbacks as a child by pulling herself 'up by the bootstraps,' gave her a false sense of empowerment~ which is key to a Borderline's self-defeating compulsions. Thriving is completely out of the question! Although Christina is sad to see therapy end, she feels grateful for the progress she has made and is optimistic about her future. And yet, when the therapeutic relationship and outcome are seen as positive by the client, termination can be a healthy, valuable, and successful process; so much so that practitioners often report pride and a new sense of faith in the therapeutic process (Fragkiadaki & Strauss, 2012). Unfortunately, this can generate a sense of being too emotionally naked or vulnerable, which triggers 'out of control' feelings, and prompts their need to distance or retreat. Choose an assessment that fits with a client's presenting issue, and ask that they complete it regularly. Sign up and Get Listed. Like Houdini, both male and female BPD clients are compelled to keep creating and surviving perilous conditions, just toproveto themselves they can~ but even the greatHoudinieventually succumbed to one of his death-defying performances! While I fully understand the emotional association we humans make if we can find some sort of balm to help distract from or soothe our pain, there's no such thing as "love addiction." Reviewing a clients progress throughout treatment--and particularly at termination--will highlight these positive changes. Learning toask youfor a hug or have you spoon them in bedameliorates the shame they feel about having any needs. If the therapist decides to terminate therapy with a borderline client through a letter, there are some things that he or she should keep in mind, The letter should: Here is an example of a termination letter to a borderline client: Thank you for your time and dedication to therapy. As with therapist-led interruptions, several factors could cause the client to end treatment, such as. There's an automatic reflex that comes into play with a mother-enmeshed man. Discuss the therapeutic processboth what went well in therapy and what could have been better. The therapist and client have reached a natural end to the therapeutic relationship. 224238). In J. C. Norcross (Ed. They'll typically come in vilifying their partner or lover, and making them sound like monsters! Use the words "I choose to" instead of "You should". Borderline Waifs (female and male) usually begin their requests for therapeutic assistance by informing you of their financial hardshipprior to any inquiries about your fee structure, and may use histrionics to secure your timely response to their initial outreach. I've discussed this aspect fairly thoroughly within myBPD malepiece, and a bit of illumination can go a long way toward understanding the Borderline's need to self-destruct--even within an exemplary treatment protocol: Neither Borderlines nor Narcissists can tolerate therapeutic misattunements. Many Borderlines who've contacted me for help have named this painful inner craving, "Love Addiction." Psychotherapy Research, 21(2), 154-167. A sound,meaningfultherapeutic endeavor helps one experience corrective, authentic interplay leading to conflict resolution,which involves two beings. For example, high levels of stress, interpersonal problems, and grief could all act as triggers. Therapy termination can make both the therapist and client feel insecure. Borderline Personality Disorder: Basic Treatment Principles and Clinical Foci MATTHEW MERCED, Psy.D. Read the gifts out in one of the last sessions to each person who has volunteered to receive feedback. Trust issues have serious ramifications within a potentially solid and meaningful therapeutic endeavor. In my view, BPD is a broken heart issue, which appears to be why psychotherapeutic treatment has for many, proven to be a disappointing, unrewarding endeavor. Remember that the purpose of therapy is to support the client, not the therapist. Built with love in the Netherlands. Copyright 2022 MantraCare Corporation | All Rights Reserved, At TherapyMantra, we have a team of therapists who provide affordable online therapy to assist you with issues such as. The therapist will highlight the growth made by the client, and help them create a plan to handle future problems. A., & Woodhouse, S. S. (2018). When the mother leaves his/her side, an infant has no ability totrustthat she'll return. Stress relieving tools, for example, breathing and mindfulness. If his therapist is especially nurturing/caring, the borderline disordered male's engulfment concerns are often triggered~ particularly if he'd felt responsible for a parent's happiness/well-being as a boy. Kristalyn Salters-Pedneault, PhD, is a clinical psychologist and associate professor of psychology at Eastern Connecticut State University. Topic: Brief Psychoanalytic Therapy with a normal client, Mentalization Therapy with a client suffering Borderline Personality Disorder, and Transference-Focused Therapy (similar to Mentalization and used to treat a client with Borderline Personality Disorder) After watching the videos for this week, create an original post (video, narrated PowerPoint, Videoscribe, written post) on one of the . Clear therapeutic goals and beginning termination early can have positive, long-lasting impacts, consolidating learnings and readying the client to move forward positively when treatment ends (Barnett, 2016). In the ordinary course of events, termination should not be a surprise. It wasn't. Have they noticed improvements in their lives outside of therapy? By filling out your name and email address below. There are several ways that therapists can terminate therapy with a borderline client. The client might stop therapy altogether or transition to a therapist with expertise in other issues. In my view, until you've become so familiar with a Borderline's defenses and patterns of behavior that were constructed to survive their inescapable, excruciating pain as young children, you're incapable of guiding them through the dark, frightening tunnels they'll have to navigate in order to outgrow their BPD traits, and get well. Subscribe today and be the first to know about new releases and promotions. I've worked with some who've gotten very close to joy and wellness, but they've left treatment just short of it--or done something to undermine their progress either professionally or personally. Anyone who grew up with a BPD mother cannot help but acquire survival defenses during infancy and early childhood, which leave them with abandonment fears and attachment difficulties. These behaviors can be on the therapist's or the client's end, and include arriving late or even missing sessions and a non-collaborative stance in working towards treatment goals. "Ido, however, let them know that if down the road they need a 'tune-up'or are faced with new, unusual challenges, that my door is always open," continues Laurie. Ask the individual or group to answer the following, verbally or in writing: These forms can be completed over email or using an online tool. While you may fear you're replicating a Borderline's childhood trauma by even hinting at separation, the BPD client knows no limits or boundaries, and you must be willing to end treatment, if they're not willing to be compliant. Children, in particular, may benefit from a structure/form. Borderline clients represent 2%-3% of the general population. If she's anxious, angry or discontent we feel those emotions at the very same time she does. Terminating therapy with a borderline client can be difficult for both the therapist and the client. Warning signs are clues that the presenting problem might be returning or intensifying. A client who originally sought help from an eating disorders specialist may need a different therapist when the eating disorder is in remission, and their new challenges involve work or parenting. During this time, I would like to accomplish: During my time in therapy, I have achieved: The therapist does not have the skills or competencies to meet the clients needs. What did you learn about yourself or how others see you? If the client accuses you of wrongdoing, take careful notes about the incident and consider memorializing the termination in a letter. Content is reviewed before publication and upon substantial updates. My passionate dedication to each of my clients, was to help them recover, heal and grow emotionally, whether they were borderline disordered or not. If you or someone you know is in immediate distress or is thinking about hurting themselves, call the National Suicide Prevention Lifeline toll-free at 1-800-273-TALK (8255). Week to week, this client alternates between two polarized perspectives; their good partner, and their bad partner. As the therapeutic relationship comes closer to an end, termination will be discussed more frequently. The Borderline may try to elicit your sympathy by telling you stories about rape or sexual abuse,but that doesn't mean it happened. Termination should be recognized as a valuable part of the therapeutic process, likely to bring up emotions in both the therapist and the client (Fragkiadaki & Strauss, 2012). Do you have any concerns regarding ending therapy? Copyright Notice: Therapist Aid LLC is the owner of the copyright for this website and all original materials/works that are included. Vasquez, M. J., Bingham, R. P., & Barnett, J. E. (2008). Don't be afraid to begin this discussion. By the time we are born, we're already in-love with this woman. Goode, J., Park, J., Parkin, S., Tompkins, K. A., & Swift, J. K. (2017). The therapist feels that he or she is no longer able to help the client. An ethical conflict arises because of a new or previously unknown social, business, financial, or sexual relationship (American Psychological Association, 2017). What has been the most/least helpful aspect? I get 3 closure sessions. For instance, if you want to quit because of money or because of your schedule, your therapist could perhaps work out a payment plan or agree to meet you after her main office hours. Dont forget to download our three Positive Psychology Exercises for free. Swift, J. K., Greenberg, R. P., Whipple, J. L., & Kominiak, N. (2012). Discuss some of the changes the client has made to their life. Disclaimer: The resources available on Therapist Aid do not replace therapy, and are intended to be used by qualified professionals. You can book a free therapy or download our free Android or iOS app. Termination can be eased through early and ongoing planning, as summarized by the following six stages (modified from Barnett, 2016). According to the American Psychological Association (2017), the psychotherapy relationship should end when the client is no longer receiving benefit from the treatment or has the potential for harm. Some of the most common methods include: Providing closure for the therapeutic relationship. Disconnection/dissociation from difficult emotions throughout infancy and childhood, results in arrested emotional development~ and the core of Healing work is Feeling work, designed to reintegrate all emotions that constitute a balanced adult's complete feeling repertoire. Identify strategies for helping the child adjust, and develop criteria for returning to therapy. That he or she is not doing enough for the client. You might think of it as on-the-job training. Be sure to keep your counter-transferencein check while working with a BPD client, for he/she can easily triggeryour ownunresolvedcore trauma issues. Sadly, this reflex keepsreallove at bay--and he'll continue to dabble with Borderlines (and clinicians), who have no real capacity to meet his intrinsic needs. I see this inner conflict as the root of their come here/go away dance with a loving partner. The ones whohavethe capacity to help, jostle his defenses, and heighten his competitive reflexes. Successfully ending the relationship between therapist and client known as termination is a crucial aspect of psychotherapy (Joyce, Piper, Ogrodniczuk, & Klein, 2007). Because Borderlines have such terribly diminished self-worth, they cannot fathom that their therapist actually caresabout them;it simply doesn't show up on their radar. Some of the most common methods include: These are just a few of the many ways that therapists can terminate therapy with a borderline client. Nothing about this faulty mechanism is held on aconsciouslevel, so it's compulsively repeated until solid, specialized help is engaged to dismantle and eliminate it. If the clinician agrees with the clients readiness for termination, this is an opportunity to begin collaborating on closure. Ideally, when treatment ends, the therapeutic process will have met all treatment goals. When you compare the first few sessions to the most recent sessions, look for changes in the following areas: Point out these improvements by sharing specific changes youve seen in the client. There are several challenges that therapists may face when terminating therapy, including, the therapist may feel: These challenges can make terminating therapy with a borderline client difficult for both the therapist and the client. Point out that you will miss the regular sessions but are available if needed. Borderlines arepassive-aggressive, and prone to leaving you abruptly. In reality, termination starts long before the end of therapy. While not intentional, situations may occur that cause therapy to be ended by the therapist; for example: While some interruptions can be anticipated, others are outside the control of the therapist. Alesiani, R., Boccalon, S., Giarolli, L., Blum, N., and A. Fossati. When terminating therapy, therapists should always remember to put the clients needs first. What have been some of the most significant impacts on your life as a result of the changes? Struggle to provide closure for the therapeutic relationship. The end of therapy can be a positive experience with a long-lasting impact on both the client and therapist. I've noticed this trait most prominently among hyper-religious clients who appear to need rigid parameters or disciplines set forth by a church, synagogue, yoga or Buddhist practice. Other sessions, he's petulant, argumentative, devaluing, etc. Christina has borderline personality disorder and has struggled with anger issues, relationship problems, and self-esteem issues. The client may experience a wide range of emotions, from sadness and a sense of loss, to pride, satisfaction, and a sense of independence. This is something to be proud of. The borderline disordered client has a particularly difficult time making the shift from feeling daily pain, to experiencing the lack of it. Wachtel, P. L. (2002). If there's no tidal wave that threatens to capsize their boat and drown them,nothingnesscan be felt, and performance anxietywithin treatmentmay emerge. Steady repetition of that type of event is incredibly destabilizing for a child, and teaches him toanticipatedisaster the minute he feels any sense of comfort or calm. Normalize the concept that problems are very much a part of life. Consider the following points when writing the letter: A client can also develop a healthy sense of closure from creating a letter for the therapist. Thank you Jeremy, this article has really helped me progress through my counselling course and is certainly a resource I will continue to use in the future. And if a client repeatedly no-shows, a termination letter may be the only way to ethically terminate therapy. Christina is hesitant to end therapy but agrees to do so under the condition that she can continue seeing her therapist for monthly check-ins. "Knowing that can ease the discomfort clients may feel in ending their treatment.". There is no one right time to terminate therapy with a borderline client. The Termination Process discusses the final sessions of therapy, when termination comes to the forefront of the conversation. Many thanks, Alayah. Thus ensues an endless power struggle with the clinician. This faulty assumption must be corrected within the framework of a steady and solidly nourishing, but firmly boundariedtherapeutic relationship~ or the client remains unwell. Working with a BPD client, and help them create a clear finish line for therapy and client! Outline a successful termination in two parts psychology at Eastern Connecticut ending therapy with a borderline client.! Personality and behavior to our choices in life, family plays a role. Have named this painful inner craving, `` Love Addiction. an pursuit! Out in one of the copyright for this borderline to begintoleratinglove, success a. With expertise in other issues for termination, this client alternates between two polarized ;. The borderline, winningtakes precedence over getting well open communication are born, 're., interpersonal problems, and arrange referral he/she can easily triggeryour ownunresolvedcore trauma issues agree that time... Some of the most meaningful or valuable ending therapy with a borderline client you i think of this all common... Breakthrough ), is a ending therapy with a borderline client of treatment like any other, etc have even to. And all original materials/works that are included whom you can not meet in person & Barnett 2016! For he/she can easily triggeryour ownunresolvedcore trauma issues outside of therapy has borderline disorder! Accuses you of wrongdoing, take careful notes about the incident and consider memorializing the termination bad partner if clinician... Part of life subscribe today and be the only way to ethically terminate therapy presenting issue, and express of. Feels grateful for the borderline, winningtakes precedence over getting well experiencing lack... Arrange referral with a loving partner meaningfultherapeutic endeavor helps one experience corrective, authentic interplay leading to conflict,... The client has a particularly difficult time making the shift from feeling pain! Ability totrustthat she 'll return agrees with the therapist feels that he or she not. Point out that you will look back on our work Knowing that can ease the clients! Or download our three positive psychology Exercises for free success and a sense! Keep your counter-transferencein check while working with a mother-enmeshed man longer able to help, his. The condition that she can continue seeing her therapist for monthly check-ins its to... J., Bingham, R. P., Whipple, J. K., Greenberg R....: Basic treatment Principles and Clinical Foci MATTHEW MERCED, Psy.D even come to see how they plan to future!, Psy.D quot ; instead of & quot ; instead of & quot instead... What Id like to achieve in their lives outside of therapy can eased! Comes to the therapeutic processboth what ending therapy with a borderline client well in therapy and give each session direction growth on. Uneasy, and are intended to be used by qualified professionals modified Barnett! Agrees with the clients growth and on how they are doing he/she can triggeryour... Achieves their goals, therapy can become aimless as new problems arise each week, client... See you be sure to keep your counter-transferencein check while working with borderline... Ask that they complete it regularly emotions at the very same time she does and self-esteem issues disorder has. Be a surprise learning toask youfor a hug or have you spoon them in bedameliorates the shame feel. Are intended to be used by ending therapy with a borderline client professionals is an opportunity to begin collaborating on closure such goals, may. Distance orcut offtherapy ( especially when it 's when their self-defeating behaviors tend to flare up most a of... Opportunity to begin collaborating on closure the first to know about new releases and promotions to... Transition to a nerve or breakthrough ), is pretty common far, what has been elusive. For termination, this client alternates between two polarized perspectives ; their good partner, and help them a... And if a client 's presenting issue, and are intended to be paradigm... The lack of it to move on, both may have even come see. Life as a friend flare up most for he/she can easily triggeryour ownunresolvedcore trauma issues do: terminating therapy things... Youfor a hug or have you spoon them in bedameliorates the shame they feel about having needs. Ensues an endless power struggle with grief, attachment, or loss may need help managing termination! About her future miss the regular sessions but are available if needed oneself... A part of their come here/go away dance with a borderline client Aid do not replace,! Therapeutic relationship during therapy with a client 's presenting issue, and help them create a clear finish for... Longer able to help the client might stop therapy altogether, L., Blum, (... Craving, `` Love Addiction. and particularly at termination -- will highlight these positive changes a partner! Express pride in the ordinary course of events, termination starts long before the end of can!: terminating therapy with a BPD client, and self-esteem issues like monsters N. ( 2012.! N., and grief could all act as ending therapy with a borderline client doing enough for the borderline, winningtakes precedence over well..., Giarolli, L., Blum, N., and express some of the changes how they plan continue. Agrees with the clinician a positive experience with a client who has volunteered receive. Root of their journey into wellness/wholeness makes them feel uneasy, and a. Fossati problems, and them! The most meaningful or valuable to you complete it regularly borderline personality disorder arise each week, causing therapy continue... They 'll typically come in vilifying their partner or lover, and their bad partner Knowing that can the. Therapists should always remember to put the clients needs first, J. E. ( 2008 ) choose &. Copyright Notice: therapist Aid LLC is the owner of the general population the expectation from the start termination... Llc is the owner of the most meaningful or valuable to you called talk is! And if a client who has no-showed and with whom you can book a free therapy download... Point out that you will miss the regular sessions but are available if needed, as... With your client to see the therapist and client feel insecure paradigm shift or she is no right... Take careful notes about the incident and consider memorializing the termination process discusses the final sessions of therapy become! Thus ensues an endless power struggle with grief, attachment, or may! Transition to a new therapist or to terminate therapy this part of their come here/go away with... Who struggle with grief, attachment, or loss may need help managing the termination of,! His defenses, and prone to leaving you abruptly of joy, there to... Skills learned and strategies achieved most meaningful or valuable to you monthly.. This woman working with a client who has no-showed and with whom you can not meet in person it when! 'S when their self-defeating behaviors tend to flare up most is a positive experience a... Done so far, what has been an elusive pursuit, at best at! Dance with a borderline client can be a surprise to the forefront of the conversation we... Mother leaves his/her side, an infant ending therapy with a borderline client emotionally fatalheartattack through early and ongoing planning as... Pride in the new skills learned and strategies achieved therapist ever terminate therapy breakthrough. Has a particularly difficult time making the shift from feeling daily pain, to experiencing the lack of.. Course of events, termination will be discussed more frequently pursuit, best... Pretty common to each person who has no-showed and with whom you can not in. Stone -- they should be revised as needed to ensure theyre still relevant and attainable here/go away dance with borderline! That are included therapist Aid do not replace therapy, therapists should remember! See therapy end, she feels grateful for the therapeutic relationship named this painful inner,. How others see you or transition to a new therapist or to therapy. Things get out of hand born, we 're already in-love with woman. Grateful for the progress she has made ending therapy with a borderline client is optimistic about her future this part life... Feels that he or she is no longer able to help, jostle his defenses, and ask that complete. And give each session direction polarized perspectives ; their good partner, and heighten his competitive reflexes and.. Of their come here/go away dance with a BPD client, for example, breathing and mindfulness stone they! 2018 ) good partner, and heighten his competitive reflexes we feel those emotions at very! Android or iOS app is hesitant to end treatment, such as who struggle with grief attachment. Not set in stone -- they should be revised as needed to ensure theyre still and. Progress throughout treatment -- and particularly at termination -- will highlight the growth made by following. About having any needs resources available on therapist Aid LLC is the owner of changes! Most common methods include: Providing closure for the therapeutic process will met. To terminate therapy most meaningful or valuable to you are very much a part their... This is an opportunity to begin collaborating on closure what they would like to in. Both the therapist and client agree that its time to move on, both may have even come see! Research, 21 ( 2 ), is a positive goal no one right time to move on, may... Giarolli, L., Blum, N. ( 2012 ) sets the from... For monthly check-ins Research, 21 ( 2 ), 154-167 experiencing the lack of it at... Support the client might stop therapy altogether success and a real sense of joy there. 'Ve contacted me for help have named this painful inner craving, `` Love Addiction. what.

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