Monday matters: Losing clients

I have been a recipient of clinical supervision for about two years now. Because I do not work with other music therapists, and because I was starting to burn out working the way I was working, I found a clinical supervisor with whom I have been speaking on a weekly basis. In many of my conversations with her, I ask her for advice, support, sometimes validation, a new direction to take, and often how the quality of the music being shared between my client and me is indicative of progress or resistance (which is not to say that resistance is not progress). Over the past year, I spent most of my time with my supervisor talking and sometimes playing through my work with a particular client. Finally, last week, this client really opened up and I felt an enormous shift in the session. I was both electrified (this is how therapy really feels) and terrified (repeat: this is how therapy really feels) by this change. I believed in our process at that point– that all of the work and supervision and consideration regarding this client mattered. We had moved into another level of work.

The next day, the client was pulled from music therapy because apparently this person’s other therapists reported progress, too, and inexplicably for that reason, music therapy was no longer needed.

I could not believe it. I still cannot.

Here are three steps I’m taking to deal with this blow:

  1. Talk with my supervisor.
  2. Write about it, create about it, play about it. Consider my feelings about this abrupt termination. Recognize that this was a therapeutic relationship in which I was a member, and that I can be upset by the fact that my opinion about this sudden termination didn’t change what happened.
  3. Find peace with it somehow. We’ll see how this turns out.

I wonder what steps I’m missing. This is the hardest termination I have experienced yet.

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Looking for a peer support group? If you’re in the Minneapolis or St. Paul area, and you are a board-certified music therapist, feel free to connect with me and I will let you know about our group.

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