Losing Your Provider: Navigating the Therapeutic Relationship from Beginning to End

We discuss the challenges people face when needing to find a new psychiatrist, therapist, or support group, emphasizing that while people often underestimate the difficulty of this process, it’s a crucial step in managing a long-term mental illness.
We highlight that a solid patient-provider relationship is vital and can take time to replace a trusted professional. Dr. Nicole Washington advises on the importance of maintaining an updated medical history and being active in transitioning to a new clinician to ensure continuity of care.
Gabe Howard and Dr. Washington also emphasize the effect of suddenly losing a medical professional due to retirement, relocation, or other reasons and offer guidance on smoothly transitioning to a new clinician, reassuring listeners that it’s normal to experience a range of emotions during this process.
You wouldn’t consider your psychiatrist your friend, your therapist, your friend, but it very much feels like you’ve lost someone very important. Someone who was very valuable in your journey with your bipolar disorder. And all of a sudden now they’re gone. You can feel just as much grief as if you lost a loved one, because you’ve poured so much into that person and that relationship. These are deep relationships, so don’t feel silly about why am I so sad? Don’t minimize the importance and the value that relationship brings to you. So take the time to grieve that loss. ~Dr. Nicole Washington
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[@Catlily5]

Where I live providers leave to work other places pretty frequently. I have had so many psychiatrists and counselors in 30 years (even though I am living in the same city). That I don't remember all of them. If someone is medium to good (for me) I keep them. If they are really rude or incompetent I get a new person. Most are at least medium good.