logo
episode-header-image
Jan 2025
33m 39s

Reframing “Goodbye” as a Transition: Gui...

DAVID PUDER, M.D.
About this episode

How do we navigate therapy termination as a transition rather than a loss? In this episode, Dr. John Tarr explores the emotions, challenges, and growth opportunities that come with ending therapy. We discuss how termination triggers past attachment wounds, the psychological impact of separation, and how therapists can guide patients through this process. Learn how reframing 'goodbye' can lead to lasting transformation, self-reflection, and autonomy. Whether you're a therapist or someone in therapy, this episode provides deep insights into the complexities of closure, loss, and resilience in psychotherapy.

Link to blog.

Link to YouTube video.

 

 

Up next
Sep 26
Understanding Real Event OCD: When the Past Fuels Obsession
In this episode, Dr. David Puder is joined by OCD specialist Kevin Foss to dive deep into Real Event OCD, which is a form of obsessive-compulsive disorder where real past experiences become the focus of endless rumination, guilt, and shame. Together, they unpack the symptoms, rea ... Show More
1h 7m
Sep 16
Identity Diffusion
In this episode, Dr. David Puder and Mark Ruffalo dive into the history and theory of identity diffusion, from Kernberg’s structural model and Gunderson’s work on BPD to Akhtar’s clinical descriptions. We explore how identity diffusion shows up in patients’ lived experiences—feel ... Show More
1h 37m
Aug 29
Cannabis and Depression, Anxiety, PTSD, Sleep, and Cognitive Function Update and Review
In this episode, we explore the latest 2025 research on cannabis and mental health. Our discussion covers how cannabis use impacts depression, anxiety, PTSD, sleep, cognitive function, and cannabis use disorder (CUD). While many patients report short-term relief from symptoms, st ... Show More
1h 10m
Recommended Episodes
Nov 2024
421: Grieving your Therapist & Non-Suicidal Self-Injury
In this Q&A episode of the Hardcore Self Help Podcast, I address two insightful listener questions. The first explores coping with the end of a therapeutic relationship, while the second delves into the physical manifestations of depression and strategies to manage them. This epi ... Show More
26 m
Nov 2024
What is ISTDP? The Therapy That Transforms Emotional Healing
Show Notes for The Aspiring Psychologist Podcast Episode 154: What is ISTDP? The Therapy That Transforms Emotional HealingThis episode is a fascinating exploration of how ISTDP offers a pathway to deeply transformative emotional work, encouraging both clients and practitioners to ... Show More
46m 22s
Mar 2025
Talking about Trauma won't heal you
Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership Talking about trauma doesn’t heal trauma. For a lot of people, it makes them feel much worse especially if you have PTSD. This is one thing that sets human brains ap ... Show More
22m 17s
Sep 2022
using the narrative therapy framework to get to the root cause of your suffering
Have you ever wondered why so many mental health treatments seem to scratch the surface but don’t quite reach the root of what’s going on? For those who resonate with mental health disorder labels, the journey often begins and ends with skills-based therapies like DBT or CBT. Whi ... Show More
1h 8m
Oct 2024
186. The Power of Ketamine-Assisted Therapy with Mollie Volinsky
In this eye-opening episode, Alison and special guest Mollie Volinsky, explore the transformative potential of ketamine-assisted therapy for anxiety, depression, and overall mental health. Mollie, a skilled ketamine-assisted psychotherapy provider, shares her expertise and insigh ... Show More
48m 46s
Dec 2023
Episode 377: Preparing for Couples Therapy & Managing Depersonalization and Derealization
Hello friends! In Episode 377, we tackle two profound listener questions that shed light on unique mental health and relationship challenges. Our first discussion revolves around a listener gearing up for couples therapy. They share their apprehension about conveying years of exp ... Show More
38m 32s
Mar 2024
Episode 51: Psychedelic Therapy in ED Recovery
Today I interviewed Erika Malm, a therapist who specialises in treating trauma and eating disorders over 15 years. We discussed the complex factors that contribute to eating disorder development, the key role self-love plays in recovery, and the promising research into psychedeli ... Show More
49m 30s
Sep 2024
Exploring the Benefits of Peer-Based and Family Therapy | S4E1
Finding the right form of therapy is crucial for a new mental health journey. Host Frantzces Lys talks with Charles Daniels, who shares insights on group therapy for men, specifically fathers. He emphasizes the cultural aspects that influence fatherhood, men's mental health, and ... Show More
34m 3s
Sep 2024
Cognitive Bypassing, Traumatic Experiences, and Managing Triggers with Simone Saunders
Forrest dives into cognitive bypassing - a common strategy many of us use to avoid feeling difficult emotions - with trauma therapist Simone Saunders. Simone and Forrest discuss the connection between cognitive bypassing and trauma before exploring somatic tools that can help us ... Show More
1h 8m
Jul 23
What to do (and not do) when a relationship ends
Breakups are tough, but you don't have to navigate them alone. Join Dr. Monica Johnson as she shares psychological insights on why relationships end, what pitfalls to avoid, and how to authentically heal and rebuild your life after heartbreak. This episode will give you practical ... Show More
10m 35s