How do you determine when ongoing outpatient treatment is no longer beneficial, and it may be appropriate to transition a patient to another provider?  

To answer this question, I’d want to first set aside the issue of patient abandonment by taking it for granted that any transition would occur in a manner consistent with ethical and legal guidelines (for example, but not exclusively, those set out by the AMA, the literature, and in murky or c...

I would think that if one is asking the question, that alone indicates there are issues. We are physicians, and we are also human. First, I would consider whether there are any counter-transference issues that might be in play. Sometimes formal consultation with supervision is helpful, and other tim...