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  • Writer's pictureHollis Lyman

The Importance of Commitment in Therapy

Updated: Feb 28

Understanding the Rules Around Late Cancellations and No Shows


Therapy is a unique and powerful journey, one that involves both dedication and perseverance. It is a path filled with challenges, but also profound opportunities for growth and self-improvement. At its core, therapy is about self-work and self-care. It's about committing to the best version of your life and crafting your world with intention.


The Nature of Therapy: Work and Care


Therapy is not a fleeting act of self-pampering; it is real self-care designed to be a time for deep investigation, growth, and relief. One day it might feel incredibly tough, while the next can be life-affirming. But the journey through therapy is never aimless. It is a contract between the therapist and the client, focusing on progress and intentional living.


When the struggles of life make it difficult to prioritize therapy, remember that those very symptoms are often the reasons you sought therapy in the first place. Engaging in therapy means committing to your needs and being accountable to the best version of your life.



Two men on a couch, one man's arm is wrapped around the other suggesting they are partners


Your Commitment and Your Therapist's Commitment


In your therapeutic relationship, both parties are committed to each other. Your therapist, Hollis, commits to being available, present, and to communicate any changes, rescheduling, or cancellations as far in advance as possible. Life and emergencies happen, but open communication is vital for the process to work effectively.


The policy on late cancellations and no-shows is grounded in mutual respect and the principles outlined above. Here's what you need to know:


1. Pausing or Ending Sessions: If a pattern of late cancellations or no-shows develops, your sessions may be paused or ended. This decision will never be punitive; it will always be discussed and understood within the context of your therapeutic relationship. 2 no shows is Hollis' boundary for pausing or ending services, and is listed in your attendance agreement if you are a client with her.

2. Referrals and Opportunities to Return: If sessions are paused or ended, Hollis will provide referrals to other clinicians who may be a better fit. Remember, you may be welcome to return when you are ready after an agreed upon break, and assuming insurance coverage and Colorado state residency.


3. Assessment and Potential Breaks: After 6 months of work, there may be an assessment to determine the need for a break. This opportunity allows you to put into practice everything you've learned and take your life to the next level.


Medicaid Considerations

Many insurances will partially reimburse a clinician for no-show or late cancel appointments. Medicaid does not, and it does not allow a clinician to charge you either. For therapists who take on many clients with Medicaid this puts them at financial risk and also requires fair but firm rules around missing appointments. Missing 2 appointments can cost a therapist $200-$300, oof!


Conclusion: The Value of Boundaries and Commitment


The rules around cancellations and no-shows are not arbitrary constraints; they are an extension of the therapeutic practice and its focus on intention, growth, and self-improvement. These guidelines foster a sense of responsibility and align with the principles of therapy itself.


Your commitment to therapy shows courage and dedication. Your therapist is proud of you for being here, and together, you can embark on a path to a more fulfilled and intentional life. Therapy may have no fixed timeline, but it does have a profound impact on those willing to fully engage in the process.


Here's to your journey towards leveling up your life!


The Importance of Commitment in Therapy



View from behind a man over his shoulder looking at a woman on a couch with her hands in prayer as she looks away

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