In this episode, we talk about one of the most challenging and confusing parts of early clinical work: cancellations, no-shows, and inconsistent attendance. These moments bring up questions about boundaries, financial policies, client investment, and the balance between being human and being a clinician. We break down the differences between each type of missed session, how they impact the therapeutic relationship, and why your approach matters both clinically and ethically.
Kaitlyn and Kim share how these situations show up in real sessions, why new clinicians often feel guilty or unsure about charging fees, and how to understand the clinical meaning behind patterns of missed appointments. They discuss the tension between being flexible and maintaining structure, how to navigate conversations about attendance with authenticity, and why consistency is foundational to therapeutic progress. You will also hear how supervision can support you in handling these moments without slipping into performance mode or abandoning your boundaries.

Key Takeaways:
• The clinical differences between no-shows, late cancellations, and inconsistent attendance
• Why charging for missed sessions exists and how to understand client investment
• How to hold boundaries without losing authenticity or compassion
• What missed appointments can communicate clinically
• The role of supervision in navigating guilt, uncertainty, and boundary-setting
• How consistency and structure support safety in the therapeutic relationship

Connect with us:
Website: Keystone Therapy Group
Instagram: @KeystoneTherapyGroup

Supervision:
https://keystonetherapygroup.com/supervision/

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Disclaimer: This podcast is for educational purposes only and is not a substitute for clinical supervision. All information shared represents our own opinions and should not be taken as legal or clinical direction. All therapy skills discussed should be used within the scope of your experience and with appropriate clinical supervision.

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