In this episode, Kaitlyn and Kim continue their series on authentically showing up as a therapist, focusing on the challenges of late cancellations, frequent reschedules, and repeated no-shows. They explore how to hold boundaries while staying compassionate, clinically effective, and human.

Kaitlyn and Kim share strategies for navigating these situations, including how to balance flexibility with accountability, when and how to apply fees, and how to approach conversations with clients in ways that are respectful, empathic, and professional. They discuss how patterns of missed sessions can communicate important clinical information and why maintaining consistency supports therapeutic progress for both clients and therapists.

Key Takeaways:
• How to differentiate between late cancellations, frequent reschedules, and no-shows
• Understanding when flexibility is appropriate and when to hold boundaries
• Communicating scheduling expectations clearly from the first session
• Using missed sessions as an opportunity to explore client needs and engagement
• Balancing therapist self-care and empathy while maintaining professional structure
• How supervision can support boundary-setting, accountability, and clinical reasoning

Connect with us:
Website: Keystone Therapy Group
Instagram: @KeystoneTherapyGroup
Supervision:
⁠https://keystonetherapygroup.com/supervision/⁠

If this episode was helpful, leave a five-star review and subscribe for more conversations about authentic, grounded, human-centered therapy.

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.

#AuthenticTherapist #TherapistBoundaries #LateCancels #NoShows #TherapyBusiness #ClinicalSupervision #TherapistTraining #HumanCenteredTherapy #ClientEngagement #NewTherapistSupport

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/

If this episode was helpful, leave a five-star review and subscribe for more conversations about authentic, grounded, human-centered therapy.

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.

#AuthenticTherapist #TherapistBoundaries #NoShows #TherapyBusiness #ClinicalSupervision #TherapistTraining #HumanCenteredTherapy #ClientEngagement #NewTherapistSupport

In this episode, we talk about the moments in therapy when there is not a clear intervention, resource, or solution. The system falls short, your options are limited, and the client still needs you to show up. We explore how presence becomes the intervention, why it can feel uncomfortable for therapists who want to do more, and how to sit with clients through pain that cannot be immediately resolved.

Kaitlyn and Kim share the internal struggle of wanting to fix what is unfixable, how to avoid slipping into performance mode, and why genuine connection matters more than perfect technique. They discuss the tension between professional responsibility and human compassion, what it means to love your clients well in session, and how emotional attunement creates safety even when circumstances cannot change. You will also hear why supervision is essential in navigating these moments, especially when it mirrors the same stuck places you experience with clients.

Key Takeaways:
• Why presence is a legitimate and powerful therapeutic intervention
• What to do when a client’s needs exceed available resources
• How to stay regulated when you cannot offer a concrete solution
• The role of supervision in processing shared feelings of stuckness
• How authenticity and attunement build safety when nothing can be fixed

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

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

If this episode was helpful, leave a five-star review and subscribe for more conversations about authentic, grounded, human-centered therapy.

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.

#AuthenticTherapist #TherapistPresence #HoldingSpace #TherapistSupport #ClinicalSupervision #TherapyTraining #TherapistLife #HumanCenteredTherapy #ClientConnection #MentalHealthProfessionals