Psychotherapist ghosting is a type of inappropriate, therapist-initiated termination of treatment in which the therapist ceases communication with their patient without prior notice. A total of 77 patients (M age = 34) who reported being ghosted by their therapist completed a web-based therapist ghosting survey (TGS) that assessed their perceptions of multiple aspects of this event. Results indicated that these patients, on average, unsuccessfully attempted to contact their therapist four times following being ghosted but that the great majority never again communicated with this therapist; they attributed being ghosted to several possibilities, including their therapist's finding them too difficult, their therapist's own problems, and/or a major event in their therapist's personal life. They experienced shock, frustration, anxiety, resentment, and sadness as a result of this action, emotions that tended to dissipate over time. Given its emotional toll on patients and the ethical violation inherent in the act of ghosting, further research on the prevalence, consequences, and therapists' motives for this behavior seems imperative.
Clinical Impact StatementQuestion: What are clients' perceptions of the reasons for and consequences of their being "ghosted" by their therapist? Findings: Therapist ghosting is perceived by clients as distressing, shocking, hurtful, and unprofessional; many choose not to continue psychotherapy treatment following this experience. Meaning: Given the harmful consequences experienced by clients as a result of therapist ghosting, therapists need to be mindful of the ethical mandates regarding termination. Next Steps: Future investigation will focus on therapists' perspectives, motives, and other contributing factors, informing preventative (i.e., updated termination guidelines) measures.