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Given the considerable number of children who come to…

“Given the considerable number of children who come to therapy begrudgingly, you might expect me to rejoice for those who come with bells on their toes. And sometimes I do. Experience has tempered my exuberance, however, since the speediest in are often also the speediest out. James, who had spent…” quote by Richard Bromfield
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““Given the considerable number of children who come to therapy begrudgingly, you might expect me to rejoice for those who come with bells on their toes. And sometimes I do. Experience has tempered my exuberance, however, since the speediest in are often also the speediest out. James, who had spent his second hour raving about his first, never came to the third or fourth. When a child too readily pleads for treatment every day or “forever,” I watch for signs of a premature desertion. The precipitant for quitting may be, not an underlying dislike of therapy, but the intolerable frustration over having so little of it.””

Richard Bromfield

About This Quote

This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation.

Therapy can be appealing at first, but over‑eagerness may lead to early dropout when expectations exceed reality.

In simple terms: Kids may quit therapy quickly if they feel it’s too little.

Key Takeaway

Balance enthusiasm with realistic expectations.

Themes

therapy expectations engagement burnout

Mood

cautious reflective

Type

clinical advisory

When to use this quote

  • initial intake
  • early sessions
  • parent counseling
  • school referrals

Key Concepts

Motivation Attachment Therapeutic Alliance

Questions to Reflect On

  • How can clinicians set sustainable expectations?
  • What signs indicate a child is at risk of premature dropout?
A Different Perspective

Some children may leave due to external pressures, not dislike of therapy.

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