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The Fixed Patient Paradox: Is Therapy a Forever Subscription?
This episode examines the "fixed patient paradox," where the success of mental health treatment often leads to longer stays rather than graduation. By comparing time-limited protocols like CBT to open-ended, decade-long explorations, we question whether therapy has become a "utility bill for the soul" with no defined exit ramp. We tackle the financial incentives of the "infinite subscription" model, the risks of therapeutic drift, and the ethical dilemma of full caseloads in a world with massive waitlists. Can we move from constant "onion peeling" to actually living the life we process?…
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