Bill must weigh the costs and benefits of different career paths, both within the field of therapy and outside of it. As he has no dependants, going back to school might be one option. Or, he might wish to enter private practice. Working at a lower level and hoping to move up a career ladder at a new facility, is still a possible option, despite Bill's former reservations. The therapist must try to interpret if Bill's initial despair about finding similar work was due to a hidden dislike of the job, or fear of seeking out a new career.
For example, a Stage I dialogue might go as follows:
Bill: I feel so old. I'm a failure, washed up.
Therapist: When didn't you feel too old to be a therapist?
Bill: I guess when I was just starting out.
Therapist: What has changed since then?
Bill: I don't know. This rejection.
Therapist: Do you miss your old job, or are you more hurt by the rejection?
Bill: I don't know. Both. Well, I guess in a way, the rejection. The job was kind of getting to me.
Therapist: What would be your ideal job if you faced no restrictions?
Bill: I'm not sure, I never thought about it before.
(pause)
Bill: I'd really prefer to go back to private practice, if I was going to be a therapist again. Not having to deal with all of that administrative B.S.
Therapist: What are you doing to change your situation?
Bill: (laughs nervously). Sending...
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