ABSTRACT
There are many reasons you may not be able to work with a patient whom you have seen in an initial interview. You may feel unable to work at a fee that the patient can realistically afford, you may not have the hours or the time that the patient needs, or you may simply not feel able to work well with this particular kind of patient. As realistic as the reason may be and as carefully as you may explain it, most people feel hurt and rejected, even though they may have been ambivalent about coming. I have found that it often helps to make a careful referral.
