Both Sides of the Couch

Episode 2: When the Therapist Cancels

Kari Rusnak Season 1 Episode 2

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In this episode of Both Sides of the Couch, Kari dives into a rarely discussed topic: what happens when the therapist has to cancel. From both the professional and human sides, she explores the guilt, boundaries, and grace wrapped up in letting people down, even when it’s unavoidable.

Kari shares two deeply personal stories: the first time she ever had to cancel sessions due to sudden illness, and another when chronic pain made it impossible to follow through on plans to pick someone up from the airport. Both moments highlight how easily compassion can flow outward but how hard it can be to extend it inward.

As a therapist and a chronically ill human, Kari reflects on the emotional weight of canceling, the fear of disappointing others, and the importance of building systems, both in work and in life, that make room for humanity. She reminds listeners that being your own boss means you can (and should) treat yourself like a good boss: one who honors limits and creates balance.

The episode ends with a thoughtful takeaway:
 ✨ Reflect on how you handle cancellations—are you holding yourself to harsher standards than others? How can you align your expectations and give yourself the same empathy you’d offer someone else?

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