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A doorknob confession is a term used by some clinicians/[therapists] to define the phenomena of the person receiving therapy, or the client, to divulge something incredibly important or critical in the last few minutes of a [therapy session]. The content of the "confession" is important enough to cause the session to go on longer than originally planed and may include themes such as: a death in the family, suicidal/self harming thoughts or actions, a [relationship] crisis, drastic change in living situation, ect.
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