what is psychotherapy termination 1

Client Termination Summary

Objective: Students will; Develop client termination summaries

To prepare:

  • For guidance on writing a Client Termination Summary, review pages 693–712 of the Wheeler text in the week’s Learning Resources.
  • Identify a client who may be ready to complete therapy.


Patient is a 50 year old female who presented with anxiety and depressed mood because of misunderstandings with her 18 yr old daughter, which is affecting her daily activities and life as a whole. The 18 year old daughter recently moved out of the house, bringing her adjustments and anxiety issues. She is still trying how to live without daughter and wanders about her well being and safety. Being anxious makes it difficult for her to cope with her day to day life. Client’s daughter is very jealous of her boyfriend, argues and disrespects him publicly and not wanting to have anything to do with him.

The plan was that client will have increased understanding of her relation to herself and others. Will develop the ability to be present in his life in ways that are congruent with her defined sense of self. Will explore helpful coping ways to manage overwhelming situations and improve relationships and set limits with family in a way that facilitates personal and internal growth.

Client’s boyfriend met with daughter and told her that he meant well for the entire family and client have become used to her routine alone

The Assignment

With the client you selected in mind, address the following in a client termination summary (without violating HIPAA regulations):

  • Identifying information of client (i.e., hypothetical name, age, etc.)
  • Date initially contacted therapist, date therapy began, duration of therapy, and date therapy will end
  • Total number of sessions, including number of missed sessions
  • Termination planned or unplanned
  • Presenting problem
  • Major psychosocial issues
  • Types of services rendered and type of therapy (i.e., individual therapy, CBT, client centered etc.)
  • Overview of treatment process
  • Goal status (goals met, partially met, unmet)
  • Treatment limitations (if any)
  • Remaining difficulties and/or concerns
  • Recommendations
  • Follow-up plan (if indicated)
  • Instructions for future contact
  • Signatures

References/Resources. Please you can find some other references from 2014-2018

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

  • Chapter 17, “Psychotherapy With Children” (pp. 597–624)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Bass, C., van Nevel, J., & Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents. International Journal of Behavioral Consultation and Therapy, 9(2), 4–8. doi:10.1037/h0100991

Koocher, G. P. (2003). Ethical issues in psychotherapy with adolescents. Journal of Clinical Psychology, 59(11), 1247–1256. PMID:14566959

McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow, M. A., Weisz, J. R., & Kendall, P. C. (2016). The role of setting versus treatment type in alliance within youth therapy. Journal of Consulting and Clinical Psychology, 84(5), 453–464. doi:10.1037/ccp0000081

Zilberstein, K. (2014). The use and limitations of attachment theory in child psychotherapy. Psychotherapy, 51(1), 93–103. doi:10.1037/a0030930

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