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Termination of Treatment with a Client

Think about the processes of terminate treatment with a client.
-How will you consider the clients' experiences with endings, as you plan for your own termination with them? (It can be a fictional client)
-How would you assist the clients to make a transition to a new counselor, or make plans for other services or resources they may need after they end their therapy with you?
-In what ways might these terminations affect the closure of your cases?
-How will you prepare to address any feelings or counter-transference issues that emerge during termination with the clients?
-Are there any rituals or other specific interventions that you might include as part of the termination process?
-How do these interventions align with the theoretical approach you are using with these clients?
How will you know if they are effective?

Solution Preview

Think about the processes of terminating treatment with a client:

(1) How will you consider the clients' experiences with endings, as you plan for your own termination with them? (It can be a fictional client)

Termination as an appropriate ending of therapy should not end abruptly, or in a session where termination has been discussed (Hillard & Guthrie 2002). According to Hillard and Guthrie, an abrupt ending can be stressful for a client, because "breaking up presents a challenge for both therapist and client. They recommend negotiating the end of treatment with the client, and making arrangements for follow-up care and treatment. Further, they assert that the termination of therapy should be a smooth transition from regular counseling sessions for wrapping up in a way that the client does not feel abandoned. For many clients, the experience of parting with the therapeutic atmosphere in which they are acknowledged, accepted, and validated unconditionally while mitigating life circumstances can range from hopeful to anxiety provoking (Lenz, Zamarripa, & Fuentes, 2012).

(2) An explanation of how you would determine when to end therapy and how you might proceed.

Therapy should be ended when it is recognized that the client has improved, or he or she is beyond the help tht the therapist can provide. Thus, the therapist should explain why the therapy is no longer needed. First, as Lenz et al (2012) recommend a plan is necessary to make the termination by indicating why the therapist feels the therapy should come to an end. The matter should also be discussed with the client for his or her input on the benefits and/or failure of the therapy. More important as Lenz et al point out, the client must not be made to feel abandoned or rejected.
Howe (2008) suggests several ways to avoid this type of "cut and run" scenario ...

Solution Summary

This solution is focused how and when to terminate therapy. The rituals and other interventions used are determined.

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