Termination summary

Close the treatment properly: what happened, what changed, what remains, and what to do if it returns.

The final sessions of a planned ending, and after an unplanned one.14 fields

How this document is used well

Termination is a phase of treatment, not the absence of one. Plan it several sessions ahead; expect symptom recurrence, anger, devaluation, or a rush of new material as the ending becomes real. Naming that this is normal, and analysing it where the modality supports doing so, is often the most concentrated work of the whole course.

Abandonment

Ending a treatment the patient still needs, without adequate notice, referral, and coverage in the interim, is an ethical violation in every professional code. Where you must end — leaving a post, competence limits, non-payment — the obligations are notice, discussion, referral options, and a reasonable transition.

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Course of treatment

Client identifier*Dates of treatment and number of sessionsPresenting problem and formulation*Approach and principal interventions*Outcome measures — first, last, and reliable change

Outcome

Type of ending*

Planned — goals metPlanned — partial progressTransferred or referred onPatient ended unilaterallyEnded by therapist (relocation, competence, service limits)External — funding, relocation, health

Goal by goal: what changed*What was not addressed or not resolved*The patient’s own account of what helped

Patients frequently name something other than what the therapist thought was the active ingredient. This is worth knowing.

Looking forward

Early warning signs of relapse*What the patient will do if symptoms return*How and when they can return; booster arrangementsReferrals and ongoing supportsHow the ending itself was handled — what came up, and how it was worked with

For many patients this is the first ending anyone has done well with them. It is a therapeutic event in its own right.

8 required fields outstanding: Client identifier; Presenting problem and formulation; Approach and principal interventions …

How this document is used well

Abandonment

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What Praxical.Psych is, and is not