Termination in Therapy

Some say it’s not how you start but instead it’s how you finish that truly matters. Well, that also applies to therapy! Today we’re talking about termination and all things related to concluding the therapeutic relationship.

The termination phase is the final stage in a  therapeutic treatment plan where services are suspended indefinitely with one provider or agency. Several different factors influence this outcome, some of which are treatment indicated such as having completed goals/objectives, reduced symptom frequency/severity or satisfied prescribed amount of appointments. While some reasons can be non treatment indicated, such as client/provider relocation, client financial strain, provider mismatch, client/provider change in schedule, provider closure of practice and client disengagement.

Just like in any relationship, endings can be difficult due to the bond developed, experiences shared and growth achieved while working together. It is common for both parties to exhibit a wide range of emotions during this time which can vary depending on the nature of the relationship, and may include grief and sadness, anger or frustration, shock and disappointment or gratitude and satisfaction. Emotional transference may complicate the termination process due to avoidance, which can limit the ability to achieve proper closure.

Best practice indicates providing at least one month (4 session) notice to either party involved. During this period, it is important to reflect on your shared experiences by evaluating the work completed, celebrating notable progress and considering missed opportunities or disappointment with the process. Doing so will help one work through any residual underlying sentiment and compartmentalize the experience, amplifying notable takeaways while encouraging growth through empowerment. When indicated, assisting with the transition of care is an important component of the termination process which can support the clients need for continued mental health services by referring a new therapist.

Learn more:

InspiredPractice.com

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By: Elijah Thompson, LCSW