Practicum – Client Termination Summary Essay Assignment Paper
Practicum – Client Termination Summary Essay Assignment Paper
Client Termination Summary Essay
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Although termination is an inevitable part of the therapeutic process, it is often difficult for clients. However, by discussing termination throughout therapy, you can better prepare your clients for life without you. Once a client has achieved his or her therapeutic goals, termination sessions should be held and documented in a client termination summary. For this Assignment, you have the opportunity to practice writing a termination summary for a client with whom you have worked during your practicum experience.Client Termination Summary Essay
Learning Objectives
Students will:
- Develop client termination summaries
To prepare:
- For guidance on writing a client termination summary, review pages 693–712 of Wheeler (2014) in this week’s Learning Resources.
Psychotherapy for the Advanced Practice Psychiatric Nurse, Second Edition : A How-To Guide for Evidence-Based Practice. Kathleen Wheeler
- Identify a client who may be ready to terminate therapy.
Client Ready to Terminate Psychotherapy
D: Psychotherapy session attended today by 57year-old female with history of anxiety. Client revealed that since she started working in the prison, 3 years ago, that she has being experiencing anxiety. Client shared that she delivers items to inmate in the prison and has felt uncomfortable and fearful. Client describe her symptoms as tingling episode to chest, elbow down to hand and knee to lower extremities. client stated that she has seen a psychiatrist in the past and was prescribe Xanax, Lorazepam, Prozac, Sertraline, each medication was used for 2 months and she stopped taking it because patient felt shaky taking medication. But pt tolerated Sertraline 50mg and continued with for 1 year and stopped because her symptoms disappeared. Patient state that symptoms resurfaced 30 days ago. Client linked the tingling feeling on different part of her body, and abdominal upset to her job. client also shared that it difficult to be by herself, she feels anxious, sweaty palm and scared. Other group members listened attentively and shared their experienced as well. Client Termination Summary Essay
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Assignment
With the client you selected in mind, address in a client termination summary (without violating HIPAA regulations) the following:
- Identifying information of client (e.g., hypothetical name and age)
- Date the client initially contacted therapist, date therapy began, duration of therapy, and date therapy will end
- Total number of sessions, including number of missed sessions
- Whether termination was planned or unplanned
- Presenting problem
- Major psychosocial issues
- Types of services rendered (e.g., individual, couple/family therapy, group therapy)
- 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. Client Termination Summary Essay
Client Termination Summary
Patient Information
Client’s name: Charles Martin
Age: 37 years
First consultation date: September 3, 2020
Duration of therapy: 2 months
First therapy date: September 7 2020
The last therapy date: November 7, 2020
Nature of the Termination
The termination course for the counselling program was not planned. Charles suddenly changed, became uncooperative during the counseling sessions. He developed so much anger and also became violent to his caregivers. The staff tried to contain his temperament but all the efforts were futile. During his last days at the clinic Charles did not attend most of the scheduled programs. The clinic was therefore left with no other option other than withdrawing from the program and discharging him from the hospital. According to the hospital rules, such a behavior indicates non-compliance from the client and the action taken against it is forced termination.Client Termination Summary Essay
Presenting Problem
During Charles Martin’s first visit at the clinic, his main complaint was severe headache during the night. I held talks with some of his close friends who spent a lot of time with him and from their response I concluded Charles was suffering from depression. He lost both his wife and children through an accident that happened a year ago. Since the incident, Charles developed an antisocial behavior.
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Major Psychosocial Issues
Charles suffered from pronounced interpersonal relationship problems. He hardly concentrated even on the slightest task and would easily become angry. His decision making ability also became poor since he would always settle on wrong decisions. Finally, he engaged in fights and quarrels with almost every person he interacted with.
Types of Services Rendered
The counseling therapists held one-on-one sessions with Charles in a confidential, caring and safe environment. Individual treatment was used on the client for easy exploration of his behaviors and feelings. In addition, the therapists wanted the client to have ample and humble time for self-realization as well as working towards a desirable change.
Overview of the Treatment Process
Charles was scheduled for a bi-weekly supportive therapy where each session lasted for 2 hours. By the time the counseling department took a termination decision all the members in the counseling department had held successful sessions with James trying to show him the need for a positive mindset. In addition, the counseling department had planned for special programs that would nurture interpersonal relationships among the clients. The planned special programs included participating in common games and eating together.Client Termination Summary Essay
Goal Status
Charles made noticeable change since he had improved his interpersonal relationships. The client had made some friends from the therapy group by the time we decided to terminate him. However, we did not manage to formulate practical measures towards lowering the client’s temperament level.
Treatment Limitations
The therapists lacked professional ideas on how to best control Charles’s anger. The client was most of the times uncooperative and would sometimes get violent and beat the counseling professionals.
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