Client Termination
Student’s Name:
Institutional Affiliation
Course Code and Name
Instructor
Due Date
Client Termination
Termination Summary
Client Termination Summary
Name of Client: John Doe Period of therapy: 2 Months
Client’s Age: 25 Years First date of consultation: October 17, 2019
First date of therapy: February 20, 2020 Date of ending therapy: April 20, 2020
Total sessions conducted: 8 Number of sessions missed: None
Nature of the Termination
This counseling program was terminated on a planned schedule. The client was fully cooperative and faithfully attended all sessions. We had agreed on when the program would end and he availed himself at the intended date of termination.
Presenting Problem
25 year old John came to my office complaining of anxiety and depression because of losing his first child. He said that these conditions were affecting his performance at work and was also impacting his relationship with his girlfriend. He also asserted that he had previously suffered from depression after losing his parents when in college. Consequently, he was afraid of the current situation escalating into the same debilitating depression he had initially suffered. Despite the depression he had initially undergone, this was the first time he ever consulted with a psychotherapist.
Major Psychosocial Issues
John was so experiencing depression, anxiety and bouts of panic because of losing his child. He also felt he craved drinking excessively to pass out to curb his raging thoughts.
Types of Services Rendered
The counseling session first started with John, implying that it was individual therapy. Individual therapy is a strategy used in counseling that entails a client working one-on-one with a specialist to address their personal problems (California State University Channel Islands, 2020). John was initially counseled for 5 sessions, after which I advised him to bring his wife for the remaining three sessions to conduct a family therapy. Family therapy helps family members resolve their conflicts and pressing situations and improve communication (Mayo Clinic, 2020).
Overview of Treatment Process
The client came one day each week for counseling and on the fourth day of each week, I called him to find out how he was managing. Each session lasted two and a half hours. He talked about his concerns, improvements, and expectations on the first hour and I then counseled him on the concerns and advised him how to achieve his expectations. I also used cognitive behavioral therapy to help him manage the constant anxiety and the sporadic panic attacks to improve his psychological well-being. Cognitive–behavioral therapy seeks to help a person manage the negative thoughts such as depression that may exacerbate a person’s psychological well-being (American Psychological Association, 2020). On his wife, I sought to establish an affable and confidential therapeutic relationship, which helped us open up to each other.
Goal Status
The objectives of the counseling sessions were partially met because recovery as an ongoing process that would take more than two months.
Treatment Limitations
There were no major treatment limitations because John had asked for permission from his office to attend the sessions. His wife had been given maternity leave after losing her child to allow her time to grieve.
Remaining Difficulties
There were no significant concerns, although is usually called John to ensure he was not taking alcohol to escape his feelings.
Recommendations
I recommended for John to face and control his negative feelings and panic attacks and not to let them overtake his mind. I also advised him not to take drugs to cope with the negative feelings and encouraged his wife to help him cope.
Follow-up Plan
I advised the clients to visit my office after every fortnight to assess their recovery and progression.
Instructions for Future Contact
I gave John and his wife the consent to call me at any time and to visit me whenever either of them felt their condition worsening.
Signatures
Second Client
Termination Summary
Client Termination Summary
Name of Client: Jane Doe Period of therapy: 2 Months
Client’s Age: 30 Years First date of consultation: October 29, 2019
First date of therapy: February 25, 2020 Date of ending therapy: April 25, 2020
Total sessions conducted: 8 Number of sessions missed: None
Nature of the Termination
My counseling session with Jane ended as we had initially planned. She cooperated throughout the counseling program.
Presenting Problem
Jane, aged 30 years, came to my office complaining of an inability to stop using alcohol and drugs to cope with panic attacks and depression resulting from sexual abuse. She was raped a month before coming to seek my services and asserted that she could hardly sleep at night due to recurrent nightmares.
Major Psychosocial Issues
Jane was experiencing anxiety, panic and sleeplessness all directly related to her rape ordeal.
Types of Services Rendered
The counseling session employed the individual therapy approach because it is the best strategy that would help Jane increase her self-awareness, a benefit associated with this form of therapy (Portner, 2018). Enhancing her self-awareness would deal with the problem of self-denial.
Overview of Treatment Process
The client came for two days on every week because the ordeal was very recent and she was psychologically unbalanced. I created this much time for her because she had no other way of coping and could resort to harmful ways that could aggravate her situation. I employed the cognitive-behavioral therapy to help her manage the panic and anxiety and overcome the trauma to avoid escalation into depression. This is an important aspect of cognitive-behavioral therapy as noted by CRC Health (2015).
Goal Status
The counseling objectives were met partially because recovery would take more than 2 months.
Treatment Limitations
There were no major limitations in treatment because Jane was cooperative and willing to get help
Remaining Difficulties
The only remaining difficulty was ensuring that Jane would not slip into depression because of the psychological imbalance resulting from her nightmares.
Recommendations
I recommended for Jane to accept her situation because it would help her heal quicker. I also advised her to join look for other women she could confide in to encourage her to open up and relieve her mind.
Follow-up Plan
I advised Jane to visit my office after every week to evaluate her recovery and progress.
Instructions for Future Contact
I allowed Jane the freedom to visit my office at any time for the next three months to enhance the treatment outcomes.
Signatures
References
American Psychological Association. (2020). What Is Cognitive Behavioral Therapy? https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral
California State University Channel Islands. (2020). Individual counseling. https://www.csuci.edu/caps/individual-counseling.htm
CRC Health. (2015). What is Cognitive Behavioral Therapy? crchealth.com/types-of-therapy/what-is-cognitive-therapy/
Mayo Clinic. (2020). Family therapy. https://www.mayoclinic.org/tests-procedures/family-therapy/about/pac-20385237
Portner, C. (2018). The benefits of individual counseling. https://www.counselingswfl.com/benefits-individual-counseling/