Assignment: Client Termination Summary
Assignment: Client Termination Summary
NUR6640 Week 10 Assignment 1: Practicum – Client Termination Summary
Learning Objectives
Students will:
Develop client termination summaries
To prepare for Assignment: Client Termination Summary:
For guidance on writing a Client Termination Summary, review pages 693–712 of the Wheeler text in this week’s Learning Resources.
Identify a client who may be ready to complete therapy.
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The Assignment
With the client you selected in mind, address the following in a client termination summary (without violating HIPAA regulations):
Identifying information of client (i.e., hypothetical name, age, etc.)
Date initially contacted therapist, date therapy began, duration of therapy, and date therapy will end
Total number of sessions, including number of missed sessions
Termination planned or unplanned
Presenting problem
Major psychosocial issues
Types of services rendered (i.e., individual, couple/family therapy, group therapy, etc.)
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
By Day 7
Submit your Assignment.
Submission
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the following naming convention: “WK10Assgn1+lastname+first initial”.
Click the Week 10 Assignment 1 link.
midterm
FInal exam
Learning Resources
Required Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.
- Chapter 17, “Psychotherapy with Children” (pp. 597–624)
- Chapter 20, “Termination and Outcome Evaluation” (pp. 693–712)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
McGillivray, J. A., & Evert, H. T. (2014). Group cognitive behavioural therapy program shows potential in reducing symptoms of depression and stress among young people with ASD. Journal of Autism and Developmental Disorders, 44(8), 2041–2051. doi:10.1007/s10803-014-2087-9
Restek-Petrović, B., Bogović, A., Mihanović, M., Grah, M., Mayer, N., & Ivezić, E. (2014). Changes in aspects of cognitive functioning in young patients with schizophrenia during group psychodynamic psychotherapy: A preliminary study. Nordic Journal of Psychiatry, 68(5), 333–340. doi:10.3109/08039488.2013.839738
Required Media
Microtraining Associates (Producer). (2009). Leading groups with adolescents [Video file]. Alexandria, VA: Author.
Psychotherapy.net (Producer). (2002). Adlerian parent consultation [Video file]. Mill Valley, CA: Author.
Optional Resources
Psychotherapy.net (Producer). (2012). Group counseling with adolescents: A multicultural approach [Video file]. Mill Valley, CA: Author.
PLEASE PART OF THE CONTRACT IS TO HAVE IT DONE IN 12 HOURS
Sample Termination Doc – Assignment: Client Termination Summary
Identifying information of client
The client, SS, is a 68-year-old African American woman. She is married with three children and seven grandchildren. She is a retired labor and delivery nurse and lives with her husband. She has a medical history of hypertension and diabetes mellitus type 2.
Date initially contacted therapist, date therapy began, duration of therapy, and date therapy will end
The therapist was initially contacted May 4, 2018, therapy began May 11, 2018 and will end by the end November 21, 2018.
Total number of sessions, including number of missed sessions
The session is a 6 months’ therapy session. The patient will see the therapist 2 times a week, Monday and Wednesday. In total it is 48 sessions with therapist.
Termination planned or unplanned
The termination was planned.
Presenting problem
The patient experiences elevated and depressed mood. She also has addition conditions such as anxiety.
Major psychosocial issues
The patient was diagnosed with Bipolar I disorder and suffers from panic disorders.
Types of services rendered (i.e., individual, couple/family therapy, group therapy, etc.)
The patient participates in both individual and group therapies.
Overview of treatment process
The treatment decided for the patient is Cognitive Behavior Therapy (CBT). The CBT will be done with a therapist and the patient will also be attending group therapy. The duration of the treat will be for six months.
Goal status (goals met, partially met, unmet)
The goal status is partially met, because she is still in progress in her therapy sessions.
Treatment limitations (if any)
Some limitations of CBT are cost of the treatment since it is lengthy. Also if the patient does not commit themselves to getting better, the sessions will not benefit her.
Remaining difficulties and/or concerns
They are no concerns so far because she has been attended most of her individual and group therapies.
Recommendations
To come and see me once every 3 months to make sure she is getting better.
Follow-up plan (if indicated)
There is no follow-up plan as of yet.
Instructions for future contact
Patient should call therapist office if need be.
Signatures
The Termination (Assignment: Client Termination Summary)
The patient had an improved state of health and expressed personal desire to terminate the therapy having been contented with her progress. Her new academic goals had place additional time and financial constraints to her daily activities. 1st August 2019 was set as the date of terminating the therapy which the client complied with and expressed gratification for the progress she had recorded
Client’s Presenting Problem and Major Psychosocial Issues
The client is a 28-years Hispanic Latino lady who has had a disagreement with her boyfriend. Her suppressed emotions forced her to undergo psychotherapy to relive the social withdrawal and her inability to express herself. Her condition has interfered with her professional advancement because she has been experiencing tense moments characterized by traumatic thoughts. She admits having gone against the religious beliefs by cohabiting with her boyfriend
Services Rendered
The client had insomnia though she had stopped thinking about the death of her father. Therefore, the service provided targeted the insomnia with additional therapy targeting the grief about her father’s death.
Overview of Treatment Process
The client was subjected to cognitive behavioral therapy because she reported signs of traumatic nightmares, panic attacks, and insomnia (Gordon, Brandish & Baldwin, 2016). At first, it was very difficult to develop trust with the client to foster a conducive therapeutic relationship to achieve a positive outcome. Lack of concentration and inability to express personal feelings and opinion were the major therapeutic concerns for this client because she had not had sufficient psychological space for self-expression for quite a long time. However, she remained fully aware of her role of resolving conflicts in the family. Upon undergoing CBT, she overcame the negative behavioral pattern and had an improved social and relational life (Kaczkurkin & Foa, 2015). It is suspected that PTSD was responsible for the traumatic flashbacks of the tragic accident that claimed her father. It was, therefore, necessary to examine the anxiety of the client to overcome the negative thoughts and fears using exposure therapy (Kaczkurkin & Foa, 2015). Finally, the client was subjected to a sleep hygiene therapy to improve her professional and social life.
Goal Status
The client was contented with all the treatment process because she was able to express her opinions at the end of the therapy. The client also reported an increased level of social interaction with family and friends. She also improved her ability to resolve conflict with empathy (Teng et al., 2015). The patient explored her maximum desires during the therapy and thus addressed most of the impediment to her decision-making. The supportive therapy enabled the client to cope with obsessive compulsive disorder of her boyfriend as well as the grief of her father’s death. Therefore, the cognitive restructuring assesment for her behaviour addressed the insomnia and traumatic flashback as evidenced by the improved self-esteem, attention, and mood (Teng et al., 2015).
Treatment Limitations
Although all the treatment limitations were addressed, some conflicts arising during the treatment were never investigated. For instance, the issues to do with religious conflict were not addressed yet they were significant in helping the client to possess a positive religious subscription.
Remaining Concerns
There is no concern that remained addressed after the therapy and the client never raised any concern with the treatment she received.
Recommendations
It is recommended that the client continue to undergo a continuous exploratory analytic therapy for a couple of months to ensure that she maintains the significant progress in goal attainment. The additional therapy will help the client to maximize the treatment time and promote her psychological wellness to achieve an individual level of understanding.
Follow-Up and Instructions for Future Contact
The client is free to seek further medical help whenever she feels like even though no follow-up plan for her case was formally documented.
(Signed)
References
Bandelow, B., & Michaelis, S. (2015). Epidemiology of anxiety disorders in the 21st century. Dialogues in clinical neuroscience, 17(3), 327.
Gordon, R. P., Brandish, E. K., & Baldwin, D. S. (2016). Anxiety disorders, post-traumatic stress disorder, and obsessive–compulsive disorder. Medicine, 44(11), 664-671.
Kaczkurkin, A. N., & Foa, E. B. (2015). Cognitive-behavioral therapy for anxiety disorders: an update on the empirical evidence. Dialogues in clinical neuroscience, 17(3), 337.
Teng, E. J., Barrera, T. L., Hiatt, E. L., Chaison, A. D., Dunn, N. J., Petersen, N. J., & Stanley, M. A. (2015). Intensive weekend group treatment for panic disorder and its impact on co-occurring PTSD: A pilot study. Journal of anxiety disorders, 33, 1-7. Assignment: Client Termination Summary