Assignment 1: – Client Termination Summary

Assignment 1: – Client Termination Summary

The client is a 27 year old African American man. He is an athlete who has stopped practicing due to an injury that is threatening to cause him a disability. The client visited the psychologist seeking help in managing his increased negative and suicidal thoughts which have overwhelmed him over the last two months. He is also overly anxious due to the fear of disability from his injury. He also experiences insomnia and panic attacks. He has however not consulted with any psychiatrist in the past. Assignment 1: – Client Termination Summary

Major psychosocial issues

The patient experiences anxiety and panic attacks. He also has insomnia as well as depression associated with suicidal thoughts. He feels helpless and hopeless and has been very irritable since he got the injury (Wheeler, 2014). He is angry at his colleague with whom he was practicing football with and blames him for his current physical situation. He has lost appetite over the last one month and energy which have made him weak physically. He also complains of persistent headache.

Types of services rendered: Individual

Overview of treatment process

The client was expected to attend one session in a week. However, his physical condition challenged his complete adherence of the sessions. The treatment therapy combined both the cognitive behavior therapy and physical therapy (Dobson & Dozois, 2019). These were effective in managing the client’s symptoms of depression through incorporation of behavioral change techniques. Cognitive behavior therapy entailed talk therapies whereby the client learnt to accept his situation to initiate successful treatment and recovery. This improved his self-confidence, trust and openness which facilitated sharing his worries with the psychologist. Assignment 1: – Client Termination Summary


The next session involved improving the client’s health and wellbeing through lifestyle change. This included healthy dieting to improve the appetite and energy. Relaxation techniques were also taught to the patient to improve their sleep patterns. Sleep hygiene and stress management was conducted to treat insomnia. Pain relieving medications were used to treat the persistent headache as the patient learn to forgive his colleague and give himself an opportunity to participate in physical exercises to enable him play upon recovery.

Goal Status

The treatment was focused on managing the depressive symptoms of the patient. During the session, multiple psychological issues resulting to depression were addressed. The client reported continuous satisfaction with the sessions and progressive improvement of his mental condition was observed. The client recovered completely from insomnia and became more social contrary to his withdrawal behavior over the course of his illness. The suicidal thoughts were also eliminated as the client learnt the importance of accepting his condition and the value of self-love and appreciation. His persistent headaches were also treated and he learnt to forgive his colleague for his contribution in the accident which caused the injury.

The therapy also addressed the patient’s self-care. This involved teaching him how to be independent regardless of the injury and in the event that he became disabled in the future. This sought to facilitate his coping and improved his engagement in physical activities that strengthened him and supported his continued preparation for sports when he recovered (Olfson, Blanco & Marcus, 2016).

Nature of Termination

The termination was planned. The patient had recovered physically and psychologically has expected even though he missed a considerable amount of sessions (Swift & Greenberg, 2015). His report showed that he had improved to his satisfaction level and was ready to venture into sporting activities even though with close monitoring. By the end of the session, he had started an athletics club in his neighborhood that helps in in practice and as well helped develop the local sporting talent. The suicidal ideations were completely gone even though with some anxiety regarding future injuries and the disability risk. The official client termination date was on Nov 25, 2016 and the he appreciated the services offered in the clinic.

Treatment Limitations

The therapy was limited by his inability to walk independently and hence the client could not engage in physical activities during the cognitive behavioral therapy (McGuire, 2009). He also missed many sessions which challenged the effectiveness of the therapy.

Remaining Difficulties and/or Concerns

The client experienced anxiety when thinking about becoming disabled in the future.


The client is recommended to engage in physical activities with other injured members of his team. He should also enroll in a physical activity center to facilitate the recovery of his physical being and be able to participate in sports in the future. Assignment 1: – Client Termination Summary

Follow-up plan

The indicated follow-up for the client involve monthly visits to the clinic to monitor their mental and physical progress.

There is no specific follow-up that was indicated for the client.

Instructions for Future Contact

The client can make consultations regarding her health in the future

______________________                                                    _______________

Counselor’s Signature                                                             Date


______________________                                                    _______________

Supervisor’s Signature                                                            Date


Dobson, K. S., & Dozois, D. J. (Eds.). (2019). Handbook of cognitive-behavioral therapies. Guilford Publications.

McGuire, J. (2009). Ethical considerations when working with older adults in psychology. Ethics & Behavior, 19(2), 112–128. doi:10.1080/10508420902772702

Olfson, M., Blanco, C., & Marcus, S. C. (2016). Treatment of adult depression in the United States. JAMA internal medicine176(10), 1482-1491.

Swift, J. K., & Greenberg, R. P. (2015). What is premature termination, and why does it occur? In Premature termination in psychotherapy: Strategies for engaging clients and improving outcomes (pp. 11–31). Washington, DC: American Psychological Association. doi:10.1037/14469-002

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. Assignment 1: – Client Termination Summary

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