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Practicum – Client Termination Summary Sample Assignment. Wr

Practicum – Client Termination Summary Sample Assignment. Write a comprehensive termination summary for a client, including presenting problem, major psychosocial issues, overview of treatment process, nature of termination, goal status, treatment limitations, remaining difficulties, recommendations, and follow-up plan.

Include discussion of therapies used (e.g., cognitive-behavioral techniques and supportive-dynamic psychotherapy), and assess outcomes such as insomnia, panic attacks, social difficulties, grief. Provide a professional termination report plus a considered conclusion with implications for future practice. Include a references section with at least ten credible sources and ensure in-text citations.

Note: The final document should be structured as a formal practicum report suitable for professional review, synthesizing clinical data, treatment rationale, progress notes, and evidence-based interpretation for ongoing practice improvement.

Paper For Above Instructions

Introduction

A termination summary documents the clinical trajectory of a client and synthesizes clinical observations, treatment rationale, progress, and implications for future care. This paper responds to the Practicum – Client Termination Summary Sample Assignment by presenting a structured termination report for a hypothetical client, integrating presenting problems, psychosocial factors, treatment modalities, outcomes, and recommendations grounded in contemporary psychotherapeutic evidence. The aim is to produce a clear, ethically sound, and practically useful summary that can inform future practice with similar clients (Boden & Thompson, 2015).

Presenting Problem

The client is a 32-year-old African American man who sought help to improve expressive capacity and social comfort in daily life. He reported persistent difficulties in expressing emotions and social anxiety that impeded professional and personal functioning, causing substantial distress and concern about future development. Anxiety was accompanied by panic episodes on occasion, contributing to sleep disruption and daytime fatigue. This presentation aligns with common clinical concerns in which communication barriers and social inhibition hinder adaptive functioning (Boden & Thompson, 2015). The client also described insomnia and grief related to the death of a close family member, which appeared to amplify daytime distress and contribute to sleep disturbance.

Major Psychosocial Issues

Key psychosocial issues included chronic insomnia, grief and mourning, family conflict surrounding life choices (e.g., living with a partner before marriage within a specific cultural context), and role strain related to occupational and personal aspirations. The client faced intergenerational expectations and cultural norms that created internal conflict about autonomy and identity, resulting in heightened anxiety and avoidance behaviors. The grief process was complicated by guilt and a sense of responsibility toward family expectations, complicating mood regulation and sleep (Dunlop, 2016; Boden & Thompson, 2015).

Overview of Treatment Process

The treatment consisted of weekly individual sessions over approximately one year, blending cognitive-behavioral techniques with supportive-dynamic psychotherapy. The integrated approach aimed to reduce insomnia and panic symptoms while fostering emotional expression and self-efficacy. Early sessions concentrated on psychoeducation about sleep hygiene, breathing techniques, self-monitoring of emotional triggers, and relaxation strategies (Kerr, 2017). As therapy progressed, the focus expanded to increasing emotional awareness, challenging maladaptive cognitive patterns, and enhancing autonomy from familial expectations (Boden & Thompson, 2015). Therapeutic alliance was strong, with the client gradually displaying greater openness and insight into personal needs and desires, though emotional expression remained challenging at times due to heightened sensitivity (Beck, 2011).

Family dynamics were addressed as part of the broader relational context. The client explored the influence of parental and familial expectations on identity formation and decisions about intimate relationships. The treatment goal was to cultivate authenticity while balancing cultural values and personal aspirations. The intervention plan incorporated sleep hygiene, progressive muscle relaxation, diaphragmatic breathing, and mindfulness-informed strategies to reduce physiological arousal related to insomnia and panic (Kerr, 2017). CBT components targeted cognitive distortions related to social evaluation and catastrophic thinking, whereas psychodynamic elements supported processing grief, unresolved conflicts, and the development of a coherent self-narrative within an adult role context (Dunlop, 2016; Maree & Di Fabio, 2018).

Nature of Termination

Termination occurred after a period of reported improvement and increased self-regulatory capacity. The client expressed satisfaction with the degree of progress, noting enhanced ability to articulate needs, manage anxiety, and pursue independent personal and professional projects. He acknowledged ongoing life demands—financial and time resources related to new responsibilities and planned marriage—that he anticipated could challenge sustained engagement with therapeutic routines. An official termination date was established, and the client was informed about the possibility of future re-engagement if difficulties recurred. The termination was unorchestrated by the client, reflecting readiness to consolidate gains and apply skills independently. However, the client missed the final planned termination session but communicated gratitude for collaboration and progress (Boden & Thompson, 2015; Kerr, 2017).

Goal Status

The primary goals—reduction of insomnia and panic episodes, improvement in emotional expression, and enhanced social functioning—were achieved to a meaningful degree. The client reported sustained sleep improvements, decreased frequency and intensity of panic symptoms, and greater confidence in expressing personal needs and boundaries. Social interactions became more comfortable, and the client demonstrated clearer career direction and improved self-care practices. These outcomes reflect clinically significant change across affect regulation, behavioral activation, and identity consolidation (Dunlop, 2016; Maree & Di Fabio, 2018). Nevertheless, residual cultural identity conflict persisted as a potential area for continued exploration in future psychotherapy (Boden & Thompson, 2015).

Treatment Limitations and Remaining Difficulties

Despite notable gains, certain challenges remained. Cultural identity conflicts related to family traditions and expectations continued to influence decision-making and self-perception, indicating the need for ongoing analytic exploration or targeted culturally informed interventions. While sleep and anxiety symptoms diminished, intermittent stress re-emerged during periods of heightened life transitions, suggesting a vulnerability that warrants monitoring and possible booster sessions (Beck, 2011; Boden & Thompson, 2015). No formal follow-up plan was indicated within the termination plan, though the client was advised to seek re-engagement if symptoms resurfaced or functional impairment recurred.

Recommendations

Recommendations include: 1) Consideration of brief follow-up sessions focused on reinforcing sleep hygiene and coping skills; 2) Engagement in brief, culturally attuned analytic work to further integrate personal identity with family and cultural values; 3) Ongoing career counseling to support continued vocational exploration and alignment with qualifications; 4) Development of a self-care routine that anticipates seasonal or life-stage stressors; 5) Contingency planning for future significant life events to maintain resilience (Russell et al., 2016; Maree & Di Fabio, 2018; Kerr, 2017).

Follow-Up Plan

The plan indicated no formal, mandated follow-up, though the client was encouraged to contact the therapist if future concerns arose. Given the risk of relapse in insomnia and anxiety during major life transitions, a low-intensity follow-up option could be considered in similar cases to sustain gains and address emergent stressors promptly (Dunlop, 2016; Boden & Thompson, 2015).

Clinical Implications

This case illustrates the value of integrating cognitive-behavioral techniques with supportive-dynamic therapy to address comorbid insomnia, anxiety, grief, and relational conflicts within a culturally informed framework. It underscores the importance of tailoring interventions to address both symptom relief and identity development in the context of family expectations. The experience supports the use of sleep hygiene, relaxation, and cognitive restructuring as core mechanisms of change, while recognizing the enduring role of cultural identity in shaping therapeutic outcomes (Beck, 2011; Boden & Thompson, 2015; Kerr, 2017; Maree & Di Fabio, 2018).

Limitations of the Report

As a synthetic termination summary, this report relies on generalized clinical vignettes derived from the provided material and does not reflect a specific, verifiable client record. The purpose is to demonstrate structured reporting, evidence-based reasoning, and the integration of multiple theoretical approaches to support clinical decision-making in practice (Beck, 2011; Boden & Thompson, 2015).

Conclusion

The termination summary demonstrates successful attainment of key therapeutic goals, notably improved sleep, reduced panic, and enhanced emotional expression and autonomy. The case also highlights ongoing cultural considerations that may warrant future attention. The integration of CBT and supportive-dynamic psychotherapy, combined with sleep-focused strategies and psychoeducation, enabled the client to pursue independent goals while maintaining social and vocational functioning. This synthesis aligns with best practices in contemporary psychotherapy, emphasizing tailored interventions, cultural sensitivity, and proactive planning for continued growth (Dunlop, 2016; Maree & Di Fabio, 2018).

References

• Boden, M. T., & Thompson, R. J. (2015). Facets of emotional awareness and associations with emotion regulation and depression. Emotion, 15(3), 399-408.
• Dunlop, B. W. (2016). Evidence-based applications of combination psychotherapy and pharmacotherapy for depression. Focus, 14(2), 201-211.
• Kerr, K. (2017). Critical Review on Relaxation Techniques. Critical Reviews in Physical and Rehabilitation Medicine, 37(3), 188-199.
• Maree, J., & Di Fabio, A. (2018). Integrating Personal and Career Counseling to Promote Sustainable Development and Change. Sustainability, 10(11), 4176.
• Russell, Z. A., Ferris, G. R., Thompson, K. W., & Sikora, D. M. (2016). Overqualified human resources, career development experiences, and work outcomes: Leveraging an underutilized resource with political skill. Human Resource Management Review, 26(2), 156-168.
• Beck, J. S. (2011). Cognitive Behavior Therapy: Basics and Beyond. Guilford Press.
• American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). American Psychiatric Publishing.
• World Health Organization. (2017). Depression and Other Common Mental Disorders: Global Health Estimates. World Health Organization.
• Seligman, M. E. P. (2004). Authentic Happiness. Free Press.
• American Psychological Association. (2013). Guidelines for Psychological Practice with Ethnic Minorities. American Psychological Association.