This document provides guidance for reviewing a client's progress after 6 months to a year of therapy, determining whether to continue with the current treatment or transition to another option. It discusses assessing the client's progress towards their goals and life changes, considering both the client and therapist's preferences for continuing or ending treatment, planning appropriate referrals and relapse prevention strategies, and ensuring a thoughtful termination process.

1. CASE
REVIEW/TERMINATING
Onward referrals

2. After 6 months/a year
Review
?diaries
?psychometrics
?other people
?Target behaviours
?life goals

3. Is progress good enough?
To finish stage 1?
To contract for longer?
To call it quits?

4. What are your options?
What does client want?
What do you want?
More DBT stage 1?
DBT stage 2?
Another therapy?
Reinforcement for success =?
Another therapist?

5. What is/might be available?
Psychological therapies
Private therapists
Stage 2 DBT?
What is client’s current resource bank?
(friends, family, other professionals,
skills, job)
Do these match what she might need to
cope with your preferred option?

6. endings
What makes a good ending?
Will there be any other form of
relationship?
Follow-up/booster sessions?
Consult group essential and monitoring
of therapist’s own feelings equally
essential
Extinction burst/abandonment/ self harm
increase

7. Onward referrals
Timing
How much to hand over?
Can PTSD be dealt with by a non-DBT
therapist after DBT Stage 1?
Will there ever be availability of Stage
3??

8. Relapse prevention
First-aid kit
Be aware of abandonment schemas
Goodbye letter
Preparation:start very early!
fading