The Prof Is In

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Re: Discharge from therapy

From: Vivian Sisskin
Date: 02 Oct 2008
Time: 12:30:30 -0500
Remote Name: 129.2.24.10

Comments

I agree with Dale that a maintenance program with the opportunity for periodic check-ins can be helpful, along with involvement in support groups. I also think it is important to prepare a client for discharge by including in the treatment plan goals for “becoming your own therapist”. These goals are aimed at problem-solving independently to reduce relapse. For example, being able to identify what a success would be in any particular speaking situation (sometimes it is using a strategy and sometimes it is JUST TALKING and not avoiding). If expectations are set realistically, then the client will be able to build on success and not “spiral down” because they could not do “on the outside” what they could do in the context of therapy. Another example would be to identify CUES that indicate the need to do a bit of structured work. If a client notices that they are beginning to use an old habit that leads to struggle, then catching this early, and implementing a plan, could prevent reverting to old habits in time.


Last changed: 10/02/08