What are ethical termination practices in PA psychotherapy?

• A. Terminate abruptly when therapy isn't progressing.
• B. Provide advance notice when possible, offer referrals, and document the termination safely.
• C. Terminate only after obtaining consent of the insurer.
• D. Terminate without documentation to avoid liability.

Answer: (B)

Ethical termination practices emphasize protecting client welfare through a planned, transparent ending that supports ongoing care. Terminating with advance notice gives the client time to process the ending, adjust plans, and address ongoing needs. Offering referrals helps ensure continuity of treatment even after you end with a client, minimizing gaps in support. Documenting the termination thoroughly—including reasons for ending, progress made, safety considerations, and the referrals provided—creates a clear, professional record that protects both the client and the clinician and guides any future care. This approach aligns with the obligation not to abandon clients and to act in their best interest.

Abrupt termination breaches the duty to avoid abandonment; relying on insurer consent as a trigger for termination overlooks the client's need for continuity and care; and ending without documentation undermines accountability and safety.