349 | When to End: Evaluating Client Readiness for Termination

Episode summary

In this episode, I discuss how to determine when a child is truly ready to terminate therapy. While we often focus on the beginning and middle of the CCPT process, understanding when and how to end is equally important. I walk through the four key questions that guide termination readiness — two clinical and two environmental — to help you evaluate both the child's internal progress and external regulation across all environments.

I also emphasize that termination should never be abrupt. It's an intentional process that allows the child to emotionally and psychologically prepare for the end of therapy. I share how to use your five-week parent consultations to assess readiness collaboratively, ensuring that both the clinical and environmental criteria are met before beginning the termination phase. Finally, I explain how clear articulation from the very first parent meeting sets the stage for a successful and natural ending to therapy, without premature withdrawal or high attrition.