The client’s progress toward achievement of therapeutic goals was re-assessed at session 10 at which time the decision was made to commence biweekly sessions rather than weekly. Therapy was terminated after session 12 through a mutual decision by the client and therapist. Stephan entered the room, sat down and stated “I think I’m ready to try things on my own.” Termination of services through mutual decision was achieved after review of client goals, treatment plan, client self-reports of symptom distress and assessment tool scores. The client’s self- reports indicated a drastic decrease in anxiety symptoms with no anxiety attacks since session 11. Self-reports also indicated a severe decrease in depressive symp- toms and drastic improvement in social and occupational functioning. The client began dating, resumed exercise and playing music, and reported an improvement in sleep patterns with marked increase of pleasure in activities. Scores on all assess- ment measures including the ORS, OQ-45.2, GAD-7, and PHQ-9 revealed symp- tom distress below clinically significant cut-off scores indicating the absence of criterion for AD with anxiety and depressed mood.
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