Under which circumstances may an LPCC terminate therapy with a client?

• A. The client is moving out of state
• B. The client requests termination
• C. The client poses a danger or is not benefiting from therapy
• D. The client does not follow treatment recommendations

Answer: (C)

The option concerning the situation where a client poses a danger to themselves or others, or is not benefiting from therapy, is a valid basis for terminating therapy. In the context of ethical practice for licensed professional clinical counselors, the primary goal is to ensure the safety and well-being of clients. If a client poses a risk of harm—either to themselves or to others—this creates a serious concern that necessitates reevaluating the therapeutic relationship. Additionally, if a client is not demonstrating progress or benefit from the therapeutic process, it may be more ethical to discontinue therapy. In such cases, the counselor would typically explore alternative interventions or referrals rather than continuing in an ineffective therapeutic situation.

In contrast, a client moving out of state or making a request for termination does not warrant automatic termination of therapy, as the counselor can often assist with transitions or find ways to continue support, even if remotely. Similarly, clients not following treatment recommendations may present challenges, but this alone does not justify terminating therapy without a thorough discussion and exploration of those barriers to adherence. Termination should always be approached thoughtfully, ensuring that the client's best interests are prioritized while maintaining ethical obligations as a counselor.