Therapy Termination Note Example & Drafting Guide

A strong therapy termination note must document the reason for discharge—whether goals were met, the patient relocated, or a higher level of care was required. It should include a summary of the treatment course, a comparison of baseline symptoms versus discharge status, and a clear plan for aftercare or referrals to ensure continuity of care. Key sections typically include the date of the final session, a summary of achieved objectives, and the clinician's final diagnostic impression.

Using an AI scribe to draft these notes prevents the loss of nuance that occurs when writing from memory days after the final session. By recording the termination encounter, the AI captures the patient's own words regarding their growth and the specific agreements made for future support. This allows the clinician to focus on the emotional closure of the therapeutic relationship while the software handles the initial structuring of the discharge summary.