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Determine remaining treatment needs.
Review depressive symptoms, current interpersonal functioning,
and persistent difficulties.
Reinforce treatment gains.
Review treatment gains; review changes in standardized
depression assessment over time; explicitly discuss new skills that
Manage feelings associated with termination.
Normalize feelings of sadness and loss; differentiate
sadness from depression; probe for other feelings associated with
Draw analogies with graduation and congratulate patient
on gains made in treatment.
Avoid blaming the patient.
Blame the therapy rather than the patient for unmet treatment
needs and treatment "failures."
Provide for continuity of care.
Arrange for follow-up care (maintenance treatment, additional
treatment), as needed.
Identify potential triggers for recurrence; provide psychoeducation
about risk of recurrence; discuss use of IPT strategies to manage
stressors; establish plan for seeking treatment in the future, if