{"type":"video","version":"1.0","html":"<iframe src=\"https://www.loom.com/embed/d706339ac24a466b89cd97380d6f0f7f\" frameborder=\"0\" width=\"1756\" height=\"1317\" webkitallowfullscreen mozallowfullscreen allowfullscreen></iframe>","height":1317,"width":1756,"provider_name":"Loom","provider_url":"https://www.loom.com","thumbnail_height":1317,"thumbnail_width":1756,"thumbnail_url":"https://cdn.loom.com/sessions/thumbnails/d706339ac24a466b89cd97380d6f0f7f-45cbbc1146f03264.gif","duration":540.363,"title":"How to Discharge Clients From Therapy","description":"This Loom explains how to determine when and how to discharge therapy clients from a caseload. The presenter emphasizes that discharge is a normal, healthy part of time-limited therapy, supported by signs of diagnostic accuracy, medical necessity shifting from active impairment treatment to maintenance, and a plateau where care becomes weekly catch up. It describes three paths: graduation when the original condition resolves, a reset when an underlying condition remains, or a transition to higher level or different care when weekly outpatient is not enough. The Loom also addresses how to handle clients who resist higher care or stop attending, and what to include in the discharge note, including rationale, progress measures such as PHQ-9 and GAD-7, and documented risk conversations when applicable."}