Which response by an adolescent during the termination of outpatient substance abuse therapy indicates the need to reevaluate the treatment plan? The adolescent:
a. says, "I'm ready to get started, but I'm just a little worried.".
b. becomes tearful, and the voice quivers while saying, "goodbye.".
c. says, "I never thought I'd be sorry to stop coming here!"
d. writes a note sharing fears of relapsing once independent.
D
Expressing doubts about readiness is also within the range of answers, but the therapist will want to work with the adolescent before termination to build support and feelings of confidence. The remaining options reflect responses within the normal range of emotional readiness to terminate.
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