Clinical Topics & Methods Category

When Therapy Ends: The Good, the Bad and the Ugly

1.5 CE Hour
4 members have taken this course
Skip to Course Registration Info

This course has been retired. We regularly update our course catalog to ensure relevance.

Try these categories:

About the Course

The end of therapy is a challenging time, for clients and for therapists. Whether the client has done the work and is ready to move on – completed Stage Three of treatment – or therapy ends before that process is complete. In Stage Three, as clients move past dissociation as a defense, they address therapeutic concerns central to the sense of self. Existential questions arise, “Who am I? What does it mean to be me? How do I cope in an emotionally intimate relationship? How do I manage shame, conflict, other big feelings, and life issues while remaining present and connected? How do I grieve what was lost, all the time caught up in trauma?” When therapy ends before the client has completed Stage Three, the process becomes more complicated. Attachment and abandonment issues are intense, with emotions frequently difficult for both client and therapist. This workshop addresses issues and questions inherent in the third stage of trauma treatment, and issues faced when therapy ends prematurely, helping clients and therapists deal with the emotions of healing and letting go, and taking pride in using authentic life skills to create their future and their identity.

This course is based on the recorded webinar, When Therapy Ends: The Good, the Bad and the Ugly created by Lynette Danylchuk, PhD et al in 2020.

Publication Details

Publication Date: 12:00pm-1:30pm EST 2/7/20

Course Material Authors

Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Lynette Danylchuk, PhD

Lynette Danylchuk, PhD, has been working in the trauma field since mid-80, starting with Vietnam Vets and people with DID. She served 12 years on the original Board of Directors of Survivorship, and then worked for the Board of the Star Foundation for several more years. She had her private practice in San Mateo, California, where, in addition to working with clients, she did (and continues to do) periodic consultation and teaching where she sees a need, including a local graduate school, juvenile hall, or the county trauma-informed services conference. Lynette has been adjunct faculty to graduate schools in the San Francisco area where she has taught, and been a dissertation chairperson. She has given keynote speeches and workshops across the state and at annual conferences of the International Society for the Study of Trauma and Dissociation (ISSTD). Lynette is a Past President of ISSTD .She has been an active society member since 1996. She has chaired the Volunteer Committee, and the Professional Training Program. She is currently a member of the Board of Directors, the Executive Committee, the Conference Committee, the PTP Task Force, the EMDR/PTP Task Force, and Chair of Certificate Program Committee, and the UN Task Force

Kevin Connors, MS, MFT

Kevin J. Connors, MS, MFT is a licensed Marriage & Family Therapist in private practice in Long Beach, California and a frequent national and international presenter on complex trauma and dissociative disorders. He is co-author of Treating Complex Trauma and Dissociation: A practical guide to navigating therapeutic challenges. Kevin is the Senior Vice President at California Southern University in Costa Mesa, California directing the Hecht Trauma Institute, a global academic institution dedicated to advancing the education of clinicians treating interpersonal trauma. He is a Fellow and Past President of the International Society for the Study of Trauma and Dissociation (ISSTD) and served as Chair of their Annual Conference Committee for 8 years. Kevin also serves as Chair of the Institute on Violence, Abuse, & Trauma’s International Summit Planning Committee’s Adult Survivors of Childhood Maltreatment Track and as an Advisory Board Member to the National Partnership to End Interpersonal Violence. Kevin is currently exploring the role of shame and powerlessness in clients with complex trauma and dissociative disorders as well as in investigating the prevalence of dissociation among the general psychiatric population.

Course Creator

Sandi Cardaman

Sandi Cardaman has been a Licensed Mental Health Counselor for more than 15 years. She has worked with eating disorders, domestic violence and clients who are working with the dependency system.

Target Audience

Counselors, marriage and family therapists, psychologists and social workers, particularly those who work with sexual violence and ritual abuse. This course is appropriate for intermediate levels of knowledge.

Learning Objectives

After taking this activity, you should be able to:

  1. 1 Identify the underlying psychological mechanisms for the intergenerational transmission of sexual violence
  2. 2 Critically assess social responses to ritual abuse through object relations theory
  3. 3 Develop new insights into the treatment of ritual abuse within service systems that may not recognise ritual abuse as a specific form of sexual exploitation

Disclosure to Learners

CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

Planners and Reviewers

The planners of this activity have reported that they have no relevant financial relationships.

Material Authors

There are no known relevant financial relationships to disclose.

Course Creator

Sandi Cardaman – None to report.

Commercial support

There is no commercial support for this distance-learning course.

Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (FL CSW, MFT, MHC)

1.5 CE credit hour
Eligible until Mar 27th, 2027
Impact CE, a service of CE Learning Systems, is approved by the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (Provider # 50-315).
More Info

Florida Board of Psychology

1.5 CE credit hour
Eligible until Dec 31st, 2030
Impact CE, a service of CE Learning Systems, is approved by the Florida Board of Psychology (Provider # 50-315).
More Info

New York Education Department Board of Social Work

1.5 contact hour
Eligible until Mar 30th, 2027
CE Learning Systems, LLC, (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers. Provider #0060.
More Info

New York Education Department Board of Mental Health Counseling

1.5 CE credit hour
Eligible until Jul 29th, 2026
CE Learning Systems, LLC (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0072.
More Info

New York Education Department Board of Psychologists

1.5 CE credit hour
Eligible until Dec 29th, 2026
CE Learning Systems, LLC, (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for psychologists, # PSY-0016.
More Info

New York Education Department Board of Marriage and Family Therapy

1.5 CE credit hour
Eligible until May 30th, 2027
CE Learning Systems, LLC (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists #MFT-0045.
More Info

Course Material

This material is available to purchase for $45.00.

This course material is published by ISSTD. For your convenience, has partnered with ISSTD to make it available for purchase right here.

Course Material

References for Presentation

Access Course Material

Viewing External Material

This course material is hosted by , a web site separate from Impact CE. When you're done, just close the tab/window to return to this course page.

Exam Questions

All exam questions for the course are visible on this page for members of Impact CE.

Membership is free, and you can register today! You'll only pay when you're ready to purchase a course, or if you take advantage of the Unlimited Package.

If you're already a member, please sign in to see the exam questions for this and all other courses.

Discuss this course

You can share your thoughts about this course after you pass the exam.

Sign In or Register to get started.

Frequently Asked Questions

Yes, most likely. Look Up Your State Board for more detailed information. Logged-in site members will see the relevant approval information displayed in the Approvals tab for every course.

If you are having trouble using Impact CE, please contact us! We would be happy to accommodate your needs right away, and your input will help us make Impact CE more accessible for future users too.

Use the Enroll In This Course button and just follow the instructions! You don't pay anything until you're ready to take an exam.

To complete the course, review the course objectives, then review the material, and then pass the exam with a score of 75% or greater and lastly complete an evaluation.

Most of our self-paced courses are based on online articles available for free to the public. Some courses, such as those based on books, require that you purchase the material. Use the Materials tab for more info. Live courses simply require that you attend.

Your certificate(s) will be available to download or email immediately when you pass the course exam and complete the evaluation.

Yes! Use the Help widget at the bottom-right of the screen anywhere on Impact CE to search our help docs, or to ask our support team for help. Unlike most of our competitors, Impact CE has live US-based support reps to help you by email, chat, or phone.

Start your CE Journey now - complete your first course today, on us.

Try for free - no commitment required.

Copyright © 2026 CE Learning Systems LLC

Please Confirm