 Today I am going to talk about those clients who do not turn up for the therapy and they create lot of problems to the therapist and they are being called no show clients. So I am going to give you the guidelines for therapy termination for those clients who do not show up at their appointment or at their set date. Therapy termination when client is repeatedly no show. This must deal with both practical and mental health concerns. When a client repeatedly no shows and poses other practical concerns a therapist lose time and they could spend with other clients. Now you have booked a lot that you are going to see the client at 9.30 pm. Now at 9.30 pm the client does not show up, he did not give any intimation and that one hour, the whole one hour is going to be wasted. Now repeatedly this is happening that whatever time therapist is giving, he is no show. And when these scenes increase 1, 2, 3, 4, 5 times, it means that client is not serious and he is just wasting the time of the therapist. You may be surprised in what cases this is going to happen. There is a company that has such services for employees that for their assessment or their regular well-being, they give some assignments to such a therapist. So since clients do not have money, they do not feel obligated, then this percentage of no show clients is very high. Or other than this, there are clients with personality issues who are not serious, who do not bother, and whose treatment does not have their insight, and of course their prognosis is also not good. Such no-show behaviors are very repeatedly done by such clients. A therapist may also need to terminate therapy with a client to make unreasonable demands. Sometimes a client says that he cannot come to therapy before 1 pm. I need to have online therapy in the middle of the night. Whenever I have any stressful or harmful thoughts, I will call you at that time. These are the unreasonable demands because these demands cannot be fulfilled by a therapist. Then whose insurance will not pay for therapy? If there are any payment issues or if a client is treating you, but your payment is not being received, then that is another issue which needs to be addressed. Or who otherwise presents practical or logistic concerns? A client says that he did not want to come because he could not tell you about his problem. Next time he says that he was late because he had this problem. Third time he says that he could not do homework assignment because he had this issue. Then he tells you about health concerns, then he tells you about job issues, and he does not let you focus on his therapy with concentration. In such a situation, clients like him are useless for you because they are not doing well and you are also wasting time. So, probably it is necessary to handle a better therapist to strategize them. It means that he could not be able to click with you, he could not be able to establish with you. If the client does not come to therapy sessions, the therapist should send them a termination notice. Notice should be sent using the client's preferred mode of communication, such as he says that he can be told through a call, on email or on Whatsapp. But that should be asked to the client in the beginning when that bio-data form fails. Therapist should also take care of that if there is another practical issue. It should be presented to the client in the non-stigmatized objective terms. If we feel that a client's behavior is not right because of a particular problem, we should not stigmatize it, we should not label it, but we should address it. And that address should be done in a positive and healthy manner. Ethical problems arises if the therapist attempts to play on the client's fears, insecurities or dependencies as a basis for initiating or continuing unnecessary treatment. This would be a very unethical situation that a client is insecure, he is feeling threatened, he is not satisfied that his progress is improving, but the therapist continues his therapy. He is not able to end up doing it. If the client is not willing to continue therapy due to any of the above reasons, therapists should respect their decision and the therapy should be terminated into a very graceful manner.