This is such a simple, yet powerful termination activity. I got this idea from a client who gave me a very touching thank you note during our last session. It is something I have kept and reflect back on, and i realized that it could potentially play a similar role for a client.
The focus of the content is on the journey through therapy and what has been accomplished. I highlight strengths, review coping tools and lessons learned, and express my thoughts about termination. At the end I usually include instructions of what to do if they decide to enter therapy again. My hopes that it will serve as a transitional object and be something they can reflect back on. If you decide to do an activity where you exchange cards then make a copy of what the client gives you because their own words of encouragement will mean the most.