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Psychological Insights from Psychologists
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Silvia DutcheviciPresident & Founder · Critical Therapy InstituteSometimes intense material surfaces in the last minutes of a session. There are many clinical reasons for this. Holding the boundary is essential, because ending the session in time means adhering to and respecting the therapeutic frame. This is how trust is built between patient and therapist; this is how our patients learn to rely on us. Patients may raise charged material at the close precisely to test that boundary — to see whether the therapist is reliable, whether the rules hold, whether the relationship can bear what they are carrying. Others bring it up because they want it noted and witnessed, not opened at that moment, but at a later time.
The ending is also one of the moments where the therapist's power in the room is most visible, which is why it asks to be held with care rather than rigidity.
It helps to have a closing line, so the patient does not leave feeling unheard while the material stays unexplored: "Let's come back to this," or "As we wrap up, I hear what you're bringing — let's pick it up next time."
Carolina EstevezPsychologist · SOBA New JerseyI consider a difficult topic that comes up near the end of a session to be one that needs "containment" by the time the session ends. While there may not be enough time in the session to completely process everything that has come up for the client, there is usually enough time to recognize and validate what has arisen, to see how much distress the client feels from the experience, and to provide support to facilitate an appropriate closure to the session.
A simple way to create a sense of closure with clients when difficult topics are raised at the end of a session is to ask the client to identify three items as you wrap up the session: what arose during the session, how the client is feeling about what has happened in the session, and what they will need to remain stable until your next meeting.
One way I might phrase this is:
"This seems like something important. And I am concerned that if we try to work on it within the remainder of our time together, we won't be able to give it sufficient attention. Let's agree to revisit it next time we meet, and before we close today, let's take some care so you'll be safe leaving here."
Alexandra FogliaDirector of Family Program · All In SolutionsWhen a significant amount of information has been brought in during the last minute of a session, I do my best to establish and maintain a clear boundary with the client while letting them know that their sharing isn't an inconvenience. To accomplish this, I let the client know how important it is that they have shared with me. Then, I clearly state our time limit and provide the client with a clear direction for moving forward to our next session, rather than attempting to resolve anything in the remaining few minutes.
Often, I use a short transition into a state of grounding: slowing down the pace of speech, summarizing what I understand you shared with me, identifying what felt most emotionally charged in your experiences today, and agreeing on what we will address at our next meeting. A typical closing statement would be: "I need to make certain that we take all of the time necessary to thoroughly discuss this topic rather than rushing through it. I would like to commit to holding onto where we left off today and to start again there at our next session."
Christa SmithPsychologist · CEREVITYThe end-of-session disclosure is so common it has a nickname, the doorknob moment, and I have come to treat it as meaningful rather than inconvenient: some material only feels safe to say when the exit is in sight. Punishing that timing by running over teaches the client nothing good, and neither does an abrupt cutoff.
What I use is a close that names, contains, and commits. First the naming: what you just said matters, and it deserves more than the three minutes we have left. That sentence does most of the emotional work, because the fear underneath a doorknob disclosure is usually that it will be dropped or minimized. Then the commitment, made specific: I am writing this down, and it is where we will begin next session. Vague reassurance (we can come back to this sometime) does not hold anyone; a concrete appointment for the material does.
If the disclosure carries real intensity, I add one grounding breath and a brief check that the client is safe to leave, which takes under a minute. The time boundary itself, held warmly, is part of the treatment. The high-achieving adults I see are often people whose boundaries are chronically overrun, and a therapist who can say this matters AND we are stopping models exactly the skill many of them came in to learn. Held that way, the ending stops being abrupt. It becomes evidence that the container is sturdy.
In a world that increasingly acknowledges the importance of mental health, Psychologist Brief stands out as a premier online platform dedicated to providing in-depth psychological insights, expert opinions, and a robust professional community.
Ending therapy sessions effectively is a skill that shapes client progress and strengthens the therapeutic relationship. This article draws on insights from mental health professionals who have refined their approach to session closings over years of practice. Learn five practical strategies that help clients leave with clarity while maintaining momentum between appointments.
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