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Therapist's Guide to Clinical Intervention - Sigmund Freud

Therapist's Guide to Clinical Intervention - Sigmund Freud

Therapist's Guide to Clinical Intervention - Sigmund

  • Page 2: Therapist's Guide to Clinical Inter
  • Page 6: Therapist's Guide to Clinical Inter
  • Page 10: CONTENTS Introduction xvii Level of
  • Page 14: Chapter 2 ASSESSING SPECIAL CIRCUMS
  • Page 18: Evaluation and Disposition Consider
  • Page 22: Ten Ways of Responding to Aggressio
  • Page 26: Low Self-Esteem 330 The Self-Esteem
  • Page 30: Couple's Conflict: Rules for Fighti
  • Page 34: Insured/Responsible Party Informati
  • Page 38: INTRODUCTION THIS second edition, l
  • Page 42: Level of Patient Care and Practice
  • Page 48: Levels of Functioning and Associate
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    The Treatment Plan formulation serv

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    *HIPAA: Health Insurance Portabilit

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    COMMON AXIS 1 AND AXIS 2 DIAGNOSES

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    Treatment Focus and Objectives 4. D

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    Dual Diagnosis (developmentally dis

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    E. Proceed in treatment plan with t

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    In cases where ADHD is suspected, f

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    C. Role-model and practice communic

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    Additional Considerations D. Use ve

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    Additional Considerations 3. Excess

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    Additional Considerations B. Teach

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    EATING DISORDER (EDO) Due to the ov

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    G. Encourage appropriate separation

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    Additional Considerations 13. Self-

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    Obsession with Weight Obesity and S

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    IDENTITY DISORDER This disorder is

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    CHILDREN When working with children

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    Freud's constructs of psychosocial

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    DEMENTIA D drug interaction E emoti

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    7. Risk for Injury A. Assess 1. Psy

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    D. Systemic illness 1. Substance in

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    shaping of a new identity integrati

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    3. Setting limits and boundaries 4.

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    LIST OF SYMPTOMS LEADING TO RELAPSE

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    44 Common Drugs of Abuse (Continued

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    B. If this has been an ongoing case

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    how to respond to the various side

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    1. Diagnosis A. Schizophrenia B. Br

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    Goals Treatment Focus and Objective

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    E. Evaluate impaired social interac

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    8. Weight loss or gain 9. Priapism

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    MANIA Goals 1. Provide safe environ

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    J. Identify and focus on positive a

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    2. Culture may influence under diag

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    B. Moderate to severe depression: w

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    Treatment Focus 1. Assess for Refer

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    E Irrational Beliefs 1. Identify fa

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    It is evident that unless cognitive

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    SOMATOFORM DISORDERS The central fe

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    B. Encourage independent fulfillmen

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    . Scholarly reading c. Independent

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    DISSOCIATIVE DISORDERS 2. Somatizat

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    SEXUAL DISORDERS 5. Identity Distur

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    the intensity of the stressor. Inst

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    Medication might be utilized as a s

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    not often present for treatment of

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    PERSONALITY DISORDERS B. Facilitate

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    B. Facilitate identification of fee

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    I. Facilitate the use of thought st

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    7. Overly Sensitive A. Facilitate i

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    Treatment Focus and Objectives 5. M

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    Goals Treatment Focus and Objective

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    3. Dramatized Social Interaction A.

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    3. Increase awareness for intensity

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    PHYSICAL FACTORS AFFECTING PSYCHOLO

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    Medical Causes of Psychiatric Illne

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    Outline of the Interview 1. Succinc

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    STRUCTURED INTERVIEW FOR DEPRESSION

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    Subjective Patient Review of Self A

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    6. social support (lack of support

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    118 2. Assessing Special Circumstan

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    120 2. Assessing Special Circumstan

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    Risk History Explain any significan

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    CYCLE OF PHOBIC ANXIETY Physiologic

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    126 2. Assessing Special Circumstan

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    5. Inadequate Coping A. Consequence

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    TRANSPORTATION Assess ability to ef

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    CRISIS EVALUATION The crisis evalua

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    134 2. Assessing Special Circumstan

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    136 2. Assessing Special Circumstan

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    138 2. Assessing Special Circumstan

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    140 2. Assessing Special Circumstan

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    142 2. Assessing Special Circumstan

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    144 2. Assessing Special Circumstan

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    4. What was the person feeling and

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    148 2. Assessing Special Circumstan

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    150 2. Assessing Special Circumstan

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    152 2. Assessing Special Circumstan

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    154 2. Assessing Special Circumstan

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    156 2. Assessing Special Circumstan

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    158 2. Assessing Special Circumstan

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    PAIN IDENTIFICATION CHART Name Date

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    162 2. Assessing Special Circumstan

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    7. Positive feedback and reinforcem

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    166 2. Assessing Special Circumstan

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    168 2. Assessing Special Circumstan

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    3. Feeling high after vomiting or s

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    EATING DISORDER EVALUATION: BULIMIA

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    ADULT ADD SCREENING 174 2. Assessin

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    176 2. Assessing Special Circumstan

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    178 2. Assessing Special Circumstan

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    B. Social (Description of peer asso

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    CHEMICAL DEPENDENCY PSYCHOLOGICAL A

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    Preliminary Treatment Plan: List pr

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    186 Chemical Use History Check if u

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    188 2. Assessing Special Circumstan

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    190 2. Assessing Special Circumstan

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    C. If the victim remains in the rel

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    C. Modalities 1. Support group 2. P

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    Tertiary Prevention Indicators of P

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    Likewise parent(s) or caretaker(s)

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    CHILD CUSTODY EVALUATION REPORT OUT

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    Specify treatment recommendations,

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    204 2. Assessing Special Circumstan

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    11. Eating disorders 12. Entitlemen

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    208 2. Assessing Special Circumstan

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    210 2. Assessing Special Circumstan

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    Because the court monitors such pla

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    C. History of mental health problem

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    216 2. Assessing Special Circumstan

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    COMPULSORY PSYCHOLOGICAL EVALUATION

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    REPORT OUTLINE COMPETENCY 1. Interv

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    momentum to get things going and in

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    STRESS MANAGEMENT 9. Evaluate the p

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    7. Unable to say "no." 8. Trouble l

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    ASSERTIVENESS To assert oneself pos

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    2. Stop procrastinating A. Be hones

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    period of regular use, they find th

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    HOW TO GET THE MOST OUT OF YOUR DAY

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    RELAXATION EXERCISES 3. Self-motiva

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    ecreate a relaxing place, perhaps a

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    In a perfect state of relaxation yo

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    Now, focus your attention on your h

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    STEP 1:. Preparation and Determinin

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    PREPARING TO LEARN PROBLEM-SOLVING

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    ASSIGNMENT 1 ASSIGNMENT 2 SAMPLE PR

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    RISKS Nothing ventured, nothing gai

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    1. Describe your feelings prior to

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    IMPROVING COMMUNICATION SKILLS Less

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    ASSERTIVENESS INVENTORY The followi

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    NONVERBAL COMMUNICATION Rationale:

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    PERSONAL BILL OF RIGHTS ASSERTIVENE

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    D. Clarify what it is that you want

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    THE COMMUNICATION OF DIFFICULT FEEL

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    them to symbolically take your hand

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    infuriated cross worked up boiling

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    DECISION MAKING 11. Be prepared to

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    SETTING PRIORITIES Once you have se

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    Explore Your List of Stressful Thou

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    Steps to Successful Refraining For

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    8. Be honest and true to myself. 9.

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    DEFENSE MECHANISMS Defense mechanis

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    As with other things that are negat

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    HANDLING ANGER 9. What are your goa

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    2. Take time out 3. Exercise or do

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    had tripled in 15 years. Therefore,

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    17. Acts of violence 18. Sees self

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    third party trained to deal with su

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    Talk, don't argue. Arguing increase

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    ADJUSTING/ADAPTING Some Common Life

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    LEARNING HISTORY 1. What did you le

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    3. They have been taught that if th

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    GRIEF Grief is intense emotional su

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    ACCEPTANCE This is the last stage o

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    IS LIFE WHAT YOU MAKE IT? JOURNAL W

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    DEVELOPING AND UTILIZING SOCIAL SUP

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    HOW TO BUILD AND KEEP A SUPPORT SYS

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    MANAGING DEPRESSION 9. Ask for help

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    decide what you are going to do. Th

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    UTILIZING YOUR SUPPORT SYSTEM EXAMP

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    . participating in pleasurable acti

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    DAILY ACTIVITY SCHEDULE DATE: MOOD(

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    DEPRESSION When a person experience

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    FEELING LIKE YOUR LIFE IS OUT OF CO

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    If I hide myself through fear, envy

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    LOW SELF-ESTEEM some medications ca

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    THE SELF-ESTEEM REVIEW Directions:

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    AFFIRMATIONS FOR BUILDING SELF-ESTE

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    CHARACTERISTICS OF LOW SELF-ESTEEM

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    CHARACTERISTICS OF HIGH SELF-ESTEEM

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    practice could take place specifica

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    Resources that I am aware of that w

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    FATIGUE OR SLEEP DEPRIVATION There

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    POST-TRAUMATIC STRESS DISORDER (PTS

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    Now that you know that beliefs affe

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    SURVEY OF STRESS SYMPTOMS Check eac

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    25 WAYS TO RELIEVE ANXIETY 1. Posit

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    11. Utilize your support system. If

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    WARNING SIGNS OF RELAPSE 1. negativ

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    WHAT IS DEMENTIA? 8. Have the indiv

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    SYMPTOMS OF PERCEPTUAL DISTURBANCE

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    TEN WARNING SIGNS OF ALZHEIMER'S DI

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    4. Cope with what needs to be done

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    TIPS FOR THE CARETAKEE 1. Obtain th

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    TEN TIPS FOR BETTER SLEEP People su

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    HEALTH INVENTORY Use the following

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    ASSUMING THE PATIENT ROLE: THE BENE

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    4. Exercise A 40-year-old sedentary

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    EATING HISTORY B. It may be overloo

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    5. Be assertive about how you feel

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    DEALING WITH FEAR 4. Do not focus o

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    5. Be careful to guard against feel

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    their behavior. Without this insigh

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    LIST OF SYMPTOMS LEADING TO RELAPSE

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    THE CLASSIC SITUATION The codepende

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    As children they feel many things;

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    2. I can't tell where my reality en

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    poor coping, poor problem solving,

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    RELATIONSHIP QUESTIONNAIRE This que

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    This behavior tends to escalate und

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    3. Decide ahead of time if you plan

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    safe and together. Women often beli

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    4. It is not fair to interrupt. Sta

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    4. Don't hold back waiting to see h

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    6. Use active listening behaviors (

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    12. The goal of the family meeting

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    Losses such as death, divorce, relo

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    child experiences a crisis parents

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    14. Does the child feel that life i

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    Accept the child as a unique indivi

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    SURVIVING DIVORCE 6. tied to choice

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    SUCCESSFUL STEPFAMILIES Differences

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    5. Be emotionally available to your

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    THE RULES OF POLITENESS SELF-MONITO

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    5. Goal: Objective:. ACCOMPLISHMENT

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    3. Let go of the past. If you can't

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    4. Relevant history of presenting p

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    9. Diagnostic tests A. There may be

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    Is there a history of sexual abuse

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    1 MENTAL STATUS EXAM 2 3 4 5 6 Prob

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    MENTAL STATUS EXAM Appearance: Groo

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    Memory Impaired Not impaired Immedi

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    DIAGNOSIS: AXIS I: AXIS IV: AXIS II

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    IV V D. Observations about other fa

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    Mood and Affect Mood: normal anxiou

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    LIFE HISTORY QUESTIONNAIRE The purp

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    I. List your five main fears: 1. 2.

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    D. Did you ever experience any anxi

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    F. Give a description of your mothe

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    B. What feelings do you wish to alt

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    6. Any history of abuse (emotional,

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    SUMMARY This year old (include sex,

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    Problems perceived to be: very seri

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    3. 4. 5. 6. Others living in the ho

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    normal weight gain _Yes _No was chi

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    ADDITONAL COMMENTS: Therapist Date

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    34. Clingy and in need of constant

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    BRIEF MEDICAL HISTORY Name: Age: DO

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    MEDICAL REVIEW CONSULT REQUEST FOR

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    6. What medication(s) are you curre

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    SYMPTOMS (If Yes, Please Explain) Y

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    Effects of on Family/Support System

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    INITIAL EVALUATION CONSULTATION NOT

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    BRIEF CONSULTATION NOTE TO PHYSICIA

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    A: Measurable Behavioral Goals with

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    PROGRESS NOTE FOR INDIVIDUAL WITH A

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    CLINICAL NOTES 1. Mental Status: A.

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    DISABILITY/WORKER'S COMPENSATION Pa

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    WORKER'S COMPENSATION ATTENDING THE

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    BRIEF PSYCHIATRIC EVALUATION FOR IN

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    Able to handle the responsibilities

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    Circle the response that applies to

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    The reason(s) that he/she is unable

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    Discharge Plan (includes, but not l

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    It is your responsibility to pay an

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    Further required attendances will b

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    TREATMENT CONTRACT The therapist an

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    RELEASE FOR THE EVALUATION AND TREA

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    AFFIDAVIT OF THE CUSTODIAN OF MENTA

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    5. Questions to be addressed by, an

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    NOTICE OF DISCHARGE FOR NONCOMPLIAN

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    MISSED APPOINTMENT It appears that

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    RECEIPT RECEIPT Date of service: Na

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    CLIENT SATISFACTION SURVEY To be co

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    FORM FOR CHECKING OUT AUDIOTAPES, V

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    540 Bibliography Anderson, P. K. (1

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    542 Bibliography Carkhuff, R. R., &

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    544 Bibliography Fordyce, W. E. (19

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    546 Bibliography Jacobson, G., Stri

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    548 Bibliography Meichenbaum, D. H.

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    550 Bibliography Smith, R. E., & Sa

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    552 Bibliography Yapko, M. (1990).

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    554 Index Anxiety disorder (continu

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    556 Index Domestic violence 398 cre

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    558 Index N Narcissistic personalit

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    560 Indtx Skills (continued) confro

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    562 Index utilizing your support sy

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