Therapist's Guide to Clinical Intervention - Sigmund Freud

B. Encourage independent fulfillment of daily activities related to hygiene, grooming,
and other self-care behaviors (have patient write out a chart of daily behaviors)
C. Be accepting of these individuals—the symptoms that they experience are real to
them. Assure them with information from the physician regarding their abilities and
what activities they can safely participate in
D. Positive feedback and reinforcement
6. Sensory-Perceptual Disturbance
A. Consult with physician regarding treatment, lab tests, and so on to rule out
possibility of organic etiology. Perform regular mental status exam for ongoing
assessment.
B. Identify primary and secondary gains that symptoms provide for the person
C. Facilitate the person following through on independent daily activities for
self-care
D. Decrease focus on disturbances, as support and focus is increased on effective,
adaptive behaviors
E. Set limits and be consistent regarding manipulation with disabilities
F. Reinforce with reality testing
G. Encourage venting of fears and anxiety
H. Teach assertive communication to increase appropriate means of getting
needs met
I. Facilitate identification of effective coping tools for dealing with stressful
situations
J. Facilitate development and utilization of support system
K. Positive feedback and reinforcement for efforts and accomplishments
7. Low Self-Esteem
A. Facilitate identification of strengths
B. Focus on efforts and accomplishments
C. Teach and encourage assertive communication
D. Replace negative thinking with positive self-talk
E. Encourage taking responsibility for one's own choices and behaviors
F. Positive feedback and reinforcement for efforts and accomplishments
8. Ineffective Stress Management
A. Relaxation techniques
B. Time management
C. Self-care behaviors
* Certain medical conditions mimic somatization disorders and need to be ruled out.
Examples of such medical disorders include those which present vague, multiple, and
confusing symptoms.
1. Multiple sclerosis
2. Systemic lupus erythematusus
3. Porphyria
4. Hyperparathyroidism
Also, women represent the majority of Somatization-Disorder diagnosis. Be careful in assessment.
Do not allow this information to serve as a bias leading to an incorrect diagnosis.
74 i. Treatment Planning: Goals, Objectives, and Interventions