Therapist's Guide to Clinical Intervention - Sigmund Freud

B. Facilitate identification of feelings
C. Encourage appropriate ventilation of feelings
D. Explore alternatives for dealing with stressful situations instead of avoidance
E. Identify goals for desired changes, and break down each goal into manageable steps
for shaping new behaviors
F. Educate regarding role of negative self-talk
G. Teach relaxation techniques
1. Progressive muscle relaxation
2. Visual imagery/meditation
3. Time management
H. Positive feedback and reinforcement for efforts and accomplishments
7. Distorted Beliefs
A. Challenge irrational thoughts, statements, and attributions
B. Reframe beliefs and situations to provide rational, believable alternatives
C. Paradoxical interventions
1. Prescribing avoidant behaviors. This intervention can sometimes be used to slow
down avoidant responding by circumscribing and limiting avoidant patterns of
behavior by assigning specific avoidant behaviors.
2. Prescribing rejections. To fulfill this intervention, seek situations that are
predictable and under control.
8. Overly Sensitive
A. Facilitate increased awareness for acute sensitivity
1. Difficult for the person to benefit from the feedback from others because it is
viewed as criticism and disapproval
2. Interferes with others feeling comfortable with being honest with the person,
fearing the person's negative response
B. Role-play social situations to decrease fear/anxiety
C. Initiate person to speak honestly about themselves
D. Explore issues of self-acceptance
E. Refer to group therapy to facilitate increased awareness for acute sensitivity and
desensitization
9. Low Self-Esteem
A. Be accepting and respectful to person
B. Identify and focus on strengths and accomplishments
C. Facilitate self-monitoring of efforts toward desired goals
D. Facilitate development of assertive communication
E. Encourage and positively reinforce efforts and accomplishments
These individuals want affection, but not as much as they fear rejection. The slightest disapproval
or critique is misconstrued as derogatory. They may ingratiate themself to others
in an effort to prevent rejection. A friendly, gentle and reassuring approach is essential in
developing a beneficial therapeutic relationship with someone who is hypersensitive to
potential rejection and has low self-esteem.
COMPULSIVE PERSONALITY DISORDER
Goals 1. Assess for referrals
2. Develop goals
3. Decrease perfectionism
90 1. Treatment Planning: Goals, Objectives, and Interventions