Therapist's Guide to Clinical Intervention - Sigmund Freud

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Therapist's Guide to Clinical Intervention The 1—2—3's of Treatment Planning Second Edition SHARON L JOHNSON ACADEMIC PRESS An imprint of Elsevier Science Amsterdam Boston London New York Oxford Paris San Diego San Francisco Singapore Sydney Tokyo
Page 2: Therapist's Guide to Clinical Inter
Page 8: This book is printed on acid-free p
Page 12: Vl Contents Dementia 32 Dementia an
Page 16: Viii Contents Chronic Pain: Assessm
Page 20: X Contents Tips to Simplify Life 23
Page 24: Xll Contents Learning History 300 L
Page 28: XIV Contents Ten Tips for Better Sl
Page 32: XVI Contents Treatment Plan 439 Men
Page 36: This page intentionally left blank
Page 40: xx formulation that is individualiz
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Page 50: HIGH-RISK SITUATIONS IN PRACTICE Yo
Page 54: SOLUTION-FOCUSED APPROACH TO TREATM
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XXIX
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Treatment Planning-. Goals, Objecti
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Additional Considerations C. Identi
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PERVASIVE DEVELOPMENTAL DISORDERS (
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Developmental Stage 4. Visual/audio
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3. Teachers A. Define classroom rul
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E. Lying 1. Identify the nature and
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Many children diagnosed with Attent
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Treatment Focus and Objectives 5. D
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D. Practice positive thinking and e
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As adequate nutrition and normal ea
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D. Facilitate understanding of feel
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Possible Signs and Symptoms of Anor
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Not being negatively judgmental abo
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3. Encourage separation and individ
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Kohlberg's theory of moral developm
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ORGANIC MENTAL SYNDROMES AND DISORD
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Treatment Focus 1. Refer for immedi
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2. Multi-infarct (vascular) Dementi
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PSYCHOACTIVE SUBSTANCE ABUSE DISORD
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E. Encourage person to take respons
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12. Dysfunctional Family Interactio
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Common Drugs of Abuse Type of drug
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SCHIZOPHRENIA, DELUSIONAL, AND RELA
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7. Sleep Disturbance A. Log sleepin
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PHASES OF TREATMENT 1. Acute phase
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MOOD DISORDERS C. Modality 1. Behav
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intentions that place others in a p
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10. Eating Disturbance A. Evaluate
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Co-occurance with Medical Illness C
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As with risk for injury or danger t
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3. Headache 4. Hypotension 5. Pulse
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8. Patronizing sex-oriented establi
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ANXIETY DISORDERS 2. Treatment of D
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E. Gradually decrease time allotted
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12. General Side Effects of Medicat
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2. Outcry A. Normal emotional respo
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O. Positive feedback and reinforcem
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PSYCHOSOMATIC ILLNESS AND PERSONALI
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B. Have you ever had burning sensat
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H. Facilitate identification of spe
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ADJUSTMENT DISORDERS C. Consult wit
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F. Identify problems associated wit
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B. Provide safe environment, and in
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Treatment Focus and Objectives 3. I
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AVOIDANT PERSONALITY DISORDER Goals
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4. Decrease ritual behaviors 5. Dec
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Treatment Focus and Objectives 7. D
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E. Encourage the person to keep a j
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Goals Treatment Focus and Objective
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Goals Treatment Focus and Objective
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Treatment Focus and Objectives Goal
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F. Develop appropriate alternatives
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STAGES OF ADJUSTMENT Adjusting to M
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Medical Causes of Psychiatric Illne
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Assessing Special Circumstances ASS
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Criteria for Major Depressive Episo
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CYCLE OF DEPRESSION Early life expe
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SUICIDE Assessing self-destructive
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18. Loss of family status (family m
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DANGEROUSNESS 7. Impulsive behavior
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B. Demographics 1. gender (males ar
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N. Positive reinforcement for effor
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OBSESSIONAL DISORDERS: AN OVERVIEW
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GRAVELY DISABLED The gravely disabl
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SELF-CARE SKILLS Assessing the leve
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opportunity as possible. As with al
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CRISIS INTERVENTION When a person e
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SCREENING FOR SURVIVORS The Institu
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3. Nightmares 4. Feelings of helple
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4. PTSD (near death trauma/disfigur
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4. Other difficulties a. Fluctuatin
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Postpartum Panic Disorder Symptom C
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7. Distract yourself A. Find someth
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B. Initiate a journal. Instead of k
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The interventions for medical crisi
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D. Feelings of low self-esteem and
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E. Facilitate a family discussion t
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2. Changes in self-image A. Identif
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J. Live life to its fullest K. Be i
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It would mean that at the location
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PAIN MANAGEMENT SCALE Medical under
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7. Identify thoughts and feelings o
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Individuals presenting with somatic
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EATING DISORDERS SCREENING QUESTION
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THE MOOD EATING SCALE EATING HISTOR
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F. Parental verbal abuse G. History
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D. Group therapy E. Specific eating
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Difficulty living beyond the moment
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ADHD BEHAVIORAL REVIEW Below are a
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CHEMICAL DEPENDENCY ASSESSMENT Date
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Mental Status: Mood Affect Memory P
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S.O. Relationships and History of C
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WITHDRAWAL SYMPTOMS CHECKLIST Ratin
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SPOUSAL/PARTNER ABUSE The victim of
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L. Centrality of partner M. Depress
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A General Systems Model of Domestic
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6. Victim symptom presentation A. D
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OBJECTIVES 1. Enhance experience of
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General Symptoms of Possible Child
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The purpose of the Bonding Study is
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H. Parent-Child Interaction 1. How
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CHILD'S OWN SCENARIOS These are exp
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1. Had little to do with the child
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H. Significant desire to withhold c
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QUESTIONS TO ASK THE PARENTS 1. Wha
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VISITATION RIGHTS REPORT When there
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PSYCHIATRIC WORK-RELATED DISABILITY
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4. Mental health history and releva
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PSYCHOLOGICAL PRE-EMPLOYMENT EVALUA
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FORENSIC EVALUATION The legal issue
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4. Referral Source 5. Relevant Back
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Skill-Building Resources for Increa
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The difference between being stress
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must be facilitated, followed by th
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4. Addictive behavior. Efforts to e
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TIPS TO SIMPLIFY LIFE E. Are you a
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PAIN MANAGEMENT HOW TO IMPROVE PLAN
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SELF-CARE PLAN 13. Set goals and re
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EMOTIONAL IQ 17. Stay with it. Pers
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MENTAL RELAXATION (5 TO 10 MIN) 1.
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BRIEF RELAXATION (5 TO 10 MIN) Get
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Notice the difference between tensi
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CONFRONTING THE PROVOCATION Stay ca
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STEP 5: The Word Words are powerful
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Implementing the process does not e
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ASSIGNMENT 3 Taking Risks 1. What i
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COMPONENTS OF EFFECTIVE COMMUNICATI
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NONVERBAL COMMUNICATION CHECKLIST B
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EFFECTIVE LISTENING 1. Focus on wha
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1. You are standing in line and som
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DEVELOPING ASSERTIVENESS 1. What do
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THE STEPS OF POSITIVE ASSERTIVENESS
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REVIEW FOR YOURSELF THE CONSEQUENCE
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WRITING may be isolated to specific
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LIST OF FEELING WORDS PLEASANT FEEL
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time will clarify your time managem
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GOAL DEVELOPMENT 5. Visualize your
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Distorted Thinking— Negative Self
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Thought-Stopping Practice 1. Close
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REALISTIC SELF-TALK 2. Overgenerali
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PRACTICE REFRAMING HOW YOU INTERPRE
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DEFENSE MECHANISM DEFINITIONS 1. De
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UNDERSTANDING ANGER 1. What are the
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RECOGNIZING THE STAGES OF ANGER It
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WAYS TO DEAL WITH ANGER 1. Recogniz
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Causes of Workplace Violence BULLY
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determining if acts of violence wil
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4. Lowering one's tone of voice or
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16. Recognize that work stress and
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4. What has prevented the necessary
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LOSSES/OPPORTUNITIES Sometimes chan
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GRIEF CYCLE (WHERE ARE YOU STUCK?)
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From this place of pain, hurt, and
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HISTORY OF LOSS GRAPH On your graph
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STEPS Begin observing which self-ta
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low self-esteem you tend to very ne
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RECOGNIZING THE STAGES OF DEPRESSIO
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DEPRESSION SYMPTOM CHECKLIST The sy
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SURVIVING THE HOLIDAY BLUES For som
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think unless you clearly understand
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alance the checkbook go for a walk
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CONFRONTING AND UNDERSTANDING SUICI
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FEELING OVERWHELMED AND DESPERATE W
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GUILT A person who is experiencing
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LONELINESS When a person feels that
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Describe the behaviors associated w
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TEN SELF-ESTEEM BOOSTERS 1. Be real
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3. You are able to be objective and
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Identify your characteristic of low
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WHAT MOTIVATES ME? STANDING UP TO S
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BAD MEMORIES AND FEAR Feeling depre
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What is your plan for managing this
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2. Imbalance in brain chemistry may
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MANAGING ANXIETY 3. Hypervigilance
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WHAT DO YOU DO Ineffective and dysf
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HOW YOUR BODY REACTS TO STRESS AND
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PLAN OF ACTION FOR DEALING WITH ANX
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In preparing yourself for the manag
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SYSTEMATIC DESENSITIZATION Systemat
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6. Endocrine abnormalities 7. Infec
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C. Children of a parent with schizo
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CAREGIVING OF ELDERLY PARENTS It ma
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B. Make amends when necessary C. Ev
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SLEEP DISORDERS 8. Anxiety and stre
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6. A normal pattern of sex can be h
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ASSESSING LIFESTYLE AND HEALTH A. C
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IMPROVING YOUR HEALTH Ready to turn
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4. What resources may be helpful in
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c. Protecting your food supply; hid
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A. May cause a child to develop fee
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4. Find positive role models who yo
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You must accept that: 1. Chemical d
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Unfortunately, the tendency is for
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WHAT IS CODEPENDENCY? Codependency
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8. I am not aware of how I feel. I
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2. Feelings are not expressed openl
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4. Reintegration. Learning to be ok
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10. What are your fears, and how do
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Unfortunately, avoiding conflicts m
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12. Using force during conflicts. T
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PACK A SUITCASE 1. Pack basic cloth
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3. Process of how to accomplish tas
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Be Clear About What You Want Be Cle
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MAINTAIN THE PARENT ROLE 1. Be spec
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THE FAMILY MEETING The Family Meeti
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14. Have faith in your children so
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CRISIS RESOLUTION child is angry an
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eing bad (a new baby takes their pl
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TALKING TO CHILDREN F. Worries exce
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3. Communicate belief in the child
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PHYSICAL STRESS Whenever a person g
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COMMUNICATION Open and honest commu
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IS YOUR BEHAVIOR IN THE BEST INTERE
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GOAL SETTING 2. When you are succes
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RESOURCES 5. 6. 7. 8. 9. 10. Develo
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Professional Practice Forms Clinica
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Clinical Forms
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CASE FORMULATION If you are prepari
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3. Religion/spiritual beliefs 4. Cu
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TREATMENT PLAN Name: Date: DOB: SS#
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Presenting problem identified by cl
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2. Characteristics of Speech A. Des
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MENTAL STATUS EXAM Date: Name: INIT
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INITIAL CASE ASSESSMENT Name: Date
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INITIAL EVALUATION Person(s) presen
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BRIEF MENTAL HEALTH EVALUATION REVI
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Suicidal Ideation: __Yes No Homicid
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B. Give a brief history and develop
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L. Present interests, hobbies, and
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E. Do any of your children present
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S. What do expect to accomplish fro
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ADULT PSYCHOSOCIAL IDENTIFYING INFO
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DRUG AND ALCOHOL ABUSE 1. Any famil
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CHILD/ADOLESCENT PSYCHOSOCIAL IDENT
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Age when child first in home: Date
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Age How Long Reason Has child ever
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Did child have any specific learnin
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PARENT'S QUESTIONNAIRE Name of chil
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SELF-ASSESSMENT What is happening i
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ILLNESSES AND MEDICAL PROBLEMS Plea
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SUBSTANCE USE AND PSYCHOSOCIAL QUES
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4. Previous treatment experiences (
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CHEMICAL DEPENDENCY PSYCHOSOCIAL AS
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Problem #1: Problem #2: Problem #3:
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Mental Status: Mood Memory Processe
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OUTPATIENT TREATMENT PROGRESS REPOR
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Therapist Date Patient Outpatient T
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Fear of doing something uncontrolla
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2. Intervention and/or Teaching: 3.
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SOCIAL SECURITY EVALUATION MEDICAL
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DISABILITY STATUS Patient discharge
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Percepion Hallucinations: None, aud
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BRIEF LEVEL OF FUNCTIONING REVIEW F
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What are the treatment plan target
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OUTLINE FOR DIAGNOSTIC SUMMARY DIAG
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DISCHARGE SUMMARY NAME OF PATIENT:
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Bwsmess Forms 513
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PATIENT REGISTRATION (PLEASE PRINT)
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CONTRACT FOR SERVICES WITHOUT USING
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LIMITS ON PATIENT CONFIDENTIALITY W
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CONTRACT FOR GROUP THERAPY 1. As a
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CLIENT MESSAGES In-Chart Log Client
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REFERRAL FOR PSYCHOLOGICAL Evaluati
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RELEASE TO RETURN TO WORK OR SCHOOL
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DUTY TO WARN Although confidentiali
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RECEIPT RECEIPT Date of service: Na
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BALANCE STATEMENT Date Name Our rec
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8. Treatment ended with this therap
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QUALITY ASSURANCE REVIEW Patient Nu
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BIBLIOGRAPHY Ackerman, R., & Michae
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Bepko, C, & Krestan, J. A. (1985).
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Drabman, R. S., Spitalnick, R., & O
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Hackett, G., & Horan, J. J. (1980).
Page 1154:
Lazarus, R. (1966). Psychological s
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Othmer, E., & DeSouza C. (1985). A
Page 1162:
Washton, A. M. (1995). Psychotherap
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INDEX A Abuse neglect and child abu
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management scale 161 six stages of
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contract for group therapy 521 cont
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R Rational thinking realistic self-
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other ways 302 what are the myths o
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Therapist's Guide to Clinical Intervention - Sigmund Freud

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