Therapist's Guide to Clinical Intervention - Sigmund Freud

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UNDERSTANDING ANGER 1. What are the stressors, fears, and frustrations that are at the bottom of your anger? 2. Triggers: What do you think or say to yourself that increases anger? 3. Is anger effective in getting others to do what you want them to do? Explain. 4. What are more effective techniques you can use to get what you want and need? 5. What are resources or sources of support you utilize when you are feeling angry? 6. What are you going to do differently to manage anger? How can you decrease or eliminate feelings of anger? 7. Are there things that you need to limit or eliminate from your life (obligations, relationships, saying yes to everyone, etc.)? 8. How can you get what you want and need through compromise and problem solving? Understanding Anger 285
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Therapist's Guide to Clinical Inter
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Therapist's Guide to Clinical Inter
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CONTENTS Introduction xvii Level of
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Chapter 2 ASSESSING SPECIAL CIRCUMS
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Evaluation and Disposition Consider
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Ten Ways of Responding to Aggressio
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Low Self-Esteem 330 The Self-Esteem
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Couple's Conflict: Rules for Fighti
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Insured/Responsible Party Informati
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INTRODUCTION THIS second edition, l
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Level of Patient Care and Practice
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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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Risk History Explain any significan
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CYCLE OF PHOBIC ANXIETY Physiologic
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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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4. What was the person feeling and
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PAIN IDENTIFICATION CHART Name Date
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7. Positive feedback and reinforcem
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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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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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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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11. Eating disorders 12. Entitlemen
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Because the court monitors such pla
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C. History of mental health problem
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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
Page 580: NONVERBAL COMMUNICATION Rationale:
Page 584: PERSONAL BILL OF RIGHTS ASSERTIVENE
Page 588: D. Clarify what it is that you want
Page 592: THE COMMUNICATION OF DIFFICULT FEEL
Page 596: them to symbolically take your hand
Page 600: infuriated cross worked up boiling
Page 604: DECISION MAKING 11. Be prepared to
Page 608: SETTING PRIORITIES Once you have se
Page 612: Explore Your List of Stressful Thou
Page 616: Steps to Successful Refraining For
Page 620: 8. Be honest and true to myself. 9.
Page 624: DEFENSE MECHANISMS Defense mechanis
Page 628: As with other things that are negat
Page 634: RECOGNIZING THE STAGES OF ANGER It
Page 638: WAYS TO DEAL WITH ANGER 1. Recogniz
Page 642: Causes of Workplace Violence BULLY
Page 646: determining if acts of violence wil
Page 650: 4. Lowering one's tone of voice or
Page 654: 16. Recognize that work stress and
Page 658: 4. What has prevented the necessary
Page 662: LOSSES/OPPORTUNITIES Sometimes chan
Page 666: GRIEF CYCLE (WHERE ARE YOU STUCK?)
Page 670: From this place of pain, hurt, and
Page 674: HISTORY OF LOSS GRAPH On your graph
Page 678: 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
Page 1158:
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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