Therapist's Guide to Clinical Intervention - Sigmund Freud

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SURVEY OF STRESS SYMPTOMS Check each symptom that you have experienced in the last month, and then count the number of items that you have checked. The symptoms must be experienced to the level that you identify it as a problem PSYCHOLOGICAL SYMPTOMS anxiety depression difficulty concentrating forgetful agitation, hyper feeling overwhelmed irrational thoughts/fears compulsive behavior confusion feelings of unreality feeling of being detached from oneself restless/on edge mood swings PHYSICAL SYMPTOMS headaches muscle tension low back pain upper back, neck, or shoulder pain clenching teeth abdominal distress nausea shaking or trembling numbness or tingling feeling of choking chills or hot flashes sweating sleep disturbance ESTIMATE YOUR STRESS LEVEL Number of items checked 0-7 8-14 15-21 22+ loneliness intrusive thoughts relationship problems family problems work problems irritability excessive worry/obsessing feelings of guilt tearful nightmares social isolation/withdrawal apathy/indifference sexual dysfunction fatigue high blood pressure sleep disturbance appetite disturbance diarrhea digestive problems constipation rash/hives/shingles use of alcohol/cigarettes or other drugs to deal with stress bowel problems thyroid dysfunction other stress-related health problems estimated level of stress low (within the normal range) moderate (experiencing some distress) high (experiencing difficulty coping) very high (unable to cope) As you review your symptom list think of ways that you can take care of yourself, make changes, delegate tasks to others, etc. that can alleviate the physical and emotional distress that you experience. 350 3. Skill-Building Resources for Increasing Social Competency
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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
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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(
Page 708: DEPRESSION When a person experience
Page 712: FEELING LIKE YOUR LIFE IS OUT OF CO
Page 716: If I hide myself through fear, envy
Page 720: LOW SELF-ESTEEM some medications ca
Page 724: THE SELF-ESTEEM REVIEW Directions:
Page 728: AFFIRMATIONS FOR BUILDING SELF-ESTE
Page 732: CHARACTERISTICS OF LOW SELF-ESTEEM
Page 736: CHARACTERISTICS OF HIGH SELF-ESTEEM
Page 740: practice could take place specifica
Page 744: Resources that I am aware of that w
Page 748: FATIGUE OR SLEEP DEPRIVATION There
Page 752: POST-TRAUMATIC STRESS DISORDER (PTS
Page 756: Now that you know that beliefs affe
Page 762: HOW YOUR BODY REACTS TO STRESS AND
Page 766: PLAN OF ACTION FOR DEALING WITH ANX
Page 770: In preparing yourself for the manag
Page 774: SYSTEMATIC DESENSITIZATION Systemat
Page 778: 6. Endocrine abnormalities 7. Infec
Page 782: C. Children of a parent with schizo
Page 786: CAREGIVING OF ELDERLY PARENTS It ma
Page 790: B. Make amends when necessary C. Ev
Page 794: SLEEP DISORDERS 8. Anxiety and stre
Page 798: 6. A normal pattern of sex can be h
Page 802: ASSESSING LIFESTYLE AND HEALTH A. C
Page 806: 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).
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Lazarus, R. (1966). Psychological s
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Othmer, E., & DeSouza C. (1985). A
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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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