Titel: The Complete Adult Psychotherapy Treatment Planner
Autor/en: Arthur E. Jongsma, L. Mark Peterson, Timothy J. Bruce
Includes DSM-5 Updates.
Dateigröße in MByte: 5.
John Wiley & Sons
2. Januar 2014 - pdf eBook - 608 Seiten
A time-saving resource, fully revised to meet the changing needsof mental health professionals
The Complete Adult Psychotherapy Treatment Planner, FifthEdition provides all the elements necessary to quickly andeasily develop formal treatment plans that satisfy the demands ofHMOs, managed care companies, third-party payors, and state andfederal agencies.
* New edition features empirically supported, evidence-basedtreatment interventions including anger control problems, lowself-esteem, phobias, and social anxiety
* Organized around 43 behaviorally based presenting problems,including depression, intimate relationship conflicts, chronicpain, anxiety, substance use, borderline personality, and more
* Over 1,000 prewritten treatment goals, objectives, andinterventions--plus space to record your own treatment planoptions
* Easy-to-use reference format helps locate treatment plancomponents by behavioral problem or DSM-5 diagnosis
* Includes a sample treatment plan that conforms to therequirements of most third-party payors and accrediting agenciesincluding CARF, The Joint Commission (TJC), COA, and the NCQA
Arthur E. Jongsma, Jr., PhD, is the Series Editor for thebestselling PracticePlanners®. Since 1971, he hasprovided professional mental health services to both inpatient andoutpatient clients. He was the founder and Director ofPsychological Consultants, a group private practice in GrandRapids, Michigan, for 25 years. He is the author or co-author ofover fifty books and conducts training workshops for mental healthprofessionals around the world.
L. Mark Peterson, ACSW, is Program Manager for BethanyChristian Services' Residential Treatment and FamilyCounseling programs in Grand Rapids, Michigan.
Timothy J. Bruce, PhD, is Professor and Associate Chairof the Department of Psychiatry and Behavioral Medicine at theUniversity of Illinois College of Medicine. He maintains a diverseclinical practice and is active in classroom and clinical teachingas well as educational program administration.
ANGER CONTROL PROBLEMS
1. Shows a pattern of episodic excessive anger in response to specific situations or situational themes.
2. Shows a pattern of general excessive anger across many situations.
3. Shows cognitive biases associated with anger (e.g., demanding expectations of others, overly generalized labeling of the targets of anger, anger in response to perceived “slights”).
4. Shows direct or indirect evidence of physiological arousal related to anger.
5. Reports a history of explosive, aggressive outbursts out of proportion with any precipitating stressors, leading to verbal attacks, assaultive acts, or destruction of property.
6. Displays overreactive verbal hostility to insignificant irritants.
7. Engages in physical and/or emotional abuse against significant other.
8. Makes swift and harsh judgmental statements to or about others.
9. Displays body language suggesting anger, including tense muscles (e.g., clenched fist or jaw), glaring looks, or refusal to make eye contact.
10. Shows passive-aggressive patterns (e.g., social withdrawal, lack of complete or timely compliance in following directions or rules, complaining about authority figures behind their backs, uncooperative in meeting expected behavioral norms) due to anger.
11. Passively withholds feelings and then explodes in a rage.
12. Demonstrates an angry overreaction to perceived disapproval, rejection, or criticism.
13. Uses abusive language meant to intimidate others.
14. Rationalizes and blames others for aggressive and abusive behavior.
15. Uses aggression as a means of achieving power and control.
rn and implement anger management skills to reduce the level of anger and irritability that accompanies it.
2. Increase respectful communication through the use of assertiveness and conflict resolution skills.
3. Develop an awareness of angry thoughts, feelings, and actions, clarifying origins of, and learning alternatives to aggressive anger.
4. Decrease the frequency, intensity, and duration of angry thoughts, feelings, and actions and increase the ability to recognize and respectfully express frustration and resolve conflict.
5. Implement cognitive behavioral skills necessary to solve problems in a more constructive manner.
6. Come to an awareness and acceptance of angry feelings while developing better control and more serenity.
7. Become capable of handling angry feelings in constructive ways that enhance daily functioning.
8. Demonstrate respect for others and their feelings.
| ||SHORT-TERM OBJECTIVES ||THERAPEUTIC INTERVENTIONS |
| ||1. Work cooperatively with the therapist to identify situations, thoughts, and feelings associated with anger, angry verbal and/or behavioral actions, and the targets of those actions. (1, 2) ||1. Develop a level of trust with the client; provide support and empathy to encourage the client to feel safe in expressing his/her angry emotions as well as the impact anger expression has had on his/her life as the interview focuses on the impact of anger on the client's life. |
2. As the client describes his/her history and nature of anger issues in his/her own words, thoroughly assess the various stimuli (e.g., situations, people, thoughts) that have triggered the client's anger and the thoughts, feelings, and actions that have characterized his/her anger responses.
> ||2. Complete psychological testing or objective questionnaires for assessing anger expression. (3) ||3. Administer to the client psychometric instruments designed to objectively assess anger expression (e.g., Anger, Irritability, and Assault Questionnaire; Buss-Durkee Hostility Inventory; State-Trait Anger Expression Inventory); give the client feedback regarding the results of the assessment; re-administer as indicated to assess treatment response. |
| ||3. Cooperate with a medical evaluation to assess possible medical conditions contributing to anger control problems. (4) ||4. Refer the client to a physician for a complete medical evaluation to rule out medical conditions or substances possibly causing or contributing to the anger control problems (e.g., brain damage, tumor, elevated testosterone levels, stimulant use). |
| ||4. Provide behavioral, emotional, and attitudinal information toward an assessment of specifiers relevant to a DSM diagnosis, the efficacy of treatment, and the nature of the therapy relationship. (5, 6, 7, 8) ||5. Assess the client's level of insight (syntonic versus dystonic) toward the “presenting problems” (e.g., demonstrates good insight into the problematic nature of the “described behavior,” agrees with others' concern, and is motivated to work on change; demonstrates ambivalence regarding the “problem described” and is reluctant to address the issue as a concern; or demonstrates resistance regarding acknowledgment of the “problem described,” is not concerned, and has no motivation to change). |
6. Assess the client for evidence of research-based correlated disorders (e.g., oppositional defiant behavior with ADHD, depression secondary to an anxiety disorder) including vulnerability to suicide, if appropriate (e.g., increased suicide risk when comorbid d
epression is evident).
7. Assess for any issues of age, gender, or culture that could help explain the client's currently defined “problem behavior” and factors that could offer a better understanding of the client's behavior.
8. Assess for the severity of the level of impairment to the client's functioning to determine appropriate level of care (e.g., the behavior noted creates mild, moderate, severe, or very severe impairment in social, relational, vocational, or occupational endeavors); continuously assess this severity of impairment as well as the efficacy of treatment (e.g., the client no longer demonstrates severe impairment but the presenting problem now is causing mild or moderate impairment).
| ||5. Cooperate with a medication evaluation for possible treatment with psychotropic medications to assist in anger control; take medications consistently, if prescribed. (9, 10) ||9. Assess the client for the need and willingness to take psychotropic medication to assist in control of anger; refer him/her to a physician for an evaluation and prescription of medication, if needed. |
10. Monitor the client for prescription compliance, effectiveness, and side effects; provide feedback to the prescribing physician.
| ||6. Keep a daily journal of persons, situations, and other triggers of anger; record thoughts, feelings, and actions taken. (11, 12) ||11. Ask the client to self-monitor, keeping a daily journal in which he/she documents persons, situations, thoughts, feelings, and actions associated with moments of anger, irritation, or disappointment (or assign “Anger Journal” in the Adult Psychotherapy Homework Planner by Jongsma); routinely process the journal toward helping the client understand his/her contributions to generating his/her anger. |
12. Assist the client in generating a list of anger triggers; process the list to
ward helping the client understand the causes and expressions of his/her anger.
| ||7. Verbalize increased awareness of anger expression patterns, their causes, and their consequences. (13, 14, 15, 16) ||13. Assist the client in reconceptualizing anger as involving different dimensions (cognitive, physiological, affective, and behavioral) that interact predictably (e.g., demanding expectations not being met leading to increased arousal and anger leading to acting out) and that can be understood, challenged, and changed. |
14. Process the client's list of anger triggers and other relevant journal information toward helping the client understand how cognitive, physiological, and affective factors interplay to produce anger.
15. Ask the client to list and discuss ways anger has negatively impacted his/her daily life (e.g., hurting others or self, legal conflicts, loss of respect from self and others, destruction of property); process this list.
16. Assist the client in identifying the positive consequences of managing anger (e.g., respect from others and self, cooperation from others, improved physical health, etc.) (or assign “Alternatives to Destructive Anger” in the Adult Psychotherapy Homework Planner by Jongsma).
| ||8. Explore motivation and willingness to participate in therapy, and agree to participate to learn new ways to think about and manage anger. (17) ||17. Use motivational interviewing techniques to help the client clarify his/her motivational stage, moving the client to the action stage in which he/she agrees to learn new ways to conceptualize and manage anger. |
| ||9. Verbalize an understanding of how the treatment is designed to decrease anger and improve the quality of life. (18) ||18. Discuss... |
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