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Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
The Complete Adult Psychotherapy Treatment Planner, Fifth Edition
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
Practice Planners® Series Treatment Planners The Complete Adult Psychotherapy Treatment Planner, Fifth Edition The Child Psychotherapy Treatment Planner, Fifth Edition The Adolescent Psychotherapy Treatment Planner, Fifth Edition The Addiction Treatment Planner, Fifth Edition The Continuum of Care Treatment Planner Th...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
Arthur E. Jongsma, Jr., Series Editor The Complete Adult Psychotherapy Treatment Planner, Fifth Edition Arthur E. Jongsma, Jr. L. Mark Peterson Timothy J. Bruce Practice Planners ®
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
Cover image: © Ryan Mc Vay/Getty Images Cover design: Wiley This book is printed on acid-free paper. Copyright © 2014 by Arthur E. Jongsma, Jr., L. Mark Peterson, and Timothy J. Bruce. All rights reserved. Published by John Wiley & Sons, Inc., Hoboken, New Jersey Published simultaneously in Canada No part of this publ...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
We dedicate this book to our most influential teachers and mentors early in our professional journey: Dr. Solomon E. Feldman Dr. Richard A. Westmaas Dr. Richard Brown Dr. Jack Carr Dr. David H. Barlow Dr. James Mancuso
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ix CONTENTS Practice Planners® Series Preface xi Acknowledgments xiii Introduction 1 Sample Treatment Plan 10 Anger Control Problems 14 Antisocial Behavior 27 Anxiety 38 Attention Deficit Disorder (ADD)—Adult 50 Bipolar Disorder—Depression 62 Bipolar Disorder—Mania 75 Borderline Personality Disorder 87 Childhood Traum...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
CONTENTS x Phobia 318 Posttraumatic Stress Disorder (PTSD) 328 Psychoticism 342 Sexual Abuse Victim 354 Sexual Identity Confusion 364 Sleep Disturbance 372 Social Anxiety 382 Somatization 393 Spiritual Confusion 406 Substance Use 413 Suicidal Ideation 427 Type A Behavior 437 Unipolar Depression 447 Vocational Stress 46...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
xi PRACTICE PLANNERS® SERIES PREFACE Accountability is an important dimension of the practice of psychotherapy. Treatment programs, public agencies, clinics, and practitioners must justify and document their treatment plans to outside review entities in order to be reimbursed for services. The books and software in th...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
PRACTICE PLANNERS® SERIES PREFACE xii Special education Speech-Language pathology Suicide and homicide risk assessment Veterans and active military duty Women's issues In addition, there are three branches of companion books that can be used in conjunction with the Treatment Planners, or on their own: Progress Notes Pl...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
xiii ACKNOWLEDGMENTS Since 2005 we have turned to research evidence to inform the treatment Objectives and Interventions in our latest editions of the Psychotherapy Treatment Planner books. While much of the content of our Planners was “best practice” and also from the mainstream of sound psychological procedure, we h...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ACKNOWLEDGMENTS xiv Finally, I tip my hat to my coauthor, Mark Peterson, who launched this Adult Psychotherapy Treatment Planner with his original content contributions many years ago and has supported all the efforts to keep it fresh and evidence-based. AEJ I am fortunate to have been invited some seven years ago by D...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
The Complete Adult Psychotherapy Treatment Planner, Fifth Edition
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
1 INTRODUCTION ABOUT PRACTICE PLANNERS® TREATMENT PLANNERS Pressure from third-party payors, accrediting agencies, and other outside parties has increased the need for clinicians to quickly produce effective, high-quality treatment plans. Treatment Planners provide all the elements necessary to quickly and easily deve...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 2 Many more suggested homework assignments integrated into the Interventions Extensively expanded and updated self-help book list in Appendix A: Bibliotherapy Suggestions Appendix C: New Recovery Model listing Goals, Objectives, and Interventions allowing the integrati...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
INTRODUCTION 3 The sources listed in Appendix B: Professional References and used to identify the evidence-based treatments integrated into this Planner are many. They include supportive studies from the psychotherapy outcome literature, current expert individual, group, and organizational reviews, as well as evidence-...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 4 2014). You will find many more homework assignments suggested in this fifth edition of the Complete Adult Psychotherapy Treatment Planner than in previous editions. The Bibliotherapy Suggestions Appendix A of this Planner has been significantly expanded and updated f...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
INTRODUCTION 5 The clinician who desires to insert into the client treatment plan specific statements reflecting a Recovery Model orientation may choose from this list. In addition to this list, we believe that many of the Goal, Objective, and Intervention statements found in the chapters reflect a recovery orientation...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 6 same, several have changed with the publication of the DSM-5 and are reflected in this Planner. Some clinicians have asked that the Objective statements in this Planner be written such that the client's attainment of the Objective can be measured. We have written our...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
INTRODUCTION 7 with a few selected problems or treatment will lose its direction. Choose the problem within this Planner that most accurately represents your client's presenting issues. 2. Problem Definition. Each client presents with unique nuances as to how a problem behaviorally reveals itself in his or her life. Th...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 8 Authoritative Guide to Self-Help Resources in Mental Health, Revised Edition (Norcross et al., 2003). 6. Diagnosis Determination. The determination of an appropriate diagnosis is based on an evaluation of the client's complete clinical presentation. The clinician mus...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
INTRODUCTION 9 American Psychological Association Presidential Task Force on Evidence-Based Practice. (2006). Evidence-ba sed practice in psychology. American Psychologist, 61(4), 271-285. Bohart, A., & Tallman, K. (1999). How clients make therapy work: The process of active self-healing. Washington, DC: American Psych...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 10 SAMPLE TREATMENT PLAN ANXIETY Definitions: Excessive and/or unrealistic worry that is difficult to control occurring more days than not for at least 6 months about a number of events or activities. Motor tension (e. g., restlessness, tiredness, shakiness, muscle ten...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
INTRODUCTION 11 tension, overarousal, and hypervigilance, and avoidance of what is threatening that interact to maintain the problem (see Mastery of Your Anxiety and Worry—Therapist Guide by Zinbarg, Craske, and Barlow; Treating GAD by Rygh and Sanderson). 2. Discuss how treatment targets worry, anxiety symptoms, and a...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 12 progressively from non-anxiety-provoking to anxiety-provoking situations; review and reinforce success while providing corrective feedback toward improvement. 4. Learn and implement a strategy to limit the association between various environmental settings and worry...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
INTRODUCTION 13 6. Identify, challenge, and replace biased, fearful self-talk with positive, realistic, and empowering self-talk. 1. Explore the client's schema and self-talk that mediate his/her fear response; assist him/her in challenging the biases; replacing the distorted messages with reality-based alternatives an...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
14ANGER CONTROL PROBLEMS BEHAVIORAL DEFINITIONS 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...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANGER CONTROL PROBLEMS 15 __. _____________________________________________________________ _____________________________________________________________ __. _____________________________________________________________ _____________________________________________________________ LONG-TERM GOALS 1. Learn and implement...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 16 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 tr...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANGER CONTROL PROBLEMS 17 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...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 18 with psychotropic medications to assist in anger control; take medications consistently, if prescribed. (9, 10) 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...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANGER CONTROL PROBLEMS 19 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...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 20 Deffenbacher and Mc Kay; Of Course You're Angry by Rosselini and Worden; The Anger Control Workbook by Mc Kay and Rogers; Anger Management for Everyone by Kassinove and Tafrate); process and revisit relevant themes throughout therapy to help the client consolidate h...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANGER CONTROL PROBLEMS 21 providing corrective feedback toward improvement. 23. Role-play the use of relaxation and cognitive coping to visualized anger-provoking scenes, moving from low-to high-anger scenes. Assign the implementation of calming techniques in his/her daily life and when facing anger-triggering situatio...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 22 27. Teach the client conflict resolution skills (e. g., empathy, active listening, “I messages,” respectful communication, assertiveness without aggression, compromise); use modeling, role-playing, and behavior rehearsal to work through several current conflicts. 28...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANGER CONTROL PROBLEMS 23 Psychotherapy Homework Planner by Jongsma); review progress, reinforcing success and providing corrective feedback toward improvement. 18. Verbalize an understanding of relapse prevention and the difference between a lapse and relapse. (33, 34) 33. Provide a rationale for relapse prevention th...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 24 20. Identify the advantages and disadvantages of holding on to anger and of forgiveness; discuss with therapist. (39, 40) 39. Discuss with the client forgiveness of the perpetrators of pain as a process of letting go of his/her anger. 40. Assign the client to read F...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANGER CONTROL PROBLEMS 25 45. Assign the client reading consistent with the mindfulness and ACT approach to supplement work done in session (see Get Out of Your Mind and Into Your Life: The New Acceptance and Commitment Therapy by Hayes). 23. Gain insight into the origins of anger control problems by discussing past re...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 26 V61. 12 Physical Abuse of Adult (by Partner) V61. 83 Physical Abuse of Adult (by non-Partner) ______ ______________________________________ _ ______ ______________________________________ _ Axis II: 301. 83 Borderline Personality Disorder 301. 7 Antisocial Personali...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
27ANTISOCIAL BEHAVIOR BEHAVIORAL DEFINITIONS 1. An adolescent history of consistent rule-breaking, lying, stealing, physical aggression, disrespect for others and their property, and/or substance abuse resulting in frequent confront ation with authority. 2. Failure to conform with social no rms with respect to the law...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 28 __. _____________________________________________________________ _____________________________________________________________ __. _____________________________________________________________ _____________________________________________________________ LONG-TERM ...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANTISOCIAL BEHAVIOR 29 Responsibility for Illegal Behavior” from the Adult Psychotherapy Homework Planner by Jongsma). 2. Review the consequences for the client and others of his/her antisocial behavior. 2. Provide honest and complete information for a Substance Use history. (3) 3. Assess the client for the presence of...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 30 help explain the client's currently defined “problem behavior” and factors that could offer a better understanding of the client's behavior. 7. Assess for the severity of the level of impairment to the client's functioning to determine appropriate level of care (e. ...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANTISOCIAL BEHAVIOR 31 reflecting resistance without direct confrontation or argumentation. 5. Verbalize an understanding of the benefits for self and others of living within the laws and rules of society. (11, 12) 11. Teach the client that the basis for all relationships is trust that the other person will treat one w...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 32 20. Ask the client to make a commitment to be honest and reliable. 10. Verbalize an understanding of the benefits to self and others of being empathetic and sensitive to the needs of others. (11, 21, 22) 11. Teach the client that the basis for all relationships is t...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANTISOCIAL BEHAVIOR 33 13. Verbally demonstrate an understanding of the rules and duties related to employment. (27) 27. Review the rules and expectations that must govern the client's behavior in the work environment. 14. Attend work reliably and treat supervisors and coworkers with respect. (28, 29) 28. Monitor the c...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 34 18. Verbalize an understanding of how childhood experiences of pain have led to an imitative pattern of self-focused protection and aggression toward others. (36, 37) 36. Explore the client's history of abuse, neglect, or abandonment in childhood (or assign “Describ...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANTISOCIAL BEHAVIOR 35 21. Learn and implement calming and coping strategies as part of an overall approach to managing anger. (40, 41) 40. Teach the client calming techniques (e. g., progressive muscle relaxation, breathing-induced relaxation, calming imagery, cue-controlled relaxation, applied relaxation) as part of ...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 36 23. Verbalize a list of constructive alternatives to aggressive anger in response to trigger situations. (44) 44. Review with the client alternatives (e. g., assertiveness, relaxation, diversion, calming self-talk, etc. ) to destructive anger in response to trigger ...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANTISOCIAL BEHAVIOR 37 DIAGNOSTIC SUGGESTIONS Using DSM-IV/ICD-9-CM: Axis I: 303. 90 Alcohol Dependence 304. 20 Cocaine Dependence 304. 80 Polysubstance Dependence 312. 8 Conduct Disorder 312. 34 Intermittent Explosive Disorder ______ ___________________ ___________________ _ ______ ____________________________________...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
38ANXIETY BEHAVIORAL DEFINITIONS 1. Excessive and/or unrealistic worry that is difficult to control occurring more days than not for at least 6 months about a number of events or activities. 2. Motor tension (e. g., restlessness, tiredness, shakiness, muscle tension). 3. Autonomic hyperactivity (e. g., palpitations, s...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANXIETY 39 __. _____________________________________________________________ _____________________________________________________________ __. _____________________________________________________________ _____________________________________________________________ __. _________________________________________________...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 40 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...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANXIETY 41 (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 by a physician. (9, 10) 9. Refer the client to a physician for a psychotropic medication consultation. 10. Monitor the client's psychot...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 42 7. Learn and implement calming skills to reduce overall anxiety and manage anxiety symptoms. (14, 15, 16) 14. Teach the client calming/ relaxation skills (e. g., applied re-laxation, progressive muscle relaxation, cue controlled relaxation; mindful breathing; biofee...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANXIETY 43 stopping, relaxation, and redirecting attention (or assign “Making Use of the Thought-Stopping Technique” and/or “Worry Time” in the Adult Psychotherapy Homework Planner by Jongsma to assist skill development); encourage use in daily life; review and reinforce success while providing corrective feedback towa...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 44 10. Identify, challenge, and replace biased, fearful self-talk with positive, realistic, and empowering self-talk. (22, 23) 22. Explore the client's schema and self-talk that mediate his/her fear response; assist him/her in challenging the biases; replace the distor...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANXIETY 45 generate reality-based alternatives to that worst case and process them (see Mastery of Your Anxiety and Worry: Therapist Guide by Zinbarg, Craske, and Barlow). 27. Assign the client a homework exercise in which he/she does worry exposures and records responses (see Mastery of Your Anxiety and Worry: Workboo...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 46 identifying processes that inhibit activation, and teaching skills to solve life problems (or assign “Identify and Schedule Pleasant Activities” in the Adult Psychotherapy Homework Planner by Jongsma); use behavioral techniques such as instruction, rehearsal, role-p...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANXIETY 47 relaxation, cognitive restructuring, exposure, and problem-solving) in daily life to address emergent worries, anxiety, and avoidant tendencies. 36. Develop a “coping card” on which coping strategies and other important information (e. g., “Breathe deeply and relax,” “Challenge unrealistic worries,” “Use pro...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 48 thought, fear, or anxiety; process the completed assignment. 19. Identify the major life conflicts from the past and present that form the basis for present anxiety. (41, 42, 43) 41. Assist the client in becoming aware of key unresolved life conflicts and in startin...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ANXIETY 49 DIAGNOSTIC SUGGESTIONS Using DSM-IV/ICD-9-CM: Axis I: 300. 02 Generalized Anxiety Disorder 300. 00 Anxiety Disorder NOS 309. 24 Adjustment Disorder With Anxiety ______ ______________________________________ _ ______ ______________________________________ _ Using DSM-5/ICD-9-CM/ICD-10-CM: ICD-9-CM ICD-10-CM D...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
50ATTENTION DEFICIT DISORDER (ADD)—ADULT BEHAVIORAL DEFINITIONS 1. Childhood history of Attention Deficit Disorder (ADD) that was either diagnosed or later concluded due to the symptoms of behavioral problems at school, impulsivity, temper outbur sts, and lack of concentration. 2. Unable to concentrate or pay attentio...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ATTENTION DEFICIT DISORDER (ADD)—ADULT 51 LONG-TERM GOALS 1. Reduce impulsive actions while increasing concentration and focus on low-interest activities. 2. Minimize ADD behavioral interference in daily life. 3. Accept ADD as a chronic issue and need for continuing medication treatment. 4. Sustain attention and concen...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 52 3. Cooperate with and complete a psychiatric evaluation. (4) 4. Arrange for a psychiatric evaluation of the client to rule out medical and substance-related etiologies and assess his/her need for psychotropic medication. 4. Comply with all recom- mendations based on...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ATTENTION DEFICIT DISORDER (ADD)—ADULT 53 9. 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 depression is e...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 54 8. Identify specific benefits of taking prescribed psychotropic medications on a long-term basis. (14, 15) 14. Ask the client to make a “pros and cons” spreadsheet regarding staying on psychotropic medications; process the results. 15. Encourage and support the clie...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ATTENTION DEFICIT DISORDER (ADD)—ADULT 55 11. Invite a significant other to join in the therapy to provide support throughout therapy. (20, 21) 20. Direct the client to invite a significant other to participate in the therapy; train the significant other throughout therapy to help support the change and reduce friction...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 56 understanding of the condition and its features. (25) client's understanding of ADHD (e. g., Driven to Distraction by Hallowell and Ratey; ADHD : Attention-Deficit Hyperactivity Disorder in Children, Adolescents, and Adults by Wender; Putting on the Brakes by Quinn ...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ATTENTION DEFICIT DISORDER (ADD)—ADULT 57 15. Learn and implement skills to reduce the disruptive influence o f distractibility. (30, 31, 32, 33) 30. Assess the client's typical attention span by having them do a few “boring” tasks (e. g., sorting bills, reading something uninteresting) to the point that they report di...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 58 thinking has occurred previously; review and provide corrective feedback toward improving the skills. 17. Acknowledge procrastination and the need to reduce it. (36) 36. Assist the client in identifying positives and negatives of procrastinating toward the goal of e...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ATTENTION DEFICIT DISORDER (ADD)—ADULT 59 challenged to apply his/her new strategies for managing ADHD, starting with situations highly likely to be successful. 42. Use any of several techniques, including imagery, behavioral rehearsal, modeling, role-playing, or in vivo exposure/ behavioral experiments to help the cli...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 60 understanding of ADD, to boost his/her self-esteem, and to obtain feedback from others; encourage inclusion of significant other. 24. Report improved listening skills without defensiveness. (48) 48. Use role-playing and modeling to teach the client how to listen and...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
ATTENTION DEFICIT DISORDER (ADD)—ADULT 61 Using DSM-5/ICD-9-CM/ICD-10-CM: ICD-9-CM ICD-10-CM DSM-5 Disorder, Condition, or Problem 314. 00 F90. 0 Attention-Deficit/Hyperactivity Disorder, Predominately Inattentive Presentation 314. 01 F90. 1 Attention-Deficit/Hyperactivity Disorder, Predominately Hyperactive/Impulsive ...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
62BIPOLAR DISORDER—DEPRESSION BEHAVIORAL DEFINITIONS 1. Depressed or irritable mood. 2. Decrease or loss of appetite. 3. Diminished interest in or enjoyment of activities. 4. Psychomotor agitation or retardation. 5. Sleeplessness or hypersomnia. 6. Lack of energy. 7. Poor concentration and indecisiveness. 8. Social wi...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
BIPOLAR DISORDER—DEPRESSION 63 2. Develop healthy thinking patterns and beliefs about self, others, and the world that lead to the alleviation and help prevent the relapse of depression. 3. Develop healthy interpersonal relationships that lead to the alleviation and help prevent the relapse of depression. 4. Appropriat...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 64 2. Complete psychological testing to assess the nature and impact of mood problems. (3) 3. Arrange for the administration of an objective instrument(s) for evaluating relevant features of the bipolar disorder such as symptoms, communication patterns with family/sign...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
BIPOLAR DISORDER—DEPRESSION 65 anxiety disorder) including vulnerability to suicide, if appropriate (e. g., increased suicide risk when comorbid depression 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 of...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 66 medication needs to stabilize symptoms. (12) appropriate pharmacotherapy (e. g., lithium carbonate, Depakote, Lamictal). 8. Take prescribed medications as directed. (13, 14) 13. Monitor the client for psychotropic medication prescription compliance, side effects, an...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
BIPOLAR DISORDER—DEPRESSION 67 19. Assess factors (e. g., thoughts, feelings, stressors) that have precipitated the client's prescription noncompliance; develop a plan for recognizing and addressing them (see “Why I Dislike Taking My Medication” in the Adult Psychotherapy Homework Planner by Jongsma). 12. Attend group ...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 68 Disorder by Miklowitz and Goldstein). 14. Family members implement skills that help manage the client's bipolar disorder and improve the quality of life of the family and its members. (23, 24, 25, 26, 27) 23. Assess and educate the client and family about the role o...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
BIPOLAR DISORDER—DEPRESSION 69 session toward effective use; problem-solve obstacles; (see “Plan Before Acting” or “Problem-Solving: An Alternative to Impulsive Action” in the Adult Psychotherapy Homework Planner by Jongsma); process results in session. 15. Develop a “relapse drill” in which roles, responsibilities, an...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 70 activities, keeping a regular sleep routine, avoiding unrealistic goal striving, using relaxation procedures, identifying and avoiding episode triggers such as stimulant drug use, alcohol consumption, breaking sleep routine, or exposing self to high stress (see Cogn...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
BIPOLAR DISORDER—DEPRESSION 71 Planner by Jongsma); use activity and mood monitoring to facilitate an optimal balance of activity; reinforce success. 18. Discuss and resolve troubling personal and interpersonal issues. (36, 37, 38) 36. Conduct the interpersonal component of Interpersonal and Social Rhythm Therapy begin...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 72 Survival Guide by Miklowitz; Bipolar 101: A Practical Guide to Identifying Triggers, Managing Medications, Coping with Symptoms, and More by White and Preston); review and process concepts learned through the reading. 21. Differentiate between real and imagined loss...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
BIPOLAR DISORDER—DEPRESSION 73 24. Increasingly verbalize hopeful and positive statements regarding self, others, and the future (48, 49) 48. Assign the client to write at least one positive affirmation statement daily regarding himself/herself and the future (see “Positive Self-Talk” in the Adult Psychotherapy Homewor...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 74 Note: The ICD-9-CM codes are to be used for coding purposes in the United States through September 30, 2014. ICD-10-CM codes are to be used starting October 1, 2014. Some ICD-9-CM codes are associated with more than one ICD-10-CM and DSM-5 Disorder, Condition, or Pr...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
75BIPOLAR DISORDER—MANIA BEHAVIORAL DEFINITIONS 1. Exhibits an abnormally and persistently elevated, expansive, or irritable mood with at least three symptoms of mania (i. e., inflated self-esteem or grandiosity, decreased need for slee p, pressured speech, flight of ideas, distractibility, excessive goal-directed act...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 76 LONG-TERM GOALS 1. Alleviate manic/hypomanic mood and return to previo us level of effective functioning. 2. Normalize energy level and return to usual activities, good judgment, stable mood, more realistic expectations, and goal-directed behavior. 3. Reduce agitati...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
BIPOLAR DISORDER—MANIA 77 supplement with semi-structured inventory, if desired (e. g., Young Mania Rating Scale; the Clinical Monitoring Form ); readminister as indicated to assess treatment response. 2. Complete psychological testing to assess the nature and impact of mood problems. (3) 3. Arrange for the administrat...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 78 defiant behavior with ADHD, depression secondary to an anxiety disorder) including vulnerability to suicide, if appropriate (e. g., increased suicide risk when comorbid depression is evident). 7. Assess for any issues of age, gender, or culture that could help expla...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
BIPOLAR DISORDER—MANIA 79 medication (e. g., compliance, side effects, and effectiveness). 12. Continually evaluate the client's compliance with the psycho-tropic medication prescription. 7. Achieve a level of symptom stability that allows for meaningful participation in psychotherapy. (13) 13. Monitor the client's sym...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 80 18. Assess factors (e. g., thoughts, feelings, stressors) that have precipitated the client's prescription noncompliance; develop a plan for recognizing and addressing them (or assign “Why I Dislike Taking My Medication” in the Adult Psychotherapy Homework Planner b...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
BIPOLAR DISORDER—MANIA 81 in the self-talk, alternatives (or assign “Journal and Replace Self-Defeating Thoughts” in the Adult Psychotherapy Homework Planner by Jongsma); review and reinforce success, providing corrective feedback toward improvement. 23. Teach the client cognitive behavioral coping and relapse preventi...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
THE COMPLETE ADULT PSYCHOTHERAPY TREATMENT PLANNER 82 13. Family members implement skills that help manage the client's bipolar disorder and improve the quality of life of the family and its members. (26, 27, 28, 29) 26. Use cognitive-behavioral techniques (education, modeling, role-playing, corrective feedback, and po...
Practice planners Bruce Timothy J._Jongsma Arthur E._Peterson L. Mark - The complete adult psychotherapy treatment planner-John Wiley and Sons 2014.pdf
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