The Adult Psychotherapy Progress Notes Planner. David J. Berghuis
Чтение книги онлайн.
Читать онлайн книгу The Adult Psychotherapy Progress Notes Planner - David J. Berghuis страница 23
Название: The Adult Psychotherapy Progress Notes Planner
Автор: David J. Berghuis
Издательство: John Wiley & Sons Limited
Жанр: Психотерапия и консультирование
isbn: 9781119691167
isbn:
42 Assign Cost-Benefit Analysis (42)The client was asked to complete a cost-benefit analysis as found in Ten Days to Self-Esteem! (Burns) in which he/she/they were asked to list the advantages and disadvantages of maintaining the anxiety.Completing the cost-benefit analysis exercise has been noted to be beneficial to the client as he/she/they developed more insight into the impact of anxiety on his/her/their daily life.The client has not followed through on completing the cost-benefit analysis of his/her/their anxiety and was encouraged to do so.
43 Identify Unresolved Conflicts (43)The client was assisted in becoming aware of unresolved life conflicts that contribute to his/her/their persistent fears.The client was assisted in clarifying his/her/their feelings of anxiety as they relate to unresolved life conflicts.The client was assisted in identifying steps that could be taken to begin resolving issues in his/her/their life that contribute to persistent fear and worry.As the client has been helped to resolve life conflicts, his/her/their feelings of anxiety have diminished.The client did not display insight into unresolved conflicts and how they contribute to his/her/their persistent fears and was gently offered examples in this area.
44 Develop Insight into Past Traumas (44)The client's past traumatic experiences that have become triggers for anxiety were examined.The client has been assisted in developing insight into how past traumatic experiences have led to anxiety in present unrelated circumstances.The client's insights into the role of past emotional pain and present anxiety were reinforced.The development of insight regarding past traumas has resulted in a reduction in the experience of anxiety.
45 List Life Conflicts (45)The client was asked to list his/her/their important past and present life conflicts that may contribute to his/her/their feelings of worry.The client's list of life conflicts that trigger anxiety was processed.The client was assisted in clarifying the causes for his/her/their worry and to put them into better perspective.The client was unable to make a connection between life conflicts and his/her/their anxiety/worry and was gently offered examples in this area, as well as ways to put them in better perspective.
46 Reinforce Responsibility Acceptance (46)The client was supported and reinforced for following through with the work, family, and social responsibilities rather than using escape and avoidance to focus on anxiety symptoms.The client reported performing responsibilities more consistently and being less preoccupied with the worry symptoms or fear that worry symptoms might occur; his/her/their progress was highlighted.
47 Teach Sleep Hygiene (47)The client was taught about sleep hygiene practices to help reestablish a consistent sleep-wake cycle.The client was taught to implement sleep hygiene practices.The client's use of sleep hygiene practices was reviewed, reinforcing for success and providing corrective feedback toward improvement.
NOTES
1 1 The numbers in parentheses correlate to the number of the Behavioral Definition statement in the companion chapter with the same title in The Complete Adult Psychotherapy Treatment Planner, Sixth Edition, by Jongsma, Peterson, and Bruce (Hoboken, NJ: Wiley, 2020).
2 2 The numbers in parentheses correlate to the number of the Therapeutic Intervention statement in the companion chapter with the same title in The Complete Adult Psychotherapy Treatment Planner, Sixth Edition, by Jongsma, Peterson, and Bruce (Hoboken, NJ: Wiley, 2020).
ATTENTION DEFICIT DISORDER (ADHD)—ADULT
CLIENT PRESENTATION
1 ADHD Childhood History (1)1The client confirmed that his/her/their childhood history consisted of the following symptoms: behavioral problems at school, impulsivity, temper outbursts, and lack of concentration.The client had a diagnosed ADHD condition in his/her/their childhood.Although the client's symptoms were not diagnosed as ADHD, it can be concluded from the childhood symptoms that the ADHD condition was present at that time.
2 Lack of Attention to Detail (2)The client reported failure to give close attention to detail or making mistakes with things of low interest, even though they may be important to his/her/their life.The client's lack of ability to give close attention has resulted in his/her/their missing out on the comprehension of important details.The client's ability to give close attention seems to be increasing as he/she/they reported increased attention skills.
3 Fidgety (3)The client reported that he/she/they cannot sit still for any length of time, but often feel restless and fidgety.The client gave evidence of being restless and fidgety within the session, often moving about in his/her/their chair.The client's ability to rest comfortably for a longer period of time has increased.
4 Difficulty Sustaining Attention (4)The client reported that he/she/they have difficulty sustaining attention to tasks or activities.The client gave evidence of difficulty sustaining attention within today's session.The client's difficulty sustaining attention is diminishing and his/her/their focused concentration is increasing.
5 Fails to Listen (5)The client does not seem to listen to others even when spoken to directly.The client reports problems with day-to-day functioning due to failure to listen to others.The client reports greater control over his/her listening when others are speaking to him/her/them.
6 Restless (6)The client reported that he/she/they cannot sit still for a significant length of time and often feels restless.The client gave evidence of being restless within the session, often moving about in his/her/their chair.The client's ability to rest comfortably for a longer period of time has increased.
7 Lack of Follow-Through (7)The client reported that he/she/they struggle to follow through on instructions and fail to finish duties.Family members reported frustration at the client's pattern of failing to finish duties.The client has shown progress in follow-through and completing duties.
8 Inability to Engage Quietly (8)The client reports an inability to engage in leisure activities quietly.The client has identified problems with others due to inability to engage in leisure activities quietly.The client has improved in his/her ability to engage in leisure activities at an appropriate noise level.
9 Disorganization (9)The client has a history of disorganization in many areas of his/her/their life.The client's disorganization is evident in areas related to home and work, leading him/her to be less efficient and less effective than he/she/they could be.The client has made significant progress in increasing his/her/their organization and is using that organization to become more efficient.The client uses lists and reminders to increase his/her organizational ability.
10 On the Go (10)The client is often described as “on the go” or acting as if “driven by a motor.”The client has identified problems with overall functioning due to his/her/their “on the go” behaviors.The client has been able to improve in functioning as he/she/they have reduced their “on the go” behaviors.
11 Avoidance (11)The client often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort.The client has struggled to maintain employment or struggles in school due to his/her/their avoidance of tasks that require sustained mental effort.The client has reduced their avoidance of difficult tasks and reports improved functioning in a variety of areas.
12 Excessive Talking (12)The client talks excessively.The client's family and friends СКАЧАТЬ