The Veterans and Active Duty Military Psychotherapy Treatment Planner, with DSM-5 Updates

ARTHUR E. JONGSMA, JR., PHD, is the Series Editor for the bestselling PracticePlanners®. Since 1971, he has provided professional mental health services to both inpatient and outpatient clients. He was the founder and director of Psychological Consultants, a group private practice in Grand Rapids, Michigan, for 25 years. He is the author or coauthor of over 50 books on treatment planning and has conducted training workshops for mental health professionals around the world. BRET A. MOORE, PSYD, ABPP, is a clinical psychologist with the Indian Health Services, Fort Peck, Montana. In 2008, he left Active Duty service in the U.S. Army where he served as a captain and a clinical psychologist with the 85th Combat Stress Control (CSC) unit based in Fort Hood, Texas. He has extensive experience treating veterans, including two tours of duty in Iraq as an Officer in Charge of Preventive Services and Officer in Charge of Clinical Operations. He is coeditor of Living and Surviving in Harm's Way: A Psychological Treatment Handbook for Pre-and Post-Deployment of Military Personnel.

PracticePlanners Series Preface x

Acknowledgments xii

Introduction 1

Sample Treatment Plan 8

Adjustment to Killing 12

Adjustment to the Military Culture 19

Amputation, Loss of Mobility, Disfigurement 25

Anger Management and Domestic Violence 32

Antisocial Behavior in the Military 41

Anxiety 48

Attention and Concentration Deficits 57

Bereavement Due to the Loss of a Comrade 64

Borderline Personality 71

Brief Reactive Psychotic Episode 80

Chronic Pain after Injury 86

Combat and Operational Stress Reaction 92

Conflict with Comrades 99

Depression 106

Diversity Acceptance 114

Financial Difficulties 119

Homesickness/Loneliness 126

Insomnia 133

Mild Traumatic Brain Injury 139

Nightmares 146

Opioid Dependence 152

Panic/Agoraphobia 163

Parenting Problems Related to Deployment 172

Performance-Enhancing Supplement Use 178

Phobia 184

Physiological Stress Response–Acute 193

Post-Deployment Reintegration Problems 199

Posttraumatic Stress Disorder (PTSD) 206

Pre-Deployment Stress 216

Separation and Divorce 223

Sexual Assault by Another Service Member 232

Shift Work Sleep Disorder 238

Social Discomfort 244

Spiritual and Religious Issues 251

Substance Abuse/Dependence 257

Suicidal Ideation 268

Survivor’s Guilt 274

Tobacco Use 280

Appendix A: Bibliotherapy Suggestions 287

Appendix B: Professional References for Evidence-based Chapters 304

Appendix C: Recovery Model Objectives and Interventions 317