Therapist's Guide to Clinical Intervention (eBook)

Cover 1
Title Page 2
Copyright Page 5
Contents 6
Introduction 20
Level of Patient Care and Practice Considerations 22
Decision Tree of Evaluation and Intervention 24
Levels of Functioning and Treatment Associated Considerations 25
High-Risk Situations in Practice 26
Treatment Plan 27
Solution-Focused Approach to Treatment 28
Case Conceptualization 29
Common Axis 1 and Axis 2 Diagnoses 31
Chapter 1. Treatment Planning: Goals, Objectives, and Interventions 32
Disorders Usually First Evident in Infancy, Childhood, or Adolescence 32
Disruptive Behavior Disorders 38
Recommendations for Family Members of Anorexic Individuals 56
Children 59
Organic Mental Syndromes and Disorders 62
Dementia 63
Psychoactive Substance Abuse Disorders 68
List of Symptoms Leading to Relapse 73
Schizophrenia, Delusional, and Related Psychotic Disorders 76
Mood Disorders 82
Bipolar Disorder Hypersexuality 93
Antidepressant Medication and other Treatment 94
Additional Treatment Considerations 95
Anxiety Disorders 96
Cycle of Anxiety-Provoked Emotional Distress 100
Somatoform Disorders 103
Dissociative Disorders 109
Sexual Disorders 111
Adjustment Disorders 112
Impulse Control Disorders 115
Psychological Factors Affecting Physical Condition 117
Personality Disorders 119
Physical Factors Affecting Psychological Functioning 135
Chapter 2. Assessing Special Circumstances 140
Assessing Special Circumstances 140
Structured Interview for Depression 143
Cycle of Depression 144
Suicide 146
Dangerousness 150
Cycle of Phobic Anxiety 155
Obsessional Disorders: An Overview 156
Assessment of Obsessional Disorders (OD) 156
Gravely Disabled 158
Activities of Daily Living 159
Chronic Mental Illness (CMI) 161
Crisis Evaluation 163
Crisis Intervention 164
Identifying Traumatic Stress 166
Traumatic Stress and Vehicular Accidents 168
Assessment of Phobic Behavior 170
Postpartum Depression and Anxiety 172
Professional Guidelines for Crisis Intervention 176
Self-Care Behaviors 177
Counseling the Individual in a Medical Crisis 178
Dealing with the Challenges of Long Term Illness 182
Chronic Pain: Assessment and Intervention 188
Pain Identification Chart 191
Pain Management Scale 192
Somatic Problems: A Brief Review 195
The Patient with Psychosomatic Illness Who has an Underlying Personality Disorder 196
Eating Disorders Screening Questionnaire 198
The Mood Eating Scale 200
Eating History 200
Eating Disorder Evaluation: Anorexia 201
Eating Disorder Evaluation: Bulimia 203
Adult ADD Screening 205
ADHD Behavioral Review 208
Chemical Dependency Assessment 210
Chemical Dependency Psychological Assessment 213
Withdrawal Symptoms Checklist 216
Spousal/Partner Abuse 218
The Stage Model of Domestic Violence 222
Assessing for Domestic Violence 223
Counseling Victims of Domestic Violence 225
Child Abuse and Neglect 226
Child Custody Evaluation 229
Parental Alienation Syndrome 233
Evaluation and Disposition Considerations for Families where Parental Alieneation Occurs 238
Parental Alienation Syndrome Treatment 240
Visitation Rights Report 242
Dispositional Review: Foster Placement: Temporary Placement 242
Psychiatric Work-Related Disability Evaluation 244
Psychological Pre-Employment Evaluation 248
Compulsory Psychological Evaluation 249
Forensic Evaluation 250
Report Outline 251
Chapter 3. Skill-Building Resources for Increasing Social Competency 254
What is Stress? 254
Stress Management 257
Effective Management of Stress 260
Tips for Stress Management 261
Tips to Simplify Life 262
Pain Management 264
Some Examples of Individualized Time Management Options 265
Self-Care Plan 266
How to Get The Most Out of Your Day 267
Emotional IQ 268
Relaxation Exercises 269
Critical Problem Solving 278
Problem Solving Diagram 280
Assignment 1 281
Assignment 2 281
Assignment 3 282
Risks 283
Components of Effective Communication 284
Nonverbal Communication Checklist 286
Improving Communication Skills 287
Assertive Communication 288
Assertiveness Inventory 289
Nonverbal Communication 291
Developing Assertiveness 292
Personal Bill of Rights 293
Assertiveness 293
Ten Steps for Giving Feedback 295
Saying NoŽ 295
Accepting NoŽ for An Answer 296
Ten Ways of Responding to Aggression 296
The Communication of Difficult Feelings 297
Writing 298
Areas of Potential Conflict 299
List of Feeling Words 300
Time Management 301
Some Examples of Individualized Time Management Options 302
Decision Making 303
Goal Development 304
Setting Priorities 305
Rational Thinking: Self-Talk, Thought Stopping, and Reframing 305
Thinking Distortions 309
Realistic Self-Talk 310
Practice Reframing How You Interpret Situations 312
Defense Mechanisms 313
Defense Mechanism Definitions 314
Anger Management 314
Understanding Anger 316
Handling Anger 317
Ten Steps for Letting Go of Anger 320
Preventing Violence in the Workplace 320
How to Handle Angry People 326
What Management Can Do to Minimize Employee Stress 327
Adjusting/Adapting 329
Learning History 331
Losses/Opportunities 332
Grief Cycle 334
Definition: The Natural Emotional Response to the Loss of a Cherished Idea, Person, or Thing 334
Grief 335
History of Loss Graph 338
Relationship Graph 338
Is Life What You Make It? 339
Journal Writing 339
Developing and Utilizing Social Supports 341
How to Build and Keep a Support System 343
Recognizing the Stages of Depression 344
Managing Depression 345
Depression Symptom Checklist 346
Surviving the Holiday Blues 348
Utilizing Your Support System 349
The Power of Positive Attitude 349
Self-Monitoring Checklist 350
Daily Activity Schedule 353
Confronting and Understanding Suicide 354
Depression 355
Feeling Overwhelmed and Desperate 356
Feeling like Your Life is Out of Control 357
Guilt 358
Loneliness 360
Chemical Imbalance 360
Low Self-Esteem 361
The Self-Esteem Review 363
Ten Self-Esteem Boosters 364
Affirmations for Building Self-Esteem 365
Self-Nurturing: A Component of Self-Esteem 365
Characteristics of Low Self-Esteem 367
Characteristics of High Self-Esteem 369
What Motivates Me? 370
Standing Up to Shyness 370
Bad Memories and Fear 372
Seasonal Anniversary of Losses 373
Fatigue or Sleep Deprivation 375
What is Panic Anxiety? 375
Post-Traumatic Stress Disorder (PTSD) 377
Managing Anxiety 378
Survey of Stress Symptoms 381
How Your Body Reacts to Stress and Anxiety 382
25 Ways to Relieve Anxiety 383
Plan of Action for Dealing with Anxiety 384
Relapse„Symptom Reoccurrence 385
Warning Signs of Relapse 387
Systematic Desensitization 388
What is Dementia? 389
Understanding Schizophrenia 390
Ten Warning Signs of Alzheimer’s Disease 393
Caregiving of Elderly Parents 394
Ten Warning Signs of Caregiver Stress 397
Sleep Disorders 398
Ten Tips for Better Sleep 399
Health Inventory 401
Assessing Lifestyle and Health 402
Assuming the Patient Role: The Benefits of Being Sick 403
Improving Your Health 404
Heart Disease and Depression 406
Eating History 407
How to Stop Using Food as a Coping Mechanism 408
Preventing Body Weight and Body Image Problems in Children 409
Guidelines to Follow if Someone You Know Has An Eating Disorder 410
Dealing with Fear 411
Guidelines for Family Members/Significant Others of Alcoholic/Chemically Dependent Individuals 412
Detaching with Love Versus Controlling 413
The Enabler„The Companion to the Dysfunctional/Substance- Abusing Person 414
Substance Abuse/Dependence Personal Evaluation 416
List of Symptoms Leading to Relapse 417
What is Codependency? 418
The Classic Situation 419
Some Characteristics of Codependence 419
Suggested Diagnostic Criteria for Codependence 420
How Does Codependency Work? 421
Characteristics of Adult Children of Alcoholics 424
Guidelines for Completing Your First Step Toward Emotional Health 425
Relationship Questionnaire 427
Healthy Adult Relationships: Being a Couple 427
How to Predict the Potentially Violent Relationship 428
Domestic Violence: Safety Planning 430
Why Victims of Domestic Violence Struggle with Leaving 432
Improved Coping Skills for Happier Couples 433
Couple’s Conflict: Rules for Fighting Fair 434
Parenting a Healthy Family 437
Guiding Your Child to Appropriately Express Anger 439
The Family Meeting 440
Understanding and Dealing with Life Crises of Childhood 442
What Is a Crisis? 442
What Happens During a Crisis 443
Crisis Resolution 444
Your Child’s Mental Health 446
Warning Signs of Teen Mental Health Problems 447
Talking to Children 448
Guidelines for Discipline that Develops Responsibility 450
Surviving Divorce 451
Successful Stepfamilies 453
Helping Children Cope with Scheduling Changes 454
Is Your Behavior in the Best Interest of Your Children? 456
The Rules of Politeness 457
Self-Monitoring 457
Goal Setting 458
Accomplishments 459
Strengths 459
Resources 460
Ten Rules for Emotional Health 460
Chapter 4. Professional Practice Forms Clinical Forms Business Forms 462
Case Formulation 466
General Clinical Evaluation 467
Treatment Plan 470
Mental Status Exam 473
Mental Status Exam 475
Mental Status Exam 476
Initial Case Assessment 478
Initial Evaluation 480
Brief Mental Health Evaluation Review 482
Life History Questionnaire 485
Adult Psychosocial 494
Summary 497
Child/Adolescent Psychosocial 498
Parent’s Questionnaire 506
Self-Assessment 508
Brief Medical History 509
Illnesses and Medical Problems 510
Medical Review Consult Request for Primary Care Physician of an Eating Disorder (EDO) Patient 511
Substance Use and Psychosocial Questionnaire 512
Chemical Dependency Psychosocial Assessment 516
Initial Evaluation Consultation Note to Primary Care Physician 519
Brief Consultation Note to Physician 521
Outpatient Treatment Progress Report 522
Progress Note for Individual with Anxiety and/or Depression 525
Clinical Notes 527
Disability/Worker’s Compensation 529
Social Security Evaluation, Medical Source Statement, Psychiatric/ Psychological 530
Worker’s Compensation Attending Therapist’s Report 531
Brief Psychiatric Evaluation for Industrial Injury 533
Brief Level of Functioning Review for Industrial Injury 536
Outline for Diagnostic Summary 540
Discharge Summary 542
Patient Registration 546
Contract for Services Without Using Insurance 548
Fee Agreement for Deposition and Court Appearance 548
Limits on Patient Confidentiality 550
Treatment Contract 551
Contract for Group Therapy 552
Release for the Evaluation and Treatment of a Minor 553
Authorization for the Release or Exchange of Information 553
Client Messages 554
Affidavit of the Custodian of Mental Health Records to Accompany Copy of Records 555
Referral for Psychological 556
Release to Return to Work or School 558
Notice of Discharge for Noncompliance of Treatment 559
Duty to Warn 560
Missed Appointment 561
Receipt 562
Receipt 563
Balance Statement 564
Client Satisfaction Survey 565
Form for Checking Out Audiotapes, Videotapes and Books 567
Quality Assurance Review 568
Bibliography 570
Index 584