Treatment plan

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Part 1: Review the initial Treatment Plan submitted in Topic 5.

  1. Reassess your treatment plan diagnoses, goals, and objectives based on the new information provided.
  2. Fill out and submit a new treatment plan evidencing the changes made in treatment utilizing the treatment plan template provided.

Part 2: In a 1,000-1,250-word essay, answer the questions presented in a separate Word document, addressing the following:

  1. Examine the case and propose why the changes occurred.
  2. Reassess the effectiveness and validity of the treatment plan.
  3. Discuss how the treatment plan needs to be adjusted to address the changes in the situation.
  4. Justify the changes both ethically and legally.
  5. Determine what the changes (obstacles) mean to the treatment plan.
  6. Discuss how you would evaluate the resources available for you to make a referral.
  7. Discuss how you would communicate to the client the need for referrals to other providers.
  8. Determine which referrals you would make and which you might suggest to the client.
  9. Include any instruments you would use to assess the client.

Submit the revised treatment plan and essay to your instructor.

You are required to submit this assignment to Turnitin.

PCN-610.R.T5TreatmentPlan.docx

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Treatment Plan Based on the information collected in Week 4, complete the following treatment plan for your client Eliza. Be sure to include a description of the problem, goals, objectives, and interventions. Remember to incorporate the client's strengths and support system in the treatment plan. Client: ____________________________________________ Date: ______________ Age:______ DOB: __________________ DSM Diagnosis Goals / Objectives: □ Mood Stabilization □ Anxiety Reduction □ Reduce Obsessive Compulsive Behaviors ICD Diagnosis Interventions: Frequency: □ Psychotropic Medication Referral & Consultation □ Journaling □ Weekly □ Bi Weekly □ Monthly □ Cognitive Behavior Therapy □ Skill Training □ other: ____________________ □ Emotion Recognition – Regulation Techniques □ Group □ Individual □ Family □ Psychotropic Medication Referral & Consultation □ Journaling □ Weekly □ Bi Weekly □ Monthly □ Cognitive Behavior Therapy □ Skill Training □ other: ____________________ □ Relaxation Techniques □ Group □ Individual □ Family □ Psychotropic Medication Referral & Consultation □ Journaling □ Weekly □ Bi Weekly □ Monthly □ Cognitive Behavior Therapy □ Skill Training □ other: ____________________ □ Group □ Individual □ Family □ Decrease Sensitivity to Trauma Experiences □ Verbalize Memories Triggers & Emotion □ Weekly □ Bi Weekly □ Monthly □ Desensitize Trauma Triggers and Memories □ other: ____________________ □ Utilize Healing Model/Support (Mending the Soul) □ Group □ Individual □ Family □ Establish and Maintain Eating □ Overcome Denial □ Identify Disorder Recovery Negative Consequences □ Maintain Abstinence from substances (Alcohol/Drugs) □ Weekly □ Bi Weekly □ Monthly □ Menu Planning □ Nutrition Counseling □ Body Image Work □ other: ____________________ □ Healthy Exercise □ Trigger Mngmt Recovery Plan □ CBT □ Group □ Individual □ Family □ Substance Use Assessment □ Stepwork □ Overcome Denial □ Identify Negative Consequences □ Commitment to Recovery Program □ Attend Meetings □ Obtain Sponsor □ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family □ Increase Coping Skills □ DBT Skills Training □ Problem Solving Techniques □ Weekly □ Bi Weekly □ Monthly □ Emotion Recognition & Regulation □ Communication Skills □ other: ____________________ □ Group □ Individual □ Family □ Stabilize, Adjustment to New Life Circumstances □ Decrease/Eliminate Self Harmful Behaviors □ Alleviate Distress Behavior Therapy □ Cognitive □ Weekly □ Bi Weekly □ Monthly □ Stress Management □ Skills Training □ other: ____________________ □ Improve Daily Functioning □ Develop Healthy Support □ Group □ Individual □ Family □ Cognitive Behavior Therapy □ Skills Training □ Weekly □ Bi Weekly □ Monthly □ Develop and Utilize Support System □ other: ____________________ □ Group □ Individual □ Family □ Improve Relationships □ Communication Skills □ Active Listening □ Family Therapy □ Assertiveness □ Setting Healthy Boundaries □ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family □ Improve Self Worth □ Affirmation Work □ Positive Self Talk □ Skills Training □ Weekly □ Bi Weekly □ Monthly □ Confidence Building Tasks □ other: ____________________ □ Group □ Individual □ Family □ Grief Reduction and Healing from Loss □ Develop Anger Management Skills □ Psychoeducation on Grief Process/ Stages □ Weekly □ Bi Weekly □ Monthly □ Process Feeling □ Emotion Regulation Techniques □ other: ____________________ □ Reading/Writing Assignments □ Develop/Utilize Support □ Group □ Individual □ Family □ Decrease Anger Outbursts □ Emotion Regulation Techniques □ Cognitive Behavior Therapy □ Weekly □ Bi Weekly □ Monthly □ Increase Awareness/Self Control □ other: ____________________ □ Group □ Individual □ Family Researches have proved that knowledge concerning treatment of different mental health problems has tremendously advanced. These advancements achieved in this field of study is attributed to several studies conducted in this recent years. Majority of these studies have their focus on testing and developing different approaches in order to come up with the most ideal treatment approach for a different mental health issues. (Akhavan, Gharaat, Geramian, Tehrani & Farajzadegan, 2012). Researches based on these studies have developed a variety of theories that are quite essential in treating psychiatric disorders. Incorporation of these theories in treatment is more important given the fact that they tend to produce positive outcome. Using theories to identify and treatment of mental illness plays an important role in helping therapists understand the problem in the right context according to Bonfils et al, (2014). For effective application of theory to manage treatment of a client depends on the ability of the therapist of being satisfied that the client has provided enough information necessary for further diagnosis. Due to inefficient information provided by the client, the use of DSM 5 Cross-Cutting Symptom Measure- Level 2- Form would be necessary to apply. Parents or guardian could also be assisted to complete Personality Inventory part of the DSM 5 Information Form (PID-5-IRF) (American Psychological Association & American Psychiatric Association, 2013). The counselor stands a chance of deciding the best treatment option for identified mental deficiency once enough information have been generated (Walters et al, 2012). Again, the most ideal treatment for a particular mental health illness could be identified by using mental illness theories. The most suitable theory that could be incorporated into the treatment suit Eliza is Social Cognitive Theory (SCT). Social Cognitive Theory places emphasis on explaining human © 2017. Grand Canyon University. All Rights Reserved. behavior giving a better understanding of the thought process of the individual (Zec, 2012). This theory could be incorporated into the treatment of Eliza to identify her maladaptive thought pattern. This theory could be used to identify the most ideal treatment for the client. The idea of selecting SCT for Eliza’s treatment comes with a number of reasons. The number one reason for this selection is to create the opportunity for the therapist to observe the client (Eliza) in her social context. According to SCT an individual stands the chance of developing better behavior in future if a person observes a behavior of a model in a social environment and understands the consequences of that behavior. Hence the therapist could help Eliza live a sober live. This is possible because the therapist will be able to gather all the information that will be necessary to help guide the client’s subsequent behavior. The reason behind this assertion is that new behaviors are learnt through replicating and imitating actions of other rather than just solely through making the first attempt. Social Cognitive Theory has some assumptions that could be helpful when seeking treatment for Eliza. This said theory makes an assumption that thoughts are the key determinants of an individual’s behavior and emotions (Dashtgard, Heydari & Moghadam, 2014). The therapist will base on this assumption and focus on to identify Eliza’s thought and establish a relationship between her thoughts, emotions, and behavior. The theory also stresses on the role an environment plays in influencing individuals behavior. According to SCT, environment is comprised of physical and social environment (Zec, 2012). From Eliza’s assessment the environment that determines her behavior in this regard will be her friends and family. Understanding this model will help the counselor get deeper understanding of the effects of other © 2017. Grand Canyon University. All Rights Reserved. environmental factors on the client’s mental health. The social cognitive theory has been proven helpful in addressing a number of problems such as the ones exhibited by Eliza. This could be used to address issues such as low self-esteem. Social cognitive theory stipulates that every individual have the capacity to proactively engage their personal development by controlling their thoughts, actions, and feelings (Zec, 2012). This means using this model for the treatment of this client could be helpful in the sense that, the client will learn to confront her selfdisapproval comments and statements. To employ this model, the counselor could encourage Eliza to take part in activities that would give her sense of self-worth. More importantly, this model could help the clients change her thinking pattern hence, positive thinking pattern. According to Heydari, Dashtgard & Moghadam (2014), individuals with low self-esteem tend to overestimate the negative implications of their social interactions. Hence, this theory could also be incorporated in treating clients with anxiety. Clients with low self-esteem normally have issue with perception about other people. This theory stands a chance of changing their thinking pattern by making clients understand that she has the capacity to do extraordinary things. The legal issue that would be addressed through this model is alcoholism. The case was presented by the university prohibit the use alcohol, and the client in question was found in that act. Eliza stands the chance of facing the consequences of her own action. Social cognitive theory could be used to teach Eliza the surviving skills without depending of alcohol. © 2017. Grand Canyon University. All Rights Reserved. References Bonfils, K. A., Fukui, S., Adams, E. L., Hedrick, H. M., & Salyers, M. P. (2014). Why are you here again? Concordance between consumers and providers about the primary concern in recurring psychiatric visits. Psychiatry Research, 220(0), 541–548. http://doi.org/10.1016/j.psychres.2014.07.049 Geramian, N., Akhavan, S., Gharaat, L., Tehrani, A. M., & Farajzadegan, Z. (2012). Determinants of drug abuse in high school students and their related knowledge and attitude. J Pak Med Association, 62(Suppl 2), S62–6. Heydari, A., Dashtgard, A., & Moghadam, Z. E. (2014). The effect of Bandura’s social cognitive theory implementation on addiction quitting of clients referred to addiction quitting clinics. Iranian Journal of Nursing and Midwifery Research, 19(1), 19–23. Walters, S. T., & Rotgers, F. (Eds.). (2012). Treating substance abuse: Theory and technique. Guilford Press. Zec, A. J. (2012). Applying social cognitive theory to interest in geropsychology among clinical psychology doctoral students. Cincinnati, Ohio: Xavier University. © 2017. Grand Canyon University. All Rights Reserved. Treatment Plan Based on the information collected in Week 4, complete the following treatment plan for your client Eliza. Be sure to include a description of the problem, goals, objectives, and interventions. Remember to incorporate the client's strengths and support system in the treatment plan. Client: ______Eliza_____ Date: __10/03/18____ Age: ___18___ DOB: __________________ DSM Diagnosis • • • ICD Diagnosis 309.21 (93.0) Separation Anxiety Disorder 303.90 (F10.20) Alcohol-Related Disorder; 301.83 (F60.3) Borderline personality Disorder F10.20 Moderate F60.3 Problem Description: ✓ Substance use ✓ Anxiety/Stress ✓ Low Self Esteem Goals / Objectives: □ Mood Stabilization Interventions: □ Psychotropic Medication Referral & Consultation □ Journaling o Learn Three ways to □ Client will write every little success manage frustration in a or improvement she makes every day positive manner within three consecutive weeks and o Celebrate little successes brings to therapy session each day using positive self-talk and/or □ Client will be made to think for a journaling few minutes about how she feels when she is involved in conflicts. She will respond to how these feelings make her wants to react, and how these reactions might make the conflict play out. Frequency: □ Weekly ____________________ □ In a group session counselor will observe how clients interact with each other with the focus on assessing client’s mood level. □ Individual session © 2017. Grand Canyon University. All Rights Reserved. □ Anxiety Reduction • • • □ Psychotropic Medication Referral & Consultation □ Journaling Learn four new ways of coping with routine stressors. Report feeling more positive about self and abilities during therapy sessions Identify and plan for top four anxiety-provoking situations □ Skill Training □ Weekly ____________________ □ Individual sessions o In the beginning of every session client will be made to take a deep breath and out for five times. It helps the body go from the fight response of the sympathetic nervous system to the relaxed response of the parasympathetic nervous system (Tartakovsky, 2018). o In group, encourage the clients to share his or her anxious feelings. o Client will be made to list negative coping responses and its positive coping responses and bring to the next session. This will indicate that the client is learning on his own. □ Relaxation Techniques □ Reduce Obsessive Compulsive Behaviors o Client will perform at least two new activities previously prevented by her ObsessiveCompulsive Behavior. o Client will participate in daily relaxation group □ Decrease Sensitivity to Trauma Experiences □ Psychotropic Medication Referral & Consultation □ Journaling □ Skill Training □ Weekly ____________________ □ Individual sessions o Client will list situations that triggers her obsessive thoughts, and she will learn how to expose herself to Obsessive compulsive behaviors triggers and try to resist them or delay the urge to complete herself reliefseeking compulsive ritual. □ Verbalize Memories Triggers & Emotion □ Weekly © 2017. Grand Canyon University. All Rights Reserved. o Share details of any trauma as much as you can with counselor, o Explore and resolve residual stress from when it happened or as a first respondent. □ Desensitize Trauma Triggers and Memories by writing down and read allow five traumatic experiences client can recall. Be free of binge eating/purging ▪ Eat a wellbalanced diet of foods and maintain good overall health Avoid eating junk food by removing them from home and limit future purchases ▪ □ Maintain Abstinence from substances (Alcohol/Drugs) • • • Learn four triggers for alcohol & drug use Reach five days of clean/sober living Avoid people and places that would cause triggers □ Individual □ Utilize Healing Model/Support (Mending the Soul) □ Establish and Maintain Eating □ Overcome Denial □ Identify Disorder Recovery Negative Consequences ▪ ____________________ □ Menu Planning □ Nutrition Counseling: Client will attend a nutrition counseling at least once in a week. □ Weekly __________________ □ Group sessions □ Individual sessions □ Healthy Exercise: Client will be made to do cardiovascular exercises three times per week. Social Cognitive therapy (SCT): Through SCT client will learn selfcontrol skills by reinforcing herself by maintain eating disorder recovery. □ Trigger Mgmt. Recovery Plan: Such as self-efficacy skills o Assign the client to write a list of five negative consequences her substance use. □ Substance Use Assessment □ Stepwork □ Weekly ____________________ □ Group □ Individual □ Family □ Overcome Denial: Social Cognitive Theory guides behavior change. Client will learn self-control through monitoring and regulating behavior against substance use. © 2017. Grand Canyon University. All Rights Reserved. □ Identify Negative Consequences of using substances especially alcohol and how it affects her academic performance □ Commitment to Recovery Program □ Attend Meetings: Client will attend AA meetings and will obtain a sponsor □ Increase Coping Skills o Understand the “coping process” and the role it plays in one’s emotional stability. o Learn strategies to improve your individual coping skills. □ Stabilize, Adjustment to New Life Circumstances □ Weekly ____________________ □ Emotion Recognition & Regulation □ Communication Skills □ Individual session □ Alleviate Distress Behavior Therapy □ Cognitive □ Stress Management □ Skills Training o □ Decrease/Eliminate Self Harmful Behaviors o Explore triggers of thoughts to harm self or others o Call crisis hotline when needed o Get rid of weapons from home or accessibility. □ Improve Relationships □ DBT Skills Training □ Problem Solving Techniques □ Family session □Weekly ____________________ □ Individual session □ Improve Daily Functioning □ Develop Healthy Support □ Family session □Social Cognitive Theory: Through SCT client will learn self-efficacy and self-control skills □ Bi Weekly □Client will write journal and share with counselor □ Develop and Utilize Support System □ Communication Skills: □ Active Listening ____________________ □ Group □ Individual □ Family □Weekly ____________________ © 2017. Grand Canyon University. All Rights Reserved. o Learn to express feelings verbally without acting out o Find reasons why relationships fail and better plan for finding next partner □ Improve Self Worth o Learn to appreciate self □ Family Therapy: To explore and help client’s family understand the family dynamics, negative patterns and problems in the family and help them learn and use communication skills. □ Assertiveness □ Setting Healthy Boundaries □ Affirmation Work □ Positive Self Talk □ Skills Training □ Confidence Building Tasks □ Grief Reduction and Healing from Loss □ Psychoeducation on Grief Process/ Stages □ Process Feeling □ Emotion Regulation Techniques □ Develop Anger Management Skills o Walk away from situations that trigger strong emotions o Be able to express anger in a productive manner without destroying property or personal belongings o Learn three positive anger management skills o Learn two ways to communicate verbally when angry □ Individual □ Family □ Weekly ____________________ □ Individual □ Weekly ____________________ □ Individual □ Reading/Writing Assignments □ Develop/Utilize Support □ Family □ Decrease Anger Outbursts: Individual therapy to help client learn and implement coping skills and help to identify triggers of anger and walk away or verbally resolve it. □ Weekly □ Emotion Regulation Techniques: individual therapy to learn anger techniques such as deep breath to deescalate any anger situation. : ____________________ □ Group □ Individual □ Cognitive Behavior Therapy □ Increase Awareness/Self Control © 2017. Grand Canyon University. All Rights Reserved. Reference Tartakovsky, M. (2018). 9 Ways to Reduce Anxiety Right Here, Right Now. Psych Central. Retrieved from https://psychcentral.com/lib/9-ways-to-reduce-anxiety-right-here- right-now/ © 2017. Grand Canyon University. All Rights Reserved.
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Explanation & Answer

I have completed your work.

Running head: TREATMENT PLAN

1

Treatment Plan
Students Name
Institution Name

TREATMENT PLAN

2

Part 1
Treatment Plan
Based on the information collected in Week 4, complete the following treatment plan for your
client Eliza. Be sure to include a description of the problem, goals, objectives, and interventions.
Remember to incorporate the client's strengths and support system in the treatment plan.
Client: _____________Eliza______________ Date: ___24/03/18___________ Age: ___18___
DOB: __________________
DSM Diagnosis




ICD Diagnosis

309.21 (93.0) Separation Anxiety
Disorder
303.90 (F10.20) Alcohol-Related
Disorder;
301.83 (F60.3) Borderline personality
Disorder

F10.20 Moderate
F60.3

Problem Description:





Substance use
Anxiety/Stress
Low Self Esteem
Online Gambling Addiction

Goals / Objectives:
□ Mood Stabilization
o Learn all the ways to
manage stressors in a
positive way
o Create a milestone
strategy where each goal
is celebrated differently

Interventions:

Frequency:

□ Emotion Recognition – Regulation
Techniques

□ Weekly meetings
____________________

o The client will have to regulate
her mood in order to relieve
herself off unwanted emotions.
o Activities like talking to other
individuals about her issue will
make her resilient to emotional
stress.

□ The counselor will now
have to monitor the
client’s mode of
interaction while having a
close session with her and
not in a group.
□ Individual session

TREATMENT PLAN
□ Anxiety Reduction

3
□ Psychotropic Medication Referral
& Consultation □ Journaling

o Give more detail about
feelings
□ Skill Training
o Identify and plan all fouranxiety provoking situation o The client will have to engage
o Learn how to manage all the
with the counselor on all possible
stressors
stress relievers including how the
relapse affected her.
o In a close session with the client,
she has to share exactly what she
felt before she commented the
same mistake.
o Still in a close session with the
client she will have to give full
detail of all the stressors that she
did not list in the first meeting.

□ Weekly meetings
____________________
□ The client will have to
take a serious note of the
close sessions since it will
be a one on one
communication between
her and the counselor.
□ Individual session

□ Relaxation Techniques
□ Reduce Obsessive
Compulsive Behaviors

□ Psychotropic Medication Referral
& Consultation □ Journaling

□ Weekly meetings
____________________

o The client will have to be □ Skill Training
□ Individual session
involved in other activities
o The client will have to list
like hobbies.
activities that she finds interesting
o Participate in group
and likes, for instance listing of al
relaxation techniques daily
her hobbies.
on her own.
o Active involvement in her
hobbies will create little space
and room for compulsive
behavior
□ Decrease Sensitivity to
Trauma Experiences

□ Verbalize Memories Triggers &
Emotion

□ Weekly meeting...


Anonymous
Just what I was looking for! Super helpful.

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