Homepage Tools for Coping Series SEA's Manual Introduction to SEA's Self-Esteem Inventory SEA's Model of Self-Esteem ESBT: Eclectic Structural Brief Therapy SEA's Tools for Recovery TEA System ALERT System ANGER System LET GO System CHILD System RELAPSE System Sea's Lifestyles Tools Intro to Lifestyles Tools Time for Recovery Recovery Goal Setting Recovery Thinking Overcome Perfectionism Emotions & Behaviors Social Support in Recovery Coping with Stress Thought Stopping Recovery Problem Solving Anti-Recovery Cues Behavioral Chains Handle Compulsions Lower Risk of Relapse Mental Imagery Self-Image in Recovery Handling Feedback Motivation in Recovery Exercise for Recovery SEA's 12 Step Workbook SEA's Step 1 SEA's Step 2 SEA's Step 3 SEA's Step 4 SEA's Step 5 SEA's Step 6 SEA's Step 7 SEA's Step 8 SEA's Step 9 SEA's Step 10 SEA's Step 11 SEA's Step 12 Laying the Foundation Foundation Introduction Family Self-Esteem Issues The Dysfunctional Family Looking-Good Acting-Out Pulling-in Entertaining Troubled-Person Enabling Rescuing People-Pleasing Non-Feeling Changing Old Behavioral Scripts Tools for Handling Loss Loss Introduction The Loss Experience Stages of Loss Process Dealing with Denial Handling Bargaining Behaviors Handling Anger from Loss Handling Despair in Loss Accepting Change from Loss Letting Go of Grief and Loss Death: Last Act of Life Sharing Your Legacy Tools for Personal Growth Growth Introduction Understanding Self-Esteem Handling Irrational Beliefs Self-Affirmations that Work Handling Guilt Building Trust Handling Insecurity Becoming Vulnerable On Becoming a Risk Taker "Little Child Within" Overcoming Fears Handling Fear of Success Overcoming Perfectionism Handling Pride Developing Patience Spirituality Accepting Personal Responsibility Stress Reduction Time Management Preventing Burnout Having Fun Tools For Relationships Introduction to Tools for Relationships Handling Relationship Barriers Handling Conflict Problem Solving Handling Fear of Rejection Handling Need for Approval Improviing Assertive Behaviors Victim vs Martyr Power and Control Handling Competition Goal Setting in Relationships Handling Intimacy Handling Fantasy Relationship Forgiving and Forgetting Creating Healing Environment Help Another Get Help Tools for Communications Introduction Tools for Communications Model Effective Communications Improving Listening Skills Non-verbal Communications Improve Responding Skills Problem Solviing Communications Model Tools for Anger Work-out Anger Introduction Anger Work-Out Blocks to Anger Handling Depression Hostility, Sarcasm & Cynicism Pessimism and Negativity Overcoming Hatred Handling Resentment Stop Negative Assumptions Silent Withdrawal Eliminating Revenge Eliminating Rage Self-Destructive Anger Responses Handling Irritations Passive Aggressiveness Handling Confrontations Tools for Handling Control Introduction Control Handling Need to Control Eliminating Intimidation Tempering Idealism Overcome Need to Fix Eliminate Caretaker Behaviors Accepting Powerlessness Let Go Uncontrollables & Unchangeables Developing Detachment Unconditional Acceptance and Love Eliminating Overdependence Eliminate Manipulation Overcome Helplessness Dealing with Suicide Tempering Survival Behaviors Developing Self-Control Growing Down Growing Down Introduction Growing Down Self-Assessment Inner Child Dump Negative Garbage Get in Touch with Feelings Let Go Shame and Guilt Self-Forgiveness Self-Acceptance & Love Self-Affirmations Mirror Work Re-Parenting Overcome Invisibility Healthy Boundaries Growing Down Visualizations Growing Down Having Fun Child Play Growing Down Body Movements Grow Down Children's Games Creativiity for Growing Down Children's Books for Growing Down Growing Down CHILD System Balanced Lifestyle Intoduction Balanced Lifestyle Getting Started Exercise to Live Eat to Live Resistance to Change Body Image Impact of Abuse Impact of Sexuality Strategies for Success Victorious Living Spirituality in Recovery Power of Scripture to Heal Role of Prayer Letting Go to God's Control Scripture Insight on Anger Spiritual Practices in Recovery Marriage Work-Out Marital Health Checkup Communications Warmup Shaping Up Assertiveness Fighting Fairly Personal Performance Analysis Getting Our Values on Track Toning Up Against Burnout Making Record Time Nurturing Sexuality Financial Aerobics Marital Team Expansion Pathfinder Parenting Overview Pathfinder Introduction Pathfinder P-Principles of Parenting A-Activating Children's Self-Esteem T-Tracking Structures T-1 Self-Care T-2 Environmental Issues T-3 Household Chores T-4 Electronic Devices T-5 Telephonic Usage T-6 Family Time T-7 Family Finances T-8 Family Recreation T-9 Academics T-10 Relationships Outside Family T-11 Family Relationships T-12 Family Meetings H-Hugging & Bonding F-Formulating Consequences I-Intervening in Losses N-Negotiating-Advocating
D-Discussing Feelings E-Establish Boundaries R-Release Shame & Guilt Parent with Children with Special Needs Handling Shock of Diagnosis Handling Life-Long Grief Bonding with Children Lifelong Normalization Lifelong Sexual Development Spirituality of Children with Special Needs Handling Discrimination Communication with the Child Communication with Others about Child Parental Advocacy I AM A GOOD STUDENT Overview of Program I Interest & A Activate M Manage A Affirm G Gather O Organize O Outline D Decide S Strategize T Test U Use D Do E Evaluate N Normalize T Try Practical Clinical Topics Maintain Resilience PFA for Trauma Prevent Compassion Fatigue Focus on the Military Virtual Boot Camp for Civilians Impact of Deployments on Military & Families Psychological First Aid for Returning Military Building Resilience Compassion Fatigue Background Resources Deployment Issues Resources for Active & Veteran Miliitary Leadership Development Leadership Models Leadership Reading List CMHC Professionalization Historical View of AMHCA Credentialing History CMHC's Join Professional Association Advocacy Issues for CMHCs Self-Care for CMHCs Put Health Back Into CMHC Set up Local FMHCA Chapter FMHCA Annual Conference Professional Mental Health Ethics Professional Codes of Ethics Ethical Moral Principles Informed Consent & Risk M Confidentiality Ethics with couples, families, children Dual Relationships Boundary Maintenance Avoid Compassion Fatigue Ethical Issue of Use of Touch Ethical Issues in Risk of Suicide End of Life Ethical Issues Multicultural Perspective in Ethics Religious Ethical Issues LGBT Related Ethical Issues Cybertherapy Related Ethical Issues Ethics in Training & Supervision The DSM-5 Overview of DSM-5 DSM-5 Research Items Response to DSM-5 DSM-5 Specific Diagnoses Clinician Treatment Tools Clinical Assessment Plan ACE Factors Assessment Tools Worksheets for Clinicians Apps that Work Living Skills Training Treatment Manuals Clinical Progress Notes Evidence Based Practices Assess & Treat Planning Importance of Use of EBPs Autism ADHD Bipolar Disorder Depression Anxiety Phobia PTSD OCD Anorexia Bulimia Alcohol Use Disorder Substance Use Disorder Suicide Intervention Assess Suicide IPT Theory of Suicide Initial Engagement BCBT - Brief CBT Cognitive Behavior Therapy CBT Suicide Resources Suicide References Genetics Genetics 101 Genetics MH Disorders Autism Genetics ADHD Genetics Schizophrenia Genetics Bipolar Disorder Genetics Depression Genetics Anxiety Genetics Neuroscience Basics of Neuroscience Neuroscience MH Disorders Stress Response Lectures on Neuroscience TBI course for Counselors TBI Comorbidities Psychopharmacology Psychopharmacology Chart Online Resources Motivational Interviewing Overview of MI Learning MI Speak Putting MI into Action ESBT-A MI Model of Therapy MI Videos MI Online Resources MI References Opioid & Heroin Epidemic Background of Epidemic MAT for Epidemic Opioid Prescription Guidelines Holistic Approaches to Treatment Alcohol & Substance Use Common Abused Substances Alcohol Disorders EBPs Substance Disorders EBPs Assessing Use Disorders Co-morbid Disorders SUDS Recovery Tools SEA's Alcohol & Substances Recovery SFBT for Alcohol & SUDS Pornography Intervention Intro to Pornography Neuroscience of Pornography Impact Children & Teens Impact Young Adults Impact Marriage & Family Strategies Kids & Teens Lit Review of Treatment Strategies with Adults Websites & Videos References Impact References Treatment Behavioral Medicine Affordable Care Act Implications Intro Behavioral Medicine Integrated Primary Care Tools Strategies for Success in Health Management Wellness Programming Integrated Medicine Case Studies Video Behavioral Medicine Bibliography Behav Med Behavioral Med Resources Behavioral Medicine Research Multicultural Competency Cultural Immersion Multicultural Self-Assessment Challenging Your Biases Multicultural Resources Carribbean-Underserved Training MH Professionals All About Mental Health Counseling Tampa Bay MH Agencies Protocol in Finding MHC Placement Requirements for LMHC in Florida Improve Critical Thinking Overview of Critical Thinking Critical Problem Solving Common Fallacies Critical Thinking Links APA Style Help Page Guidelines for APA Style Papers Writing Scholarly Paper Tips Tips for Technical Writing Behavioral Health Project Referral Resources Counselor Network Parish Assistance Program COPING.US Training Prog.
Coping.us Homepage Tools for Coping Series SEA's Manual Introduction to SEA's Self-Esteem Inventory SEA's Model of Self-Esteem ESBT: Eclectic Structural Brief Therapy SEA's Tools for Recovery TEA System ALERT System ANGER System LET GO System CHILD System RELAPSE System Sea's Lifestyles Tools Intro to Lifestyles Tools Time for Recovery Recovery Goal Setting Recovery Thinking Overcome Perfectionism Emotions & Behaviors Social Support in Recovery Coping with Stress Thought Stopping Recovery Problem Solving Anti-Recovery Cues Behavioral Chains
Helping you become all that you are capable of becoming!
Handle Compulsions Lower Risk of Relapse Mental Imagery Self-Image in Recovery Handling Feedback Motivation in Recovery Exercise for Recovery SEA's 12 Step Workbook SEA's Step 1 SEA's Step 2 SEA's Step 3 SEA's Step 4 SEA's Step 5 SEA's Step 6 SEA's Step 7 SEA's Step 8 SEA's Step 9 SEA's Step 10 SEA's Step 11 SEA's Step 12 Laying the Foundation Foundation Introduction Family Self-Esteem Issues The Dysfunctional Family Looking-Good Acting-Out Pulling-in Entertaining Troubled-Person Enabling Rescuing People-Pleasing Non-Feeling Changing Old Behavioral Scripts Tools for Handling Loss Loss Introduction The Loss Experience Stages of Loss Process Dealing with Denial Handling Bargaining Behaviors Handling Anger from Loss Handling Despair in Loss Accepting Change from Loss Letting Go of Grief and Loss Death: Last Act of Life Sharing Your Legacy Tools for Personal Growth Growth Introduction Understanding Self-Esteem Handling Irrational Beliefs Self-Affirmations that Work Handling Guilt Building Trust Handling Insecurity Becoming Vulnerable On Becoming a Risk Taker "Little Child Within" Overcoming Fears Handling Fear of Success Overcoming Perfectionism Handling Pride Developing Patience Spirituality Accepting Personal Responsibility Stress Reduction Time Management Preventing Burnout Having Fun Tools For Relationships Introduction to Tools for Relationships Handling Relationship Barriers Handling Conflict Problem Solving Handling Fear of Rejection Handling Need for Approval Improviing Assertive Behaviors Victim vs Martyr Power and Control Handling Competition Goal Setting in Relationships Handling Intimacy Handling Fantasy Relationship Forgiving and Forgetting Creating Healing Environment Help Another Get Help Tools for Communications Introduction Tools for Communications Model Effective Communications Improving Listening Skills Non-verbal Communications Improve Responding Skills Problem Solviing Communications Model Tools for Anger Work-out Anger Introduction Anger Work-Out Blocks to Anger Handling Depression Hostility, Sarcasm & Cynicism Pessimism and Negativity Overcoming Hatred Handling Resentment Stop Negative Assumptions Silent Withdrawal Eliminating Revenge Eliminating Rage Self-Destructive Anger Responses Handling Irritations Passive Aggressiveness Handling Confrontations Tools for Handling Control Introduction Control Handling Need to Control Eliminating Intimidation Tempering Idealism Overcome Need to Fix Eliminate Caretaker Behaviors Accepting Powerlessness Let Go Uncontrollables & Unchangeables Developing Detachment Unconditional Acceptance and Love Eliminating Overdependence Eliminate Manipulation Overcome Helplessness Dealing with Suicide Tempering Survival Behaviors Developing Self-Control Growing Down Growing Down Introduction Growing Down Self-Assessment Inner Child Dump Negative Garbage Get in Touch with Feelings Let Go Shame and Guilt Self-Forgiveness Self-Acceptance & Love Self-Affirmations Mirror Work Re-Parenting Overcome Invisibility Healthy Boundaries Growing Down Visualizations Growing Down Having Fun Child Play Growing Down Body Movements Grow Down Children's Games Creativiity for Growing Down Children's Books for Growing Down Growing Down CHILD System Balanced Lifestyle Intoduction Balanced Lifestyle Getting Started Exercise to Live Eat to Live Resistance to Change Body Image Impact of Abuse Impact of Sexuality Strategies for Success Victorious Living Spirituality in Recovery Power of Scripture to Heal Role of Prayer Letting Go to God's Control Scripture Insight on Anger Spiritual Practices in Recovery Marriage Work-Out Marital Health Checkup Communications Warmup Shaping Up Assertiveness Fighting Fairly Personal Performance Analysis Getting Our Values on Track Toning Up Against Burnout Making Record Time Nurturing Sexuality Financial Aerobics Marital Team Expansion Pathfinder Parenting Overview Pathfinder Introduction Pathfinder P-Principles of Parenting A-Activating Children's Self-Esteem T-Tracking Structures T-1 Self-Care T-2 Environmental Issues T-3 Household Chores T-4 Electronic Devices T-5 Telephonic Usage T-6 Family Time T-7 Family Finances T-8 Family Recreation T-9 Academics T-10 Relationships Outside Family T-11 Family Relationships T-12 Family Meetings H-Hugging & Bonding F-Formulating Consequences I-Intervening in Losses N-Negotiating-Advocating D-Discussing Feelings E-Establish Boundaries R-Release Shame & Guilt Parent with Children with Special Needs Handling Shock of Diagnosis Handling Life-Long Grief Bonding with Children Lifelong Normalization Lifelong Sexual Development Spirituality of Children with Special Needs Handling Discrimination Communication with the Child Communication with Others about Child Parental Advocacy I AM A GOOD STUDENT Overview of Program I Interest & A Activate M Manage A Affirm G Gather O Organize O Outline D Decide S Strategize T Test U Use D Do E Evaluate
N Normalize T Try Practical Clinical Topics Maintain Resilience PFA for Trauma Prevent Compassion Fatigue Focus on the Military Virtual Boot Camp for Civilians Impact of Deployments on Military & Families Psychological First Aid for Returning Military Building Resilience Compassion Fatigue Background Resources Deployment Issues Resources for Active & Veteran Miliitary Leadership Development Leadership Models Leadership Reading List CMHC Professionalization Historical View of AMHCA Credentialing History CMHC's Join Professional Association Advocacy Issues for CMHCs Self-Care for CMHCs Put Health Back Into CMHC Set up Local FMHCA Chapter FMHCA Annual Conference Professional Mental Health Ethics Professional Codes of Ethics Ethical Moral Principles Informed Consent & Risk M Confidentiality Ethics with couples, families, children Dual Relationships Boundary Maintenance Avoid Compassion Fatigue Ethical Issue of Use of Touch Ethical Issues in Risk of Suicide End of Life Ethical Issues Multicultural Perspective in Ethics Religious Ethical Issues LGBT Related Ethical Issues Cybertherapy Related Ethical Issues Ethics in Training & Supervision The DSM-5 Overview of DSM-5 DSM-5 Research Items Response to DSM-5 DSM-5 Specific Diagnoses Clinician Treatment Tools Clinical Assessment Plan ACE Factors Assessment Tools Worksheets for Clinicians Apps that Work Living Skills Training Treatment Manuals Clinical Progress Notes Evidence Based Practices Assess & Treat Planning Importance of Use of EBPs Autism ADHD Bipolar Disorder Depression Anxiety Phobia PTSD OCD Anorexia Bulimia Alcohol Use Disorder Substance Use Disorder Suicide Intervention Assess Suicide IPT Theory of Suicide Initial Engagement BCBT - Brief CBT Cognitive Behavior Therapy CBT Suicide Resources Suicide References Genetics Genetics 101 Genetics MH Disorders Autism Genetics ADHD Genetics Schizophrenia Genetics Bipolar Disorder Genetics Depression Genetics Anxiety Genetics Neuroscience Basics of Neuroscience Neuroscience MH Disorders Stress Response Lectures on Neuroscience TBI course for Counselors TBI Comorbidities Psychopharmacology Psychopharmacology Chart Online Resources Motivational Interviewing Overview of MI Learning MI Speak Putting MI into Action ESBT-A MI Model of Therapy MI Videos MI Online Resources MI References Opioid & Heroin Epidemic Background of Epidemic MAT for Epidemic Opioid Prescription Guidelines Holistic Approaches to Treatment Alcohol & Substance Use Common Abused Substances Alcohol Disorders EBPs Substance Disorders EBPs Assessing Use Disorders Co-morbid Disorders SUDS Recovery Tools SEA's Alcohol & Substances Recovery SFBT for Alcohol & SUDS Pornography Intervention Intro to Pornography Neuroscience of Pornography Impact Children & Teens Impact Young Adults Impact Marriage & Family Strategies Kids & Teens Lit Review of Treatment Strategies with Adults Websites & Videos References Impact References Treatment Behavioral Medicine Affordable Care Act Implications Intro Behavioral Medicine Integrated Primary Care Tools Strategies for Success in Health Management Wellness Programming Integrated Medicine Case Studies Video Behavioral Medicine Bibliography Behav Med Behavioral Med Resources Behavioral Medicine Research Multicultural Competency Cultural Immersion Multicultural Self-Assessment Challenging Your Biases Multicultural Resources Carribbean-Underserved Training MH Professionals All About Mental Health Counseling Tampa Bay MH Agencies Protocol in Finding MHC Placement Requirements for LMHC in Florida Improve Critical Thinking Overview of Critical Thinking Critical Problem Solving Common Fallacies Critical Thinking Links APA Style Help Page Guidelines for APA Style Papers Writing Scholarly Paper Tips Tips for Technical Writing Behavioral Health Project Referral Resources Counselor Network Parish Assistance Program COPING.US Training Prog. Homepage Tools for Coping Series SEA's Manual Introduction to SEA's Self-Esteem Inventory SEA's Model of Self-Esteem ESBT: Eclectic Structural Brief Therapy SEA's Tools for Recovery TEA System ALERT System ANGER System LET GO System CHILD System RELAPSE System Sea's Lifestyles Tools Intro to Lifestyles Tools Time for Recovery Recovery Goal Setting Recovery Thinking Overcome Perfectionism Emotions & Behaviors Social Support in Recovery Coping with Stress Thought Stopping Recovery Problem Solving Anti-Recovery Cues Behavioral Chains Handle Compulsions Lower Risk of Relapse Mental Imagery Self-Image in Recovery Handling Feedback Motivation in Recovery Exercise for Recovery SEA's 12 Step Workbook SEA's Step 1 SEA's Step 2 SEA's Step 3 SEA's Step 4 SEA's Step 5 SEA's Step 6 SEA's Step 7 SEA's Step 8 SEA's Step 9 SEA's Step 10 SEA's Step 11 SEA's Step 12 Laying the Foundation Foundation Introduction Family Self-Esteem Issues The Dysfunctional Family Looking-Good Acting-Out Pulling-in Entertaining Troubled-Person Enabling Rescuing
People-Pleasing Non-Feeling Changing Old Behavioral Scripts Tools for Handling Loss Loss Introduction The Loss Experience Stages of Loss Process Dealing with Denial Handling Bargaining Behaviors Handling Anger from Loss Handling Despair in Loss Accepting Change from Loss Letting Go of Grief and Loss Death: Last Act of Life Sharing Your Legacy Tools for Personal Growth Growth Introduction Understanding Self-Esteem Handling Irrational Beliefs Self-Affirmations that Work Handling Guilt Building Trust Handling Insecurity Becoming Vulnerable On Becoming a Risk Taker "Little Child Within" Overcoming Fears Handling Fear of Success Overcoming Perfectionism Handling Pride Developing Patience Spirituality Accepting Personal Responsibility Stress Reduction Time Management Preventing Burnout Having Fun Tools For Relationships Introduction to Tools for Relationships Handling Relationship Barriers Handling Conflict Problem Solving Handling Fear of Rejection Handling Need for Approval Improviing Assertive Behaviors Victim vs Martyr Power and Control Handling Competition Goal Setting in Relationships Handling Intimacy Handling Fantasy Relationship Forgiving and Forgetting Creating Healing Environment Help Another Get Help Tools for Communications Introduction Tools for Communications Model Effective Communications Improving Listening Skills Non-verbal Communications Improve Responding Skills Problem Solviing Communications Model Tools for Anger Work-out Anger Introduction Anger Work-Out Blocks to Anger Handling Depression Hostility, Sarcasm & Cynicism Pessimism and Negativity Overcoming Hatred Handling Resentment Stop Negative Assumptions Silent Withdrawal Eliminating Revenge Eliminating Rage Self-Destructive Anger Responses Handling Irritations Passive Aggressiveness Handling Confrontations Tools for Handling Control Introduction Control Handling Need to Control Eliminating Intimidation Tempering Idealism Overcome Need to Fix Eliminate Caretaker Behaviors Accepting Powerlessness Let Go Uncontrollables & Unchangeables Developing Detachment Unconditional Acceptance and Love Eliminating Overdependence Eliminate Manipulation Overcome Helplessness Dealing with Suicide Tempering Survival Behaviors Developing Self-Control Growing Down Growing Down Introduction Growing Down Self-Assessment Inner Child Dump Negative Garbage Get in Touch with Feelings Let Go Shame and Guilt Self-Forgiveness Self-Acceptance & Love Self-Affirmations Mirror Work Re-Parenting Overcome Invisibility Healthy Boundaries Growing Down Visualizations Growing Down Having Fun Child Play Growing Down Body Movements Grow Down Children's Games Creativiity for Growing Down Children's Books for Growing Down Growing Down CHILD System Balanced Lifestyle Intoduction Balanced Lifestyle Getting Started Exercise to Live Eat to Live Resistance to Change Body Image Impact of Abuse Impact of Sexuality Strategies for Success Victorious Living Spirituality in Recovery Power of Scripture to Heal Role of Prayer Letting Go to God's Control Scripture Insight on Anger Spiritual Practices in Recovery Marriage Work-Out Marital Health Checkup Communications Warmup Shaping Up Assertiveness Fighting Fairly Personal Performance Analysis Getting Our Values on Track Toning Up Against Burnout Making Record Time Nurturing Sexuality Financial Aerobics Marital Team Expansion Pathfinder Parenting Overview Pathfinder Introduction Pathfinder P-Principles of Parenting A-Activating Children's Self-Esteem T-Tracking Structures T-1 Self-Care T-2 Environmental Issues T-3 Household Chores T-4 Electronic Devices T-5 Telephonic Usage T-6 Family Time T-7 Family Finances T-8 Family Recreation T-9 Academics T-10 Relationships Outside Family T-11 Family Relationships T-12 Family Meetings H-Hugging & Bonding F-Formulating Consequences I-Intervening in Losses N-Negotiating-Advocating D-Discussing Feelings E-Establish Boundaries R-Release Shame & Guilt Parent with Children with Special Needs Handling Shock of Diagnosis Handling Life-Long Grief Bonding with Children Lifelong Normalization Lifelong Sexual Development Spirituality of Children with Special Needs Handling Discrimination Communication with the Child Communication with Others about Child Parental Advocacy I AM A GOOD STUDENT Overview of Program I Interest & A Activate M Manage A Affirm G Gather O Organize O Outline D Decide S Strategize T Test U Use D Do E Evaluate N Normalize T Try Practical Clinical Topics Maintain Resilience PFA for Trauma Prevent Compassion Fatigue Focus on the Military Virtual Boot Camp for Civilians Impact of Deployments on Military & Families Psychological First Aid for Returning Military Building Resilience Compassion Fatigue Background Resources Deployment Issues Resources for Active & Veteran Miliitary Leadership Development Leadership Models Leadership Reading List CMHC Professionalization Historical View of AMHCA Credentialing History CMHC's Join Professional Association Advocacy Issues for CMHCs Self-Care for CMHCs Put Health Back Into CMHC Set up Local FMHCA Chapter FMHCA Annual Conference Professional Mental Health Ethics Professional Codes of Ethics Ethical Moral Principles Informed Consent & Risk M Confidentiality
Ethics with couples, families, children Dual Relationships Boundary Maintenance Avoid Compassion Fatigue Ethical Issue of Use of Touch Ethical Issues in Risk of Suicide End of Life Ethical Issues Multicultural Perspective in Ethics Religious Ethical Issues LGBT Related Ethical Issues Cybertherapy Related Ethical Issues Ethics in Training & Supervision The DSM-5 Overview of DSM-5 DSM-5 Research Items Response to DSM-5 DSM-5 Specific Diagnoses Clinician Treatment Tools Clinical Assessment Plan ACE Factors Assessment Tools Worksheets for Clinicians Apps that Work Living Skills Training Treatment Manuals Clinical Progress Notes Evidence Based Practices Assess & Treat Planning Importance of Use of EBPs Autism ADHD Bipolar Disorder Depression Anxiety Phobia PTSD OCD Anorexia Bulimia Alcohol Use Disorder Substance Use Disorder Suicide Intervention Assess Suicide IPT Theory of Suicide Initial Engagement BCBT - Brief CBT Cognitive Behavior Therapy CBT Suicide Resources Suicide References Genetics Genetics 101 Genetics MH Disorders Autism Genetics ADHD Genetics Schizophrenia Genetics Bipolar Disorder Genetics Depression Genetics Anxiety Genetics Neuroscience Basics of Neuroscience Neuroscience MH Disorders Stress Response Lectures on Neuroscience TBI course for Counselors TBI Comorbidities Psychopharmacology Psychopharmacology Chart Online Resources Motivational Interviewing Overview of MI Learning MI Speak Putting MI into Action ESBT-A MI Model of Therapy MI Videos MI Online Resources MI References Opioid & Heroin Epidemic Background of Epidemic MAT for Epidemic Opioid Prescription Guidelines Holistic Approaches to Treatment Alcohol & Substance Use Common Abused Substances Alcohol Disorders EBPs Substance Disorders EBPs Assessing Use Disorders Co-morbid Disorders SUDS Recovery Tools SEA's Alcohol & Substances Recovery SFBT for Alcohol & SUDS Pornography Intervention Intro to Pornography Neuroscience of Pornography Impact Children & Teens Impact Young Adults Impact Marriage & Family Strategies Kids & Teens Lit Review of Treatment Strategies with Adults Websites & Videos References Impact References Treatment Behavioral Medicine Affordable Care Act Implications Intro Behavioral Medicine Integrated Primary Care Tools Strategies for Success in Health Management Wellness Programming Integrated Medicine Case Studies Video Behavioral Medicine Bibliography Behav Med Behavioral Med Resources Behavioral Medicine Research Multicultural Competency Cultural Immersion Multicultural Self-Assessment Challenging Your Biases Multicultural Resources Carribbean-Underserved Training MH Professionals All About Mental Health Counseling Tampa Bay MH Agencies Protocol in Finding MHC Placement Requirements for LMHC in Florida Improve Critical Thinking Overview of Critical Thinking Critical Problem Solving Common Fallacies Critical Thinking Links APA Style Help Page Guidelines for APA Style Papers Writing Scholarly Paper Tips Tips for Technical Writing Behavioral Health Project Referral Resources Counselor Network Parish Assistance Program COPING.US Training Prog. Homepage Tools for Coping Series SEA's Manual Introduction to SEA's Self-Esteem Inventory SEA's Model of Self-Esteem ESBT: Eclectic Structural Brief Therapy SEA's Tools for Recovery TEA System ALERT System ANGER System LET GO System CHILD System RELAPSE System Sea's Lifestyles Tools Intro to Lifestyles Tools Time for Recovery Recovery Goal Setting Recovery Thinking Overcome Perfectionism Emotions & Behaviors Social Support in Recovery Coping with Stress Thought Stopping Recovery Problem Solving Anti-Recovery Cues Behavioral Chains Handle Compulsions Lower Risk of Relapse Mental Imagery Self-Image in Recovery Handling Feedback Motivation in Recovery Exercise for Recovery SEA's 12 Step Workbook SEA's Step 1 SEA's Step 2 SEA's Step 3 SEA's Step 4 SEA's Step 5 SEA's Step 6 SEA's Step 7 SEA's Step 8 SEA's Step 9 SEA's Step 10 SEA's Step 11 SEA's Step 12 Laying the Foundation Foundation Introduction Family Self-Esteem Issues The Dysfunctional Family Looking-Good Acting-Out Pulling-in Entertaining Troubled-Person Enabling Rescuing People-Pleasing Non-Feeling Changing Old Behavioral Scripts Tools for Handling Loss Loss Introduction The Loss Experience Stages of Loss Process Dealing with Denial Handling Bargaining Behaviors Handling Anger from Loss Handling Despair in Loss Accepting Change from Loss Letting Go of Grief and Loss Death: Last Act of Life Sharing Your Legacy Tools for Personal Growth Growth Introduction Understanding Self-Esteem Handling Irrational Beliefs Self-Affirmations that Work Handling Guilt Building Trust Handling Insecurity Becoming Vulnerable On Becoming a Risk Taker "Little Child Within" Overcoming Fears
Handling Fear of Success Overcoming Perfectionism Handling Pride Developing Patience Spirituality Accepting Personal Responsibility Stress Reduction Time Management Preventing Burnout Having Fun Tools For Relationships Introduction to Tools for Relationships Handling Relationship Barriers Handling Conflict Problem Solving Handling Fear of Rejection Handling Need for Approval Improviing Assertive Behaviors Victim vs Martyr Power and Control Handling Competition Goal Setting in Relationships Handling Intimacy Handling Fantasy Relationship Forgiving and Forgetting Creating Healing Environment Help Another Get Help Tools for Communications Introduction Tools for Communications Model Effective Communications Improving Listening Skills Non-verbal Communications Improve Responding Skills Problem Solviing Communications Model Tools for Anger Work-out Anger Introduction Anger Work-Out Blocks to Anger Handling Depression Hostility, Sarcasm & Cynicism Pessimism and Negativity Overcoming Hatred Handling Resentment Stop Negative Assumptions Silent Withdrawal Eliminating Revenge Eliminating Rage Self-Destructive Anger Responses Handling Irritations Passive Aggressiveness Handling Confrontations Tools for Handling Control Introduction Control Handling Need to Control Eliminating Intimidation Tempering Idealism Overcome Need to Fix Eliminate Caretaker Behaviors Accepting Powerlessness Let Go Uncontrollables & Unchangeables Developing Detachment Unconditional Acceptance and Love Eliminating Overdependence Eliminate Manipulation Overcome Helplessness Dealing with Suicide Tempering Survival Behaviors Developing Self-Control Growing Down Growing Down Introduction Growing Down Self-Assessment Inner Child Dump Negative Garbage Get in Touch with Feelings Let Go Shame and Guilt Self-Forgiveness Self-Acceptance & Love Self-Affirmations Mirror Work Re-Parenting Overcome Invisibility Healthy Boundaries Growing Down Visualizations Growing Down Having Fun Child Play Growing Down Body Movements Grow Down Children's Games Creativiity for Growing Down Children's Books for Growing Down Growing Down CHILD System Balanced Lifestyle Intoduction Balanced Lifestyle Getting Started Exercise to Live Eat to Live Resistance to Change Body Image Impact of Abuse Impact of Sexuality Strategies for Success Victorious Living Spirituality in Recovery Power of Scripture to Heal Role of Prayer Letting Go to God's Control Scripture Insight on Anger Spiritual Practices in Recovery Marriage Work-Out Marital Health Checkup Communications Warmup Shaping Up Assertiveness Fighting Fairly Personal Performance Analysis Getting Our Values on Track Toning Up Against Burnout Making Record Time Nurturing Sexuality Financial Aerobics Marital Team Expansion Pathfinder Parenting Overview Pathfinder Introduction Pathfinder P-Principles of Parenting A-Activating Children's Self-Esteem T-Tracking Structures T-1 Self-Care T-2 Environmental Issues T-3 Household Chores T-4 Electronic Devices T-5 Telephonic Usage T-6 Family Time T-7 Family Finances T-8 Family Recreation T-9 Academics T-10 Relationships Outside Family T-11 Family Relationships T-12 Family Meetings H-Hugging & Bonding F-Formulating Consequences I-Intervening in Losses N-Negotiating-Advocating D-Discussing Feelings E-Establish Boundaries R-Release Shame & Guilt Parent with Children with Special Needs Handling Shock of Diagnosis Handling Life-Long Grief Bonding with Children Lifelong Normalization Lifelong Sexual Development Spirituality of Children with Special Needs Handling Discrimination Communication with the Child Communication with Others about Child Parental Advocacy I AM A GOOD STUDENT Overview of Program I Interest & A Activate M Manage A Affirm G Gather O Organize O Outline D Decide S Strategize T Test U Use D Do E Evaluate N Normalize T Try Practical Clinical Topics Maintain Resilience PFA for Trauma Prevent Compassion Fatigue Focus on the Military Virtual Boot Camp for Civilians Impact of Deployments on Military & Families Psychological First Aid for Returning Military Building Resilience Compassion Fatigue Background Resources Deployment Issues Resources for Active & Veteran Miliitary Leadership Development Leadership Models Leadership Reading List CMHC Professionalization Historical View of AMHCA Credentialing History CMHC's Join Professional Association Advocacy Issues for CMHCs Self-Care for CMHCs Put Health Back Into CMHC Set up Local FMHCA Chapter FMHCA Annual Conference Professional Mental Health Ethics Professional Codes of Ethics Ethical Moral Principles Informed Consent & Risk M Confidentiality Ethics with couples, families, children Dual Relationships Boundary Maintenance Avoid Compassion Fatigue Ethical Issue of Use of Touch Ethical Issues in Risk of Suicide End of Life Ethical Issues Multicultural Perspective in Ethics Religious Ethical Issues LGBT Related Ethical Issues Cybertherapy Related Ethical Issues Ethics in Training & Supervision The DSM-5 Overview of DSM-5 DSM-5 Research Items Response to DSM-5 DSM-5 Specific Diagnoses Clinician Treatment Tools Clinical Assessment Plan ACE Factors Assessment Tools Worksheets for Clinicians Apps that Work Living Skills Training Treatment Manuals Clinical Progress Notes Evidence Based Practices
Assess & Treat Planning Importance of Use of EBPs Autism ADHD Bipolar Disorder Depression Anxiety Phobia PTSD OCD Anorexia Bulimia Alcohol Use Disorder Substance Use Disorder Suicide Intervention Assess Suicide IPT Theory of Suicide Initial Engagement BCBT - Brief CBT Cognitive Behavior Therapy CBT Suicide Resources Suicide References Genetics Genetics 101 Genetics MH Disorders Autism Genetics ADHD Genetics Schizophrenia Genetics Bipolar Disorder Genetics Depression Genetics Anxiety Genetics Neuroscience Basics of Neuroscience Neuroscience MH Disorders Stress Response Lectures on Neuroscience TBI course for Counselors TBI Comorbidities Psychopharmacology Psychopharmacology Chart Online Resources Motivational Interviewing Overview of MI Learning MI Speak Putting MI into Action ESBT-A MI Model of Therapy MI Videos MI Online Resources MI References Opioid & Heroin Epidemic Background of Epidemic MAT for Epidemic Opioid Prescription Guidelines Holistic Approaches to Treatment Alcohol & Substance Use Common Abused Substances Alcohol Disorders EBPs Substance Disorders EBPs Assessing Use Disorders Co-morbid Disorders SUDS Recovery Tools SEA's Alcohol & Substances Recovery SFBT for Alcohol & SUDS Pornography Intervention Intro to Pornography Neuroscience of Pornography Impact Children & Teens Impact Young Adults Impact Marriage & Family Strategies Kids & Teens Lit Review of Treatment Strategies with Adults Websites & Videos References Impact References Treatment Behavioral Medicine Affordable Care Act Implications Intro Behavioral Medicine Integrated Primary Care Tools Strategies for Success in Health Management Wellness Programming Integrated Medicine Case Studies Video Behavioral Medicine Bibliography Behav Med Behavioral Med Resources Behavioral Medicine Research Multicultural Competency Cultural Immersion Multicultural Self-Assessment Challenging Your Biases Multicultural Resources Carribbean-Underserved Training MH Professionals All About Mental Health Counseling Tampa Bay MH Agencies Protocol in Finding MHC Placement Requirements for LMHC in Florida Improve Critical Thinking Overview of Critical Thinking Critical Problem Solving Common Fallacies Critical Thinking Links APA Style Help Page Guidelines for APA Style Papers Writing Scholarly Paper Tips Tips for Technical Writing Behavioral Health Project Referral Resources Counselor Network Parish Assistance Program COPING.US Training Prog. Homepage Tools for Coping Series SEA's Manual Introduction to SEA's Self-Esteem Inventory SEA's Model of Self-Esteem ESBT: Eclectic Structural Brief Therapy SEA's Tools for Recovery TEA System ALERT System ANGER System LET GO System CHILD System RELAPSE System Sea's Lifestyles Tools Intro to Lifestyles Tools Time for Recovery Recovery Goal Setting Recovery Thinking Overcome Perfectionism Emotions & Behaviors Social Support in Recovery Coping with Stress Thought Stopping Recovery Problem Solving Anti-Recovery Cues Behavioral Chains Handle Compulsions Lower Risk of Relapse Mental Imagery Self-Image in Recovery Handling Feedback Motivation in Recovery Exercise for Recovery SEA's 12 Step Workbook SEA's Step 1 SEA's Step 2 SEA's Step 3 SEA's Step 4 SEA's Step 5 SEA's Step 6 SEA's Step 7 SEA's Step 8 SEA's Step 9 SEA's Step 10 SEA's Step 11 SEA's Step 12 Laying the Foundation Foundation Introduction Family Self-Esteem Issues The Dysfunctional Family Looking-Good Acting-Out Pulling-in Entertaining Troubled-Person Enabling Rescuing People-Pleasing Non-Feeling Changing Old Behavioral Scripts Tools for Handling Loss Loss Introduction The Loss Experience Stages of Loss Process Dealing with Denial Handling Bargaining Behaviors Handling Anger from Loss Handling Despair in Loss Accepting Change from Loss Letting Go of Grief and Loss Death: Last Act of Life Sharing Your Legacy Tools for Personal Growth Growth Introduction Understanding Self-Esteem Handling Irrational Beliefs Self-Affirmations that Work Handling Guilt Building Trust Handling Insecurity Becoming Vulnerable On Becoming a Risk Taker "Little Child Within" Overcoming Fears Handling Fear of Success Overcoming Perfectionism Handling Pride Developing Patience Spirituality Accepting Personal Responsibility Stress Reduction Time Management Preventing Burnout Having Fun Tools For Relationships Introduction to Tools for Relationships Handling Relationship Barriers Handling Conflict Problem Solving Handling Fear of Rejection Handling Need for Approval Improviing Assertive Behaviors Victim vs Martyr Power and Control Handling Competition Goal Setting in Relationships Handling Intimacy Handling Fantasy Relationship Forgiving and Forgetting Creating Healing Environment Help Another Get Help Tools for Communications Introduction Tools for Communications Model Effective Communications Improving Listening Skills
Non-verbal Communications Improve Responding Skills Problem Solviing Communications Model Tools for Anger Work-out Anger Introduction Anger Work-Out Blocks to Anger Handling Depression Hostility, Sarcasm & Cynicism Pessimism and Negativity Overcoming Hatred Handling Resentment Stop Negative Assumptions Silent Withdrawal Eliminating Revenge Eliminating Rage Self-Destructive Anger Responses Handling Irritations Passive Aggressiveness Handling Confrontations Tools for Handling Control Introduction Control Handling Need to Control Eliminating Intimidation Tempering Idealism Overcome Need to Fix Eliminate Caretaker Behaviors Accepting Powerlessness Let Go Uncontrollables & Unchangeables Developing Detachment Unconditional Acceptance and Love Eliminating Overdependence Eliminate Manipulation Overcome Helplessness Dealing with Suicide Tempering Survival Behaviors Developing Self-Control Growing Down Growing Down Introduction Growing Down Self-Assessment Inner Child Dump Negative Garbage Get in Touch with Feelings Let Go Shame and Guilt Self-Forgiveness Self-Acceptance & Love Self-Affirmations Mirror Work Re-Parenting Overcome Invisibility Healthy Boundaries Growing Down Visualizations Growing Down Having Fun Child Play Growing Down Body Movements Grow Down Children's Games Creativiity for Growing Down Children's Books for Growing Down Growing Down CHILD System Balanced Lifestyle Intoduction Balanced Lifestyle Getting Started Exercise to Live Eat to Live Resistance to Change Body Image Impact of Abuse Impact of Sexuality Strategies for Success Victorious Living Spirituality in Recovery Power of Scripture to Heal Role of Prayer Letting Go to God's Control Scripture Insight on Anger Spiritual Practices in Recovery Marriage Work-Out Marital Health Checkup Communications Warmup Shaping Up Assertiveness Fighting Fairly Personal Performance Analysis Getting Our Values on Track Toning Up Against Burnout Making Record Time Nurturing Sexuality Financial Aerobics Marital Team Expansion Pathfinder Parenting Overview Pathfinder Introduction Pathfinder P-Principles of Parenting A-Activating Children's Self-Esteem T-Tracking Structures T-1 Self-Care T-2 Environmental Issues T-3 Household Chores T-4 Electronic Devices T-5 Telephonic Usage T-6 Family Time T-7 Family Finances T-8 Family Recreation T-9 Academics T-10 Relationships Outside Family T-11 Family Relationships T-12 Family Meetings H-Hugging & Bonding F-Formulating Consequences I-Intervening in Losses N-Negotiating-Advocating D-Discussing Feelings E-Establish Boundaries R-Release Shame & Guilt Parent with Children with Special Needs Handling Shock of Diagnosis Handling Life-Long Grief Bonding with Children Lifelong Normalization Lifelong Sexual Development Spirituality of Children with Special Needs Handling Discrimination Communication with the Child Communication with Others about Child Parental Advocacy I AM A GOOD STUDENT Overview of Program I Interest & A Activate M Manage A Affirm G Gather O Organize O Outline D Decide S Strategize T Test U Use D Do E Evaluate N Normalize T Try Practical Clinical Topics Maintain Resilience PFA for Trauma Prevent Compassion Fatigue Focus on the Military Virtual Boot Camp for Civilians Impact of Deployments on Military & Families Psychological First Aid for Returning Military Building Resilience Compassion Fatigue Background Resources Deployment Issues Resources for Active & Veteran Miliitary Leadership Development Leadership Models Leadership Reading List CMHC Professionalization Historical View of AMHCA Credentialing History CMHC's Join Professional Association Advocacy Issues for CMHCs Self-Care for CMHCs Put Health Back Into CMHC Set up Local FMHCA Chapter FMHCA Annual Conference Professional Mental Health Ethics Professional Codes of Ethics Ethical Moral Principles Informed Consent & Risk M Confidentiality Ethics with couples, families, children Dual Relationships Boundary Maintenance Avoid Compassion Fatigue Ethical Issue of Use of Touch Ethical Issues in Risk of Suicide End of Life Ethical Issues Multicultural Perspective in Ethics Religious Ethical Issues LGBT Related Ethical Issues Cybertherapy Related Ethical Issues Ethics in Training & Supervision The DSM-5 Overview of DSM-5 DSM-5 Research Items Response to DSM-5 DSM-5 Specific Diagnoses Clinician Treatment Tools Clinical Assessment Plan ACE Factors Assessment Tools Worksheets for Clinicians Apps that Work Living Skills Training Treatment Manuals Clinical Progress Notes Evidence Based Practices Assess & Treat Planning Importance of Use of EBPs Autism ADHD Bipolar Disorder Depression Anxiety Phobia PTSD OCD Anorexia Bulimia Alcohol Use Disorder Substance Use Disorder Suicide Intervention Assess Suicide IPT Theory of Suicide Initial Engagement BCBT - Brief CBT Cognitive Behavior Therapy CBT Suicide Resources Suicide References Genetics Genetics 101 Genetics MH Disorders Autism Genetics ADHD Genetics Schizophrenia Genetics Bipolar Disorder Genetics Depression Genetics Anxiety Genetics
Neuroscience Basics of Neuroscience Neuroscience MH Disorders Stress Response Lectures on Neuroscience TBI course for Counselors TBI Comorbidities Psychopharmacology Psychopharmacology Chart Online Resources Motivational Interviewing Overview of MI Learning MI Speak Putting MI into Action ESBT-A MI Model of Therapy MI Videos MI Online Resources MI References Opioid & Heroin Epidemic Background of Epidemic MAT for Epidemic Opioid Prescription Guidelines Holistic Approaches to Treatment Alcohol & Substance Use Common Abused Substances Alcohol Disorders EBPs Substance Disorders EBPs Assessing Use Disorders Co-morbid Disorders SUDS Recovery Tools SEA's Alcohol & Substances Recovery SFBT for Alcohol & SUDS Pornography Intervention Intro to Pornography Neuroscience of Pornography Impact Children & Teens Impact Young Adults Impact Marriage & Family Strategies Kids & Teens Lit Review of Treatment Strategies with Adults Websites & Videos References Impact References Treatment Behavioral Medicine Affordable Care Act Implications Intro Behavioral Medicine Integrated Primary Care Tools Strategies for Success in Health Management Wellness Programming Integrated Medicine Case Studies Video Behavioral Medicine Bibliography Behav Med Behavioral Med Resources Behavioral Medicine Research Multicultural Competency Cultural Immersion Multicultural Self-Assessment Challenging Your Biases Multicultural Resources Carribbean-Underserved Training MH Professionals All About Mental Health Counseling Tampa Bay MH Agencies Protocol in Finding MHC Placement Requirements for LMHC in Florida Improve Critical Thinking Overview of Critical Thinking Critical Problem Solving Common Fallacies Critical Thinking Links APA Style Help Page Guidelines for APA Style Papers Writing Scholarly Paper Tips Tips for Technical Writing Behavioral Health Project Referral Resources Counselor Network Parish Assistance Program COPING.US Training Prog.
Clinician Progress Note Taking
Clinical Progress Notes Clinical Mental Health Counselors are best serving their clients by keeping track of their clients' progress after every scheduled clinical session. What follows is an outline for such progress notes.
Client’s Name: Date: Client’s Principal Diagnosis: Treatment Goal and Objective to be addressed in this session: 2. Results of Client’s Homework from last session: 3. Clinical intervention used in current session: 4. Client’s response to intervention used: 5. Resistance to change/Barriers to goal attainment: 6. Progress towards goals and objectives witnessed in session: 7. Homework given client at end of session: 8. Plan for next session’s interventions: 1.
By using the above outline clinicians will be able to be more consistent and on target in working with their clients since they will always be harkening back to their original clinical assessment and treatment plans, goals, objectives and intended interventions. Clinical Mental Health Counselors who consistently record the progress or lack of progress of their clients in this way are being accountable not only to their clients but also to their agencies and/or third party payors involved in the providing of mental health services to their clients.
Clinical Progress Notes Based On Initial Assessment & Treatment Plan
How to Use Evidenced Based Practices to Improve Initial Assessment & Treatment Planning Dr. Donald Meichenbaum a founder of the CBT movement has made available free to all practictioners his summary of steps which practictioners can take to improve their intake interviews, case conceptualizations and treatment planning. These articles can be obtained on www.melissainstitute.org. His emphasis is on a thorough interview to help in case conceptualizaation and treatment planning. Please read the following two articles to understand more his perspective.
Core tasks of psychotherapy/counseling: What "expert" therapists do
Psychocultural Assessment & Intervention: The need for a case conceptualization model
Case Study Report Format Mental Health Counselors are called upon to provide a complete Case Study Report concerning clients whom they have seen while in training for Practicum and Internships. These Case Studies ought to include not only the above Initial Assessment Report format but also include the following: Course of Treatment: Give a narrative description of the course of treatment with the client and be sure to describe: How the client responded to the interventions? 2. What resistance was present during the course of treatment with this client? 3. How open and free was the client to participating in the treatment plan? 4. What changes if any did you need to make in your treatment plan for this client? 5. Was there a change in your tentative diagnosis at the end of treatment with this client? 6. What would you have done differently with this client knowing what you know today? 7. What did you learn about yourself as a counselor from working with this client? 1.
Impact of Treatment Plan: Results for Long Term Goal #1 2. Results for Long Term Goal #2 3. Results for Long Term Goal #3 1.
Template for Mental Health Counseling Case Study Presentation
TIPS For Mental Health Counseling Client’s Progress Notes Mental Status Definitions Affect: current display of emotional state Euthymic: normal, absence of depressed or elevated emotional experience Irritable: easily annoyed, impatient Constricted: mild reduction of intensity of emotional experience Blunted: significant reduction of intensity of emotional expression Flat: absence of emotional experience Inappropriate: emotional expression does not match content of speech, thought Labile: abnormal sudden rapid shifts of emotional experience Anhedonia: lack of experience of pleasure with normally pleasurable activity Dysphoria: unhappy, depressed, anxious, irritable Dysthymic: depressed, not content Euphoria: extreme happiness Euthymic: reasonably content Mood: global, diffuse emotional state in general
Recommendations for Behavioral Objectives Here are some suggestions to help you in writing short-term, measurable and concrete behavioral objectives. Remember: the “goal” is the long-term, at-the-end-oftreatment statement, and the behavioral objectives are the shorter measures to prove that treatment is progressing towards those goals. Behavioral objectives can and should change over the course of treatment; as the patient achieves an objective, it is appropriate to negotiate a new set of behavioral changes. The blanks in the statements that follow should be a number of episodes, thus giving a monitoring graph of the patient’s progress over time. Some ideas (adapted in part from the Jongsma Treatment Planner series): Depression: Client will: Identify ___ triggers for the depressed mood Verbalize understanding between [underlying losses, etc] & depressed mood Eat ____ % of meals by session # ___ (if anorexia is part of the depression) Sleep ____ hrs. & report restorative sleep (if insomnia is part of the depression) Verbalize __ pleasurable past activities (if anhedonia is present) Comply w/ antidepressant medication treatment plan Replace negative and self-defeating talk with ___ verbalizations of realistic and positive cognitive messages Will make __ positive statements regarding self/ability to cope w/ stressors Anxiety: Client will: Identify ____ stressors which exacerbate anxiety reactions State ____ positive coping strategies in next session Identify ___ irrational aspects of worrisome thoughts Develop and utilize ___ relaxation/diversion activities to decrease anxiety Learn ___ cognitive-behavioral strategies to reduce/eliminate anxiety Make __ positive statements regarding ability to manage stressors
Suicidal Ideation (SI): Client will: Identify factors that preceded the suicidal ideation Report no longer feeling the impulse to suicide Report decrease in frequency and intensity of SI to less than ___ times per week Establish a consistent eating and sleeping pattern by session #__ (if problematic) Verbalize feelings, with appropriate affect, that underlie SI Identify ___ positive reasons to live Report SI to _______ Contract for safety/sign plan for safety Take medications as prescribed
Recommendations for Details on Clinical Interventions The “Interventions” must be indicative of the clinical depth of the interventions identified. In other words, “what did this licensed mental health counselor do to target the client’s signs and symptoms that only this practitioner can do?” Therefore, statements such as “provided active listening and empathy,” or “provided support” are not adequate so an Auditor or Reviewer would have grounds for denying such description of the intervention.
Examples of Good Documentation of Cognitive Behavioral Treatment Interventions Cognitive restructuring used to defuse helplessness and negative forecasting associated with catastrophizing about symptoms. Taught and reviewed recording cognitions and changing attitudes and self-statements to promote normalize activity at both home and work. CBT/cognitions examination used to encourage emotional expression and helped client develop ways of containing affect. CBT used to restructure thoughts with emphasis on helping client to manage emotions, including fear and sadness that are realistic and understandable in context of diagnosis and degree of functional losses. Used CBT to help client understand personal meaning of issues being confronted. Engaged client in evaluating thoughts in terms of their usefulness and their basis in reality. Client learning to identify and challenge beliefs that represent distortions of reality and that are destructive to client’s well-being. CBT interventions used to focus on reducing the stress-producing cognitive patterns that give rise to muscle tension that increases client’s pain response. Use of cognitive approaches included monitoring negative thoughts, connecting affect and cognitions, and substituting positive interpretations for negative thoughts.
CBT Key Terms to Improve Intervention Documentation Cognitive Errors: faulty assumptions and misconceptions that may be caused by past experiences but are not based on current reality/logic. Mistakes in thinking that can lead people to be sad, lonely, angry, depressed, etc. Thought Stopping: Process of substituting negative/maladaptive thoughts or images with positive/adaptive ones; management of cues that trigger obsessions, impulsivity, or compulsions; use of mental energy in healthy way; stress/distress reduction technique. Rational Restructuring: (Lazarus) Helping clients to label situations more realistically via rational analysis, confrontation, questioning, “modifying internal sentences,” modifying “self-talk.” Example: Ellis’ RET (Rational-Emotive Therapy) in which people learn to confront their own illogical thinking. Behavioral Coping Strategies: Specific efforts that can be employed to master, tolerate, reduce, or minimize stressful and painful events. Active coping strategies are better to deal with distress thanavoidant coping strategies, which can be a risk factor or marker for adverse responses to distress. Examples: exercise, journaling/charting, volunteering, relaxation, talk therapy, etc. Re-Frame: Inviting client to see a new perspective. Modifies or restructures a client’s perception or view of a problem or behavior; Changing the way a client “encodes” issue; restructuring what a client perceives and shifting focus on to the real issue or a more productive topic. Challenging the “meaning” given to a problem by helping client “find” acceptable alternative understandings. Self-Efficacy: (Bandura) A client’s expectations of personal effectiveness; personal beliefs about one’s own abilities or performance potential. Modeling: Observational learning to alter behavior patterns; highly useful in treating anxiety/phobic symptoms; types include: imitation, observation, participant modeling, guided participation and covert modeling (imagining a model engaged in desired behavior behavior) Stress Inoculation: Education/Rehearsal/Application/Follow Up. Teaching physical and cognitive coping skills. Procedures to help client identify and detect the precursors to anger, anxiety, pain, and depressive symptoms; teaching client to differentiate between justified and unnecessary symptoms/reactions; assisting client to recognize the early signs in the provocation sequence in order to gain better control over their symptoms. Includes helping client rehearse identified coping skills and debriefing following real exposure to the trigger.
Stress Innoculation Training by Dr Meichenbaum 1999-2018 James J. Messina, Ph.D. & Constance Messina, Ph.D. For more information contact Jim at
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