Module 7 Objective 4 Discussion Board

develop a tentative treatment plan using the DOACLIENTMAP model. Identify only one (1) item for each section of the treatment plan. For example, for Objectives, identify one (1) objective in ABCD format that you believe would be most helpful for this client; for Assessment, identify an assessment you believe would provide you with the most clinically-useful information for establishing baseline symptom severity (such as the Beck Anxiety Inventory or the DSM 5 Level 2 anxiety scale); etc.

Step 2: After developing your tentative treatment plan, post it to the Module 7 Objective 4 Discussion Board for review by your peers. Be sure to respond with substantive comments regarding the treatment plans of at least two (2) peers.

Example of what it should look like:

Diagnosis:

Social Anxiety Disorder (DSM 300.23)

Objective:

The client (A) will initiate one brief conversation with a coworker for at least 2 minutes (B) after exposure practice with Counselor (C), in 3 of 5 opportunities within 4 weeks (D).

Assessment:

Liebowitz Social Anxiety Scale (can be done for free on-line)

Clinician:

Licensed Professional Counselor providing CBT in individual therapy

Location of Treatment:

Outpatient therapy office

Interventions:

Cognitive restructuring to identify and challenge negative automatic thoughts about social evaluation

Evaluation:

Administer LSAS every 6 weeks to track changes in social anxiety symptoms

Number:

Weekly, 50-minute sessions

Time:

12-weeks

Modality:

Cognitive Behavioral Therapy

Adjunct Services:

Homework assignments (automatic thoughts worksheets)

Prognosis:

Good (given motivation and responsiveness to CBT treatment)

Another example:

Diagnosis: Cl presents as female, and is a self-referral for counseling due to long and increasing sx of anxiety r/t social situations. Cl has recently had a change in living situations which has prompted seeking tx.

Cl presents with criteria for FCODE (F40.10)-Social Anxiety Disorder aeb intense fear of social situations, fear of being negatively evaluated or scrutinized, The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more, all other criteria from DSM-5 that is applicable

Objectives of Treatment: Identify possible long-term goals and short-term objectives toward those goals. Considering systemic areas such as familial, educational, social, relational, spiritual, occupational, intrapersonal, etc., develop 1 – 2 goals and 2 – 3 objectives. The goals should be linked to the treatment approach you have selected and the needs of the client. Review treatment plan examples if you need clarification about writing long-term goals. Short term objectives must include Audience, Behavior, Condition, and Degree.

Objective: The client will demonstrate 3 new positive coping strategies to help manage anxiety symptoms.

Audience: The client

Behavior: will demonstrate positive coping skills for anxiety sx.

Condition: once a week in therapy and twice a week at home.

Degree: for 20 minutes during session and increments of 10 minutes twice a week at home.

Assessments: Social Phobia Inventory (SPIN)

Clinicians Characteristics Viewed as Therapeutic: Cl would most likely do well with a female counselor well versed in working with severe social anxiety. Clinician self-care will be a factor in effective tx aeb working with sx of anxiety and trauma can be difficult so ensuring best care while taking care of self is a necessity.

Location of Treatment: Therapy can take place in office in the traditional setting.

Interventions to Be Used: Interventions:

Th will help cl to identify 2-3 positive coping skills for anxiety sx, such as positive self-talk, grounding exercises, and cognitive reframing.

Emphasis of Treatment:

The long-term goals of the cl are r/t wanting to further occupational opportunities and interpersonal skills. With the dx, the sx that are appearing are inhibiting cl from reaching goals but through emphasis on CBT and Reality Therapy , the th and cl can collaboratively work to minimize sx and break potential barriers to goals down. CBT would be best to serve this cl.

Numbers in Treatment: Cl will engage in individual sessions and will be referred to an optional group that deals with anxiety.

Timing: Cl will begin meeting with th once every (2) weeks for an hour (53 min) for a duration of 6 months, unless sx decrease or cl decides to terminate services.

Medications needed: No information has been provided that would lead th to a med referral at this time.

Adjunct services: Cl could not be found needing adjunct services at this time.

Prognosis:

Cl has shown motivation to receive services, came into therapy willing and in good presentation. Cl has expressed great desire to not “feel this way anymore” and be able to advance in their life. Cl was compliant and engaged in session but has not received tx for the previous 6 years of sx. Cl has social supports and mentioned some friends and parents they could reach out to. Quality of interaction with cl’s family is likely to also increase from seeking tx. Tx will be most effective in helping cl to identify and implement strategies to best help minimize sx and be able to connect with others.