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Arthur E. Jongsma, Jr., Series Editor Practice Planners® The Adult Psychotherapy Progress Notes Planner Second Edition Arthur E. Jongsma, Jr. David J. Berghuis JOHN WILEY & SONS, INC. | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf | |
The Adult Psychotherapy Progress Notes Planner | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
PRACTI CEPLANNERS ® SERIES Treatment Planners The Comple te Adult Ps ycho therapy Treatment Planner, 3e The Child Psycho therap y Treatment Plann er, 3e The Adoles cent Psycho therap y Treatmen t Planner, 3e The Continuum of Car e Treatmen t Planner The Couples Psychotherap y Treatment Planner The Employee Assistan ce ... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
Arthur E. Jongsma, Jr., Series Editor Practice Planners® The Adult Psychotherapy Progress Notes Planner Second Edition Arthur E. Jongsma, Jr. David J. Berghuis JOHN WILEY & SONS, INC. | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
This book is prin ted on acid-fr ee paper. Copyright © 2004 by Arthur E. Jongsma, Jr. and David J. Ber ghuis. All rights reserved. Published b y John Wiley & Son s, Inc., Hoboken, New Jersey. Published simultaneously in Canada. No part of this publicat ion m ay be reprodu ced, stored in a re trieval s ystem, or transm... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
This book is dedicated to Marcia Berends, a faith ful and loyal assistant who always goes the extra m ile without being asked. —Arthur E. Jongsm a, Jr. To my wife, Barbara, w ith all m y love. — Davi d J. Berghuis | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf | |
CONTENTS Practice Planners ® Series Preface xiii Acknowledgments xv Introduction 1 Anger Managem ent 5 Antisocial Beha vior 14 Anxiety 25 Attention Deficit Disorder (ADD)—Adult 32 Borderline Personality 43 Chem ical Depe ndence 53 Chem ical Depe ndence—Relapse 64 Childhood T raumas 73 Chronic Pa in 81 Cognitive Deficit... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
xii CONTEN TS Posttraumatic Stress Disorder (PTSD) 279 Psychoticism 292 Sexual Abuse 299 Sexual Identity Confusion 308 Sleep Disturbance 316 Social Discomfort 322 Somatization 330 Spiritual Confusion 337 Suicidal Ideation 344 Type A Behavior 353 V ocational Stress 362 | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
PRACTICE PLANNERS® SERIES PREF ACE The practice of psychotherapy has a dim ension th at did not exist 30, 20, or even 15 years ago— accountability. Treatm ent programs, public agen cies, clinics, and even group and solo practitioners m ust now j ustify the tr eatm ent of patien ts to ou tside r eview entities th at con... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
xiv SE RIES PREF ACE software's expandable database. Then the point-and-click method can create a detailed, neatly organized, individualized, and customized treatment plan along with optiona l integrated progress notes and homework assignments. Adjunctive books, such as The Psychotherapy Documentation Primer, and Clini... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ACKNOWLEDGMENTS I am deeply indebted to David Ber ghuis who mana ged the project of upda ting this second edition of The Adult Psychotherapy Pr ogress Notes P lanner. He is responsible for adding the new material for the Parenting, Sexua l Identity Confusion, and Phase of Life Problem s chapters. He also fine-tun ed th... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf | |
INTRODUCTION INTENT AND FOCUS The Adult Psychotherapy Progress Notes Planner, Second Edition is another step in th e evolution of the Practice Planner series. This book is written as a companion to The Complete Adult Psy chotherapy Tr eatment P lanner, Third Edition, because it pr ovides a m enu of sentences that can ... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
2 THE ADULT PSYCHOTHER APY PROGRESS NOTES PL ANNER C. The client is trying to in teract in a more cooperative manne r within social and employment settings. D. The client is showing less irritability and argumentativeness w ithin therapy sessions. 5. Authority Conflicts (3) A. The client acknowledged a hi story of irri... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
INTRODUCTION 3 In the samples above, the item numbers 8 and 9 co rrespond directly to the same numbered items in the Therapeutic Interventions section from the Antisocial Behavior chapter of The Complete Adult Psychotherapy Treatment Planner. Within the Client Presentation section of each chapter, the statements are ar... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
4 THE ADULT PSYCHOTHERAPY PROGRESS NOTES PLANNER requiring a release before sharing them. A new wr inkle that does result from HIPAA is that a client's psychotherapy notes are not available to insurance carri ers or managed care organiza-tions. Decisions about coverage for mental heal th services may not hinge on psych... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ANGER MANAGEMENT CLIENT PRESENT ATION 1. Explosive, Destructiv e Outbursts (1)* A. The client de scribed a hi story of loss of temper in which h e/she has destroyed property dur-ing fits of rage. B. The client described a history of loss of temper that dates back to childhood, involving ver-bal outbursts as well as pr... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
6 THE ADULT PSYCHOTHER APY PROGRESS NOTES PL ANNER C. The client reported that he/she has been mo re successful at control ling critical and intimidat-ing statements made to or about others. D. The client reported that ther e have been no recent incidents of harsh, critical, and intimidat-ing statements made to or abou... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ANGER MANAGEMENT 7 C. The client has show n little empathy toward others for the pain that he/she has caused because of his/her verbal abuse of them. D. The client has become more aware of his/her pattern of verbal abuse of others and is becom-ing more sensitive to the negative impact of this behavior on them. E. There... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
8 THE ADULT PSYCHOTHER APY PROGRESS NOTES PL ANNER 4. List Targets of/Causes for Anger (4) A. The client was assigned to list as many of the causes for and targets of his/her anger that he/she is aware of. B. The client's list of targets for and causes of anger was processed in order to increase his/her awareness of an... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ANGER MANAGEMENT 9 F. The client failed to identify key figures in his/her life who have provided examples to him/ her as to how to positively express his/her anger and was questioned more specifically in this area. 8. List Own Hurtful Experiences (8) A. The client was assisted in identifying those painful and hurtful ... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
10 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R D. Although the client attempted to process his/her recent anger outbursts, he/she had poor insight into alternative adaptive ways to e xpress that anger; he/s he was provided with specific examples of how to be tter handle these angry feelings. 12. Role-Play Anger... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ANGER MANAGEMENT 11 16. Identify Bodily Impact of Anger (16) A. The client was taught the negative impact that anger can have on bodily functions and systems. B. The client indicated an incr eased awareness of the stress of his/her anger on such things as heart, brain, and blood pressure; this awareness was applied to ... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
12 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R B. The client has written an anger letter and his/her reasons for feeling anger were processed. C. The client reported that his/her feelings of anger have diminished since he/she wrote the anger letter and processed the causes for his/her anger. 21. Encourage Anger... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ANGER MANAGEMENT 13 B. The client has followed through with writing a letter of forgiveness to the perpetrator of pain from his/her past, and this wa s processed within the session. C. The client has not followed through with writing the forgiveness letter and was noted to be very resistive to letting go of hi s/her fe... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ANTISOCIAL BEHA VIOR CLIENT PRESENT ATION 1. Adolescent Antisocial Histo ry (1)* A. The client confirm ed that his/her history of rule breaking, lying, physical aggression, and/or disrespect for others and the law began when he/she was a teenager. B. The client reported that he/she was often in carcerated within the j... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ANTISOCI AL BEH AVIOR 15 C. The client is trying to in teract in a more cooperative manne r within social and employment settings. D. The client is showing less irritability and argumentativeness w ithin therapy sessions. 5. Authority Conflicts (3) A. The client acknowledged a hi story of irritability, aggression, and ... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
16 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R B. The client showed little or no remorse for causing pain to others. C. The client projected blame for his/her aggressive en counters onto others. D. The client has a violent hist ory and continues to interact with others in a very intimidating, aggressive style. ... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ANTISOCI AL BEH AVIOR 17 14. Irresponsible Parenting (12) A. As the client began to acknowledge a history of irresponsible parenti ng, he/she also tried to minimize the consequences and project blame for these act ions onto others. B. The client described a feeling of love a nd devotion to his/her children, but, behavi... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
18 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R B. The client was consistently reminded that an y meaningful relationship is based on trust that the other person will treat you with kindness and respect. C. The client's behavior pattern was reviewed to understand how he/she treated others with a lack of respect ... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ANTISOCI AL BEH AVIOR 19 C. As broken relationships were reviewed, the client was asked to identify what behavior of his/her own led to the broken relationship. D. The client was provided with support as he /she seemed to openly describe his/her broken relationships. 8. Confront Responsibility for Broken Relationships ... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
20 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R C. The client was provided w ith positive feedback for his/he r understanding of the effects of honesty versus dishonesty. D. The client failed to identi fy the effects of honesty and dis honesty and was provided with ten-tative examples in this area. 12. Solicit a... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ANTISOCI AL BEH AVIOR 21 C. The client was supported as he/she identif ied those people who dese rve an apology because they were injured by his/her insensitive, im pulsive, aggressive, or dishonest behavior. D. Positive feedback was provided as the client reported that he/she has given an apology to those who were inj... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
22 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R D. The client has not kept a r ecord or journal of work attendan ce and acceptance of directives from authority figures and was redirected to do so. 21. Teach Prosocial Work Behavior (21) A. The client was asked to lis t those negative behaviors that ha ve led to c... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ANTISOCI AL BEH AVIOR 23 C. The importance of taking responsibility for one's own behavior and the positive implications of this for motivating change were reviewed. 26. Explore Reasons for Blaming (26) A. The client's history was explored with a focus on causes for the avoidance of acceptance of responsibility for beh... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
24 THE ADULT PSYCHOTHERAPY PROGRESS NOTES PLANNER B. The client was asked to lis t those parent figures from hi s/her childhood that have caused him/her pain and suffering. C. The client was assisted in developing a list of benefits of beginning a process of forgiveness toward those perpetrators of pain in his/her chil... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ANXIETY CLIENT PRESENT ATION 1. Excessive Worry (1)* A. The client described sym ptoms of preoccupation with w orry th at something dire will happen. B. The client showed some recognition that his/her excessi ve worry is beyond the scope of rationality, but he/she feels unable to control it. C. The client described th... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
26 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R INTERVENTIONS IMPLEMENTED 1. Build Trust (1)* A. Unconditional positive regard and warm acceptance were used to increase rapport and build trust with the client. B. It was noted that as the client's trust level increased, he/she was able to tell his/her story of th... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ANXIETY 27 5. Develop Insight into Past Traumas (5) A. The client's past traumatic experiences that have become triggers for anxiety were examined. B. The client has been assisted in developing insight into how past traumatic experiences have led to anxiety in present unrelated circumstances. C. The development of insi... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
28 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R 10. Utilize Biofeedback (10) A. EMG biofeedback techniques were used to facilitate the client le arning relaxation skills. B. The client reported that he/she has implement ed his/her use of relaxation skills in daily life to reduce levels of muscle tension and the ... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ANXIETY 29 D. The client's fears were examined closely, but he/she was unable to identify the irrational nature of his/her persistent worry; he/she was provided with tentative examples of the irra-tional nature of these fears. 14. Analyze Fears Logically (14) A. The client's fears were analyzed by exam ining the probab... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
30 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R C. The client reported that th e thought-stopping technique has been beneficial in reducing his/ her preoccupation with anxiety-producing cognitions; he/she was encouraged to continue this technique. D. The client has failed to use the thought-st opping techniques,... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ANXIETY 31 22. Utilize Paradoxical Intervention (22) A. A paradoxical intervention was developed with the client in wh ich he/she was encouraged to experience the anxiety at specific intervals each day for a defined length of time. B. The client has implemented th e assigned paradoxical intervention and reported that i... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ATTENTION DEFICIT DISORDER (ADD)—ADUL T CLIENT PRESENT ATION 1. ADD Childhood History (1)* A. The client confirm ed that his/her chil dhood history consisted of the following symptom s: behavioral problem s at school, im pulsivity, te mper outbursts, and l ack of concentration. B. The client had a diagnosed ADD condit... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ATTENTION DEFICIT DISORDER ( ADD)—ADULT 33 6. Rapid Mood Swings (6) A. The client reported that he/s he has a history of rapid mood sw ings and general mood lability within short spans of time. B. The client reported that his/her mood can change several times th roughout a day and that little frustrations can easily le... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
34 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R 11. Low Self-Esteem (11) A. The client reported a history of feeling in adequate compared with others dating back to childhood. B. The client's low self-esteem was evident in his/her self-critical statements, lack of confi-dence in his/her abilities, and social wit... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ATTENTION DEFICIT DISORDER ( ADD)—ADULT 35 3. Process Psychiatric and Psychological Evaluation (3) A. Results and recommendations of the psychiat ric evaluation were proc essed with the client, and all questions were answered. B. The results and recommendations of the ps ychological evaluation were processed with the c... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
36 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R B. The client was encouraged to stay on his/ her medication even when his/her symptoms are diminished, in spite of temptations to terminate taking the medication. C. The medication has proven to be bene ficial in reducing the ADD symptom pattern. 8. Support Medicat... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ATTENTION DEFICIT DISORDER ( ADD)—ADULT 37 13. Direct Family to Rank Client's Behaviors (13) A. The client was asked to request family memb ers to complete a ranking of the three behaviors that they perceive as those that interfere the most with the client's daily functioning. B. Family members have ranked the client's... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
38 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R 17. Teach Self-Control Strategies (17) A. The client was taught the self-control strategy of “stop, listen, think, and act” to assist him/ her in curbing impulsive behavior. B. The client was taught problem-solving se lf-talk as a means of reducing impulsivity. C. ... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ATTENTION DEFICIT DISORDER ( ADD)—ADULT 39 C. It was reflected to the client that the implementation of the reward system has increased the frequency of positive alternative behaviors and decreased the frequency of problematic ADD behaviors. D. The client has not implemented the self-reward system and was redirected to... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
40 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R B. The client was reinforced for following th rough with becoming involved in an exercise rou-tine on a daily basis and is also performing co mmunity service activitie s on a weekly basis. C. The client has not followed through on establishing healthy, alternat ive... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
ATTENTION DEFICIT DISORDER ( ADD)—ADULT 41 31. Teach Listening Skills (31) A. Role-playing and modeling were used to te ach the client how to listen to others and to accept their feedback rega rding his/her behavior. B. Positive feedback was provided as the client reported that, on several occasions, he/she was able to... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
42 THE ADULT PSYCHOTHERAPY PROGRESS NOTES PLANNER B. The client and his/her partner follow ed through on the referral and have attended a communication/conflict resolution seminar; th e benefits from the group instruction were reviewed. C. The client and his/her partner have not followed through on the referral to a re... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
BORDERLINE PERSONALITY CLIENT PRESENT ATION 1. Emotional Reactivity (1)* A. The client d escrib ed a h istory of extrem e em otional reac tivity when m inor stress es occur in his/her life. B. The client' s emotional re activ ity is us ually qu ite short lived, as he/she returns to a calm state after dem onstrating st... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
44 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R C. The client made a commitment to terminate suicidal gestures and threats. D. The client agreed to stop the pattern of self-mutilating behavior. E. There have been no recent reports of occurre nces of suicidal gestures, threats, or self-mutilating behavior. 6. Fee... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
BORDERLINE PERSON ALITY 45 D. Conflicts within a relationship have been reported by the client, but he/she has not automati-cally assumed that abandonme nt will be the result. INTERVENTIONS IMPLEMENTED 1. Explore Trigger Situations (1)* A. The client was asked to identify those situati ons that trigger feelings of fear... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
46 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R D. The client has not kept a journal of self-defeating thoughts and was redirected to do this homework. 5. Utilize Cognitive Restructuring (5) A. The client was trained in revising his/ her core schema using cognitive restructuring techniques. B. Dysfunctional, ina... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
BORDERLINE PERSON ALITY 47 B. The client reported implementing “stop, look, li sten, and think” as an impulse control strat-egy on several successful instances; he/s he was reinforced for this progress. C. The client's impulsivity has been reduced as a result of using the se lf-control strategies. 11. Teach Cognitive C... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
48 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R D. The client has not followed through with the refe rral to an asse rtiveness training group and has not attended the group consistently; he/she was redirected to this group. 16. Review Assertiveness Implementation (16) A. The client's implementation of assertiven... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
BORDERLINE PERSON ALITY 49 C. The client verbalized the effect that ch ildhood experiences of a buse, neglect, and abandon-ment have had on possessiveness in relationships; his/her sensit ivity to a hint of loss of commitment in relationship to himself/herself was emphasized. D. The client refused to ack nowledge the i... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
50 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R B. The client has cooperated w ith a referral to a physician an d has attended the evaluation for psychotropic medications. C. The client has refused to attend a physicia n evaluation for psychotro pic medications and was redirected to do so. 26. Monitor Medication... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
BORDERLINE PERSON ALITY 51 31. Refer to Emergency Helpline (31) A. The client was provided with an emergency helpline telephone number that is available 24 hours a day. B. Positive feedback was provided as the client promised to utilize the emergency helpline tele-phone number rather than engaging in any self-harm beha... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
52 THE ADULT PSYCHOTHERAPY PROGRESS NOTES PLANNER 36. List Others' Positive and Negative Traits (36) A. Role reversal and modeling were used to help the client recognize positive and negative qualities in other pe ople within his/he r social network. B. The client was reinforced as he/she was able to verbalize the weak... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
CHEMICAL DEPENDENCE CLIENT PRESENT ATION 1. Consistent Abuse of Alcohol (1)* A. The client described a history of alcohol a buse on a frequent basis and, often, until intoxi-cated or passed out. B. Family m embers confirm ed a pattern of chronic alcohol abuse by the client. C. The client acknowledged that his/her alco... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
54 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R 5. Denial (4) A. The client presented with denial regardin g the negative consequences of his/her substance abuse, in spite of direct feedback fr om others about its negative impact. B. The client's denial is beginning to break down as he/she is acknowledging that ... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
CHEMIC AL DEPENDENC E 55 10. Suspension of Activities (9) A. The client has suspended his/her involvemen t in important social, recreational, and occupa-tional activities, because they interfered with his/her substance abuse lifestyle. B. The client is beginning to recognize that all other aspects of his/her life becam... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
56 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R C. It was reflected to the client that he/she was minimizing his/her s ubstance abuse and was not giving reliable data regarding the nature and extent of his/her chem ical dependence problem. D. As therapy has progressed, the client ha s become more open in acknowl... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
CHEMIC AL DEPENDENC E 57 6. Assign First Step Paper (6) A. The client was assigned to complete an Al coholics Anonymous First Step paper and to share it with a group and the therapist. B. The client has completed a First Step paper; it was reviewed and noted to reflect that chemi-cal dependence has dominated and contro... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
58 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R C. Although the client states that he/she would like to give up involvement with his/her drug of choice, he/she refused to sign an abstinence contract; he/she was c onfronted with this inconsistency. D. The client indicated that he/she feels afraid of what his/her ... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
CHEMIC AL DEPENDENC E 59 C. The results of the psychological assessment we re given to the client, and the factors that may contribute to his/her chemi cal dependence were highlighted. 15. Assess Stress Factors (15) A. Situational stress factors that may foster the client's chemical dependence were explored. B. Several... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
60 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R B. The client accepted the interpretation that ma intaining contact with substance-abusing friends would reduce the probability of successful recovery from his/her chemical dependence. C. A plan was developed to help the client in itiate contact with sobe r people ... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
CHEMIC AL DEPENDENC E 61 B. The client was supported as he/she agreed that his/her current living situation does encour-age continuing substance abuse. C. The client could not see a ny reason why his/her cu rrent living situati on would have a nega-tive effect on his/her chemical dependence reco very; he/she was provid... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
62 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R 28. Reinforce Making Amends (28) A. The negative effects that the client's substance abuse has had on family, friends, and work relationships were identified. B. A plan for making amends to those who have been negatively affected by the client's sub-stance abuse wa... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
CHEMICAL DEPENDENCE 63 C. The client has obtained the recommended read ing material on relapse prevention and stated that he/she has found the material helpful. D. The client has used the recommended reading mate rial to identify potential relapse triggers and to help him/her develop strategies for constructively deali... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
CHEMICAL DEPENDENCE—RELAPSE CLIENT PRESENT ATION 1. Relapse after Treatment (1)* A. The client described having received treatm ent for substance abuse and then establishing sobriety for a length of tim e, followed by a return to m ood-altering drug abuse. B. The client has been unable to m aintain sobriety beyond a s... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
CHEMIC AL DEPENDENC E—RELAPSE 65 INTERVENTIONS IMPLEMENTED 1. Identify Relapse Triggers (1)* A. The client was assisted in identifying specifi c behaviors, attitudes, a nd feelings that contrib-uted to his/her last relapse. B. The client has specified the mistakes that he/she made in behavior, attitude, and emotional r... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
66 THE ADULT PSYCHOTHER APY PRO GRESS NOTE S PL ANNE R 5. Contact AA Sponsor (5) A. The client was encouraged to make contact w ith his/her sponsor as a cr itical step in reestab-lishing a recovery program. B. The client has made contact with his/her AA sponsor and has agreed to maintain consistent contact with him/her... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
CHEMIC AL DEPENDENC E—RELAPSE 67 C. Specific ways to avoid contact with high-risk people and places were identified. D. The client was reinforced as he/she reported that he/she is consistently avoiding contact with those people and places that are high risk for triggering relapse. E. The client has been unable to ident... | Arthur E. Jr. Jongsma David J. Berghuis - The Adult Psychotherapy Progress Notes Planner 2nd Edition Practice Planners 2003.pdf |
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