The Addiction Treatment Planner. Группа авторов

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Teach the family the need to overcome their denial of making excuses for reinforcing or being intimidated by the client's antisocial behavior. Use behavior rehearsal, modeling, and role-playing to teach the family members conflict resolution skills (or supplement with “Applying Problem Solving to Interpersonal Conflict” in the Adult Psychotherapy Homework Planner by Jongsma & Bruce). Assist each family member in identifying and listing how to encourage the client to recover from antisocial behavior and addiction. Develop a five-year written personal recovery plan to address addiction and antisocial traits. (39) Assist the client in developing a five-year personal recovery plan that outlines how the client will apply concepts learned in treatment going forward. Complete a survey to assess the degree of satisfaction with treatment. (40) Administer a survey to assess the client's degree of satisfaction with treatment.

DIAGNOSTIC SUGGESTIONS

ICD-10-CM	DSM-5 Disorder, Condition, or Problem
F91.x	Conduct disorder
F91.3	Oppositional defiant disorder
F43.24	Adjustment disorder, With disturbance of conduct
F63.81	Intermittent explosive disorder
Z72.811	Adult antisocial behavior
F60.2	Antisocial personality disorder
F60.3	Borderline personality disorder
F60.81	Narcissistic personality disorder

Note

      1 

Indicates that the Objective/Intervention is consistent with those found in evidence-based treatments.

ANXIETY

      BEHAVIORAL DEFINITIONS

      1 Excessive and/or unrealistic worry that is difficult to control occurring more days than not for at least six months about two or more events or activities.

      2 Excessive and/or unrealistic worry that is difficult to control and in response to a recent stressor(s).

      3 Excessive and/or unrealistic worry.

      4 Motor tension (e.g. restlessness, tiredness, shakiness, muscle tension).

      5 Autonomic hyperactivity (e.g. palpitations, shortness of breath, dry mouth, trouble swallowing, nausea, diarrhea).

      6 Hypervigilance (e.g. feeling constantly on edge, experiencing concentration difficulties, having trouble falling or staying asleep, exhibiting a general state of irritability).

      7 Demonstrates excessive worry regarding several life circumstances that is driven largely by cognitive biases.

      8 Abuses substances in response to excessive anxiety.

      9 Abuses substances in an attempt to control anxiety symptoms (i.e. self-medicates).

       

       

       

       

       

       

LONG-TERM GOALS

      1 Maintain a program of recovery, free from addiction and excessive anxiety.

      2 End addiction as a means of escaping anxiety and practice constructive coping behaviors.

      3 Reduce overall frequency, intensity, and duration of the anxiety so that daily functioning is not impaired.

      4 Stabilize anxiety level while increasing ability to function on a daily basis.

      5 Resolve the core conflict that is the source of anxiety.

      6 Enhance ability to cope effectively with the full variety of life's worries and anxieties.

      7 Learn and implement coping skills that result in a reduction of anxiety and worry and improvement in daily functioning.

       

       

       

       

       

       

SHORT-TERM OBJECTIVES	THERAPEUTIC INTERVENTIONS
Work cooperatively with the therapist toward agreed-upon therapeutic goals while being as open and honest as comfort and trust allow. (1, 2)	Establish rapport with the client toward building a strong therapeutic alliance; convey caring, support, warmth, and empathy; provide nonjudgmental support and develop a level of trust with the client toward him/her/their feeling safe to discuss his/her/their generalized anxiety and its impact on his/her/their life.
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