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Serial measurement of the veteran’s/service member’s panic symptoms was used for the purpose of assessing progress. The veteran’s/service member’s level of progress on managing panic symptoms was reviewed with the veteran/service member. Assess Supervisor’s Concerns A. Information was sought from the service member’s first-line supervisor to assess the degree the anxiety has impacted this service member’s job performance. Administer Client-Report Measure A. A client-report measure was used to further assess the depth and breadth of the veteran’s/service member’s phobic responses. The Measures for Specific Phobias was used to assess the depth and breadth of the veteran’s/service member’s phobic responses.

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The veteran/service member failed to follow through on the assigned abstinence contract for his/her drug of choice and was redirected to do so. 28. A plan was developed to help the veteran/service member initiate contact with sober people who could exert a positive influence on his/her own recovery (e.g., sobriety buddies). 29. Assign First-Step Paper A. The veteran/service member was assigned to complete a NA first-step paper and to share it with his/her group and the therapist. The veteran/service member completed a first-step paper that acknowledged that addictive behavior has dominated his/her life.

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Reinforce Continued Medication Use A. The veteran/service member was monitored in regard to his/her continued psychotropic medication use. The veteran/service member was encouraged to continue to use his/her psychotropic medications as prescribed. The veteran/service member was reinforced for his/her appropriate use of psychotropic medication. The veteran/service member responded positively to the gentle confrontation of his/her illogical thoughts and speech and is speaking more logically and coherently. As the veteran/service member has taken his/her antipsychotic medication more consistently, he/she is demonstrating more logical, coherent speech; this progress was encouraged. Assist with Identification of Stimuli Source A. The veteran/service member was assisted in identifying the source of his/her stimuli.

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The veteran/service member was assisted in developing a daily routine. The veteran/service member has regularly used the daily routine, and his/her experience of this technique was reviewed and processed. The veteran/service member does not regularly adhere to a daily routine and was redirected to do so. Explore Feelings about New Environment and Military A. The service member was gently encouraged to tell about his/her feelings about being in such an unfamiliar environment. The service member was encouraged to talk about how he/she feels about the military in general.

Review Use of Faith A. The veteran/service member was asked to identify other areas of his/her life where he/she has used faith. The veteran/service member has identified ways in which he/she uses faith within other areas of his/her life, and these were processed within the session. The veteran/service member struggled to identify other situations in which he/she uses faith and was provided with specific examples. C. As treatment has progressed, the veteran/service member has improved on his/her pattern of sleep, and his/her concentration has improved as well. Decreased Energy/Motivation A. The veteran/service member reports a decrease in energy and motivation due to his/her sleep deprivation.

Client Education Handout Planners provide brochures and handouts to help educate and inform clients on presenting problems and mental health issues as well as life skills techniques. The topics covered by these handouts correspond to the presenting problems in the Treatment Planners. If you are a government, commercial, or enterprise user, please contact the enterprise Disability Answer Desk. Please go to the Microsoft Disability Answer Desk site to find out the contact details for your region. There is often confusion over the terms “hearing impaired,” “hard of hearing,” “deaf,” and “deafened,” both in definition and appropriateness of use. Dating someone who is hearing impaired Five tips below for a group, focus on the couple is deaf and dearest should definatly do not negative .

The service member was encouraged to process his/her emotions regarding his/her new environment and the military. Develop Pro and Con List A. The service member was directed to create a pro and con list related to his/her new environment and newfound independence. The service member was assisted in creating a pro and con list regarding his/her new environment and newfound independence.

The veteran/service member has not sought out a spiritual leader and was redirected to do so. The veteran’s/service member’s significant others indicated support for him/her and understood the information related to suicidal ideation, helpfulness, and counterproductive behaviors. The veteran’s/service member’s significant others declined to meet to obtain more information about his/her situation and were encouraged to utilize this opportunity as they see fit. Promote Family Communication A. A family therapy session was held to promote communication of the veteran’s/service member’s feelings of sadness, hurt, and anger.

The biases that the veteran/service member entertains regarding his/her schema and self-Their website were challenged. The veteran/service member was assisted in generating more realistic self-talk to correct for his/her biases and build resilience. The veteran/service member was provided with positive feedback for his/her replacement of self-talk and biases. The veteran/service member struggled to identify his/her self-talk and biases that weaken his/her resolve to remain abstinent and was provided with tentative examples in this area. 35.

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The veteran/service member was taught about the benefits of exposure as described in Specific Phobias . An example was provided about how superiors make subordinates practice in front of mock promotion boards before attending the actual board. The veteran/service member was taught about staying focused on behavioral goals and using positive self-talk.

D. The veteran/service member has read the assigned information on progressive muscle relaxation, and key points were reviewed. The veteran/service member has not read the assigned information on progressive muscle relaxation and was redirected to do so. 12. Utilize Biofeedback A. Electromyograph biofeedback techniques were used to facilitate the veteran/service member learning relaxation skills. The veteran/service member reported that his/her level of anxiety has decreased since relaxation techniques were implemented; he/she was encouraged to continue this technique.

The veteran/service member has not completed his/her assigned homework regarding fearful self-talk and was redirected to do so. D. The service member was supported as he/she identified and rated his/her stressors. The service member was defensive about identifying stressors and was urged to do so as he/she is able. The service member was assigned “Applying Problem-Solving to Interpersonal Conflict” in the Adult Psychotherapy Homework Planner, 2nd ed.