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PCN-610.R.T5TreatmentPlan.docx

Treatment Plan

Based on the information collected in Week 4, complete the following treatment plan for your client Eliza. Be sure to include a description of the problem, goals, objectives, and interventions. Remember to incorporate the client's strengths and support system in the treatment plan.

Client: ____________________________________________ Date: ______________ Age:______ DOB: __________________

DSM Diagnosis

ICD Diagnosis

Goals / Objectives:

Interventions:

Frequency:

□ Mood Stabilization

□ Psychotropic Medication Referral & Consultation □ Journaling

□ Cognitive Behavior Therapy □ Skill Training

□ Emotion Recognition – Regulation Techniques

□ Weekly □ Bi Weekly □ Monthly

□ other: ____________________

□ Group □ Individual □ Family

□ Anxiety Reduction

□ Psychotropic Medication Referral & Consultation □ Journaling

□ Cognitive Behavior Therapy □ Skill Training

□ Relaxation Techniques

□ Weekly □ Bi Weekly □ Monthly

□ other: ____________________

□ Group □ Individual □ Family

□ Reduce Obsessive Compulsive Behaviors

□ Psychotropic Medication Referral & Consultation □ Journaling

□ Cognitive Behavior Therapy □ Skill Training

□ Weekly □ Bi Weekly □ Monthly

□ other: ____________________

□ Group □ Individual □ Family

□ Decrease Sensitivity to Trauma Experiences

□ Verbalize Memories Triggers & Emotion

□ Desensitize Trauma Triggers and Memories

□ Utilize Healing Model/Support (Mending the Soul)

□ Weekly □ Bi Weekly □ Monthly

□ other: ____________________

□ Group □ Individual □ Family

□ Establish and Maintain Eating Disorder Recovery

□ Overcome Denial □ Identify Negative Consequences

□ Menu Planning □ Nutrition Counseling □ Body Image Work

□ Healthy Exercise □ Trigger Mngmt Recovery Plan □ CBT

□ Weekly □ Bi Weekly □ Monthly

□ other: ____________________

□ Group □ Individual □ Family

□ Maintain Abstinence from substances (Alcohol/Drugs)

□ Substance Use Assessment □ Stepwork □ Overcome Denial □ Identify Negative Consequences □ Commitment to Recovery Program □ Attend Meetings □ Obtain Sponsor

□ Weekly □ Bi Weekly □ Monthly

□ other: ____________________

□ Group □ Individual □ Family

□ Increase Coping Skills

□ DBT Skills Training □ Problem Solving Techniques

□ Emotion Recognition & Regulation □ Communication Skills

□ Weekly □ Bi Weekly □ Monthly

□ other: ____________________

□ Group □ Individual □ Family

□ Stabilize, Adjustment to New Life Circumstances

□ Alleviate Distress □ Cognitive Behavior Therapy

□ Stress Management □ Skills Training

□ Improve Daily Functioning □ Develop Healthy Support

□ Weekly □ Bi Weekly □ Monthly

□ other: ____________________

□ Group □ Individual □ Family

□ Decrease/Eliminate Self Harmful Behaviors

□ Cognitive Behavior Therapy □ Skills Training

□ Develop and Utilize Support System

□ Weekly □ Bi Weekly □ Monthly

□ other: ____________________

□ Group □ Individual □ Family

□ Improve Relationships

□ Communication Skills □ Active Listening □ Family Therapy □ Assertiveness □ Setting Healthy Boundaries

□ Weekly □ Bi Weekly □ Monthly

□ other: ____________________

□ Group □ Individual □ Family

□ Improve Self Worth

□ Affirmation Work □ Positive Self Talk □ Skills Training

□ Confidence Building Tasks

□ Weekly □ Bi Weekly □ Monthly

□ other: ____________________

□ Group □ Individual □ Family

□ Grief Reduction and Healing from Loss

□ Psychoeducation on Grief Process/ Stages

□ Process Feeling □ Emotion Regulation Techniques

□ Reading/Writing Assignments □ Develop/Utilize Support

□ Weekly □ Bi Weekly □ Monthly

□ other: ____________________

□ Group □ Individual □ Family

□ Develop Anger Management Skills

□ Decrease Anger Outbursts □ Emotion Regulation Techniques □ Cognitive Behavior Therapy

□ Increase Awareness/Self Control

□ Weekly □ Bi Weekly □ Monthly

□ other: ____________________

□ Group □ Individual □ Family

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