WU Adult Patients Treatment Plan
ANSWER
Client: Jill Issue: Social Anxiety
Treatment Plan: 8 Weeks of CBT/REBT
Goals:
- Weeks 1-2: Goal Setting and Psychoeducation
- Specific: Jill will identify situations that trigger her social anxiety.
- Measurable: Jill will list at least three anxiety-triggering situations.
- Achievable: Jill will engage in self-monitoring and journaling to identify triggers.
- Relevant: Addressing triggers is crucial to understanding the root of her anxiety.
- Time-Bound: By the end of the second week, Jill will have a list of triggers.
- Weeks 3-4: Cognitive Restructuring
- Specific: Jill will challenge and reframe negative thoughts related to social situations.
- Measurable: Jill will document at least one negative thought and provide a balanced alternative.
- Achievable: Jill will use the ABCDE model (Activating Event, Belief, Consequence, Disputation, Effect) to challenge thoughts.
- Relevant: Changing thought patterns will help reduce anxiety during social interactions.
- Time-Bound: By the end of the fourth week, Jill will have successfully reframed one negative thought.
- Weeks 5-6: Exposure Therapy
- Specific: Jill will gradually expose herself to anxiety-triggering situations.
- Measurable: Jill will rate her anxiety on a scale of 1-10 before and after each exposure.
- Achievable: Jill will start with less anxiety-provoking situations and progress to more challenging ones.
- Relevant: Exposure will help desensitize Jill to social situations, reducing her anxiety.
- Time-Bound: By the end of the sixth week, Jill will have completed exposure exercises for at least three different situations.
- Weeks 7-8: Social Skills Training and Maintenance
- Specific: Jill will learn and practice effective social skills.
- Measurable: Jill will engage in role-playing exercises, demonstrating improved social interactions.
- Achievable: Jill will learn communication techniques through role-playing and real-life practice.
- Relevant: Enhancing social skills will boost Jill’s confidence and decrease anxiety.
- Time-Bound: By the end of the eighth week, Jill will have demonstrated improved social skills through role-playing.
Interventions and Techniques:
- Psychoeducation about social anxiety and its triggers.
- Cognitive restructuring using the ABCDE model.
- Exposure hierarchy and gradual exposure to anxiety-provoking situations.
- Role-playing and practicing social skills.
- Homework assignments to reinforce learned techniques.
- Breathing and relaxation exercises to manage anxiety symptoms.
- Mindfulness techniques to stay present in social situations.
Resources:
- Worksheets for cognitive restructuring and exposure hierarchy.
- Role-playing scenarios and scripts for social skills training.
- Breathing and relaxation audio recordings.
- Mindfulness meditation guides.
- Self-monitoring journal for tracking triggers and progress.
This is just an example treatment plan for Jill’s social anxiety. You can adapt and modify it based on the specifics of your case and theoretical approach. Remember to tailor the plan to your client’s unique needs and preferences while keeping the SMART goals criteria in mind.
QUESTION
Description
Now that you have conceptualized the case of either Rebecca or Jill, you may now begin treatment planning. Generally, with CBT/REBT, techniques and interventions target one issue at a time, applying incremental treatment, before moving on to the next issue. It is also generally considered a short-term, goal-oriented therapy approach. For this reason, and for the practical reason that many insurance companies allow only an 8-week treatment timeframe, your treatment plan for Rebecca or Jill will be time bound to 8 weeks. (Note, however, that some providers have stopped accepting insurance for this reason.)
As you create goals and select interventions/techniques for the client’s treatment plan, it can be helpful to keep the SMART goals acronym in mind. Your goals should be specific, measurable, achievable within reason, relevant to the client’s needs, and time-bound. Keep in mind, too, that as a beginning service provider, you may wish to include details about the resources you would need to implement the techniques you select. Templates and worksheets are not only beneficial for the client, but they can help you stay organized and on target, as well.
For this Assignment, you add to last week’s case conceptualization by designing a treatment plan for your selected case.
To prepare:
- Review your Case Conceptualization from Week 4. You will use the same case and theoretical approach this week.
- Consider the type of treatment plan you might need to implement with this client. (There is no assigned template to use; you may design your own format or use one from a previous course.) What goals would help address the issue(s) present? What techniques or strategies could you implement to help her achieve these treatment goals?