Theory & Modalities
Using this form of therapy with younger aged clients encourages processing of distress in a developmentally-aligned way.
Play Therapy
Danielle (25) has decided to start therapy because she's "tired of feeling tired". She says, "I just don't want to do anything anymore. It doesn't seem like there's much of a point to keep trying". Danielle reports recently losing weight unintentionally and needing more sleep than usual in the past 2 months. This diagnosis should be considered for Danielle.
Major Depressive Disorder
This is the amount of time following a session in which progress notes need to be entered.
48 business hours
Appropriate or Needs Adjusting?
Client will improve self-regulation skills, as evidenced by their identification of at least 1 coping skill in each session.
Appropriate!
This is specific, measurable, achievable, relevant, and time specific.
By definition, this continent contains the largest desert on Earth.
Antarctica (deserts are classified by low rates of precipitation, not heat)
This form of therapy is focused on encouraging clients' exploration of personal values in order to move closer to acceptance of one's current reality.
Acceptance & Commitment Therapy (ACT)
Social Anxiety Disorder
Every ______ weeks is how often updated assessments should be completed with clients.
6 weeks
Appropriate or Needs Adjusting?
Client will decrease anxiety symptoms, as confirmed by their verbal report.
Needs Adjusting!
This is not specific enough.
This is not measurable.
Client will decrease anxiety symptoms related to their job, as evidenced by their utilization of at least one mindfulness skill in that environment each week outside of sessions.
This condiment was originally sold as a patent medicine in the 1830's to treat diarrhea.
Ketchup
Aaron Beck is considered the father of this form of therapy, wherein clients are encouraged to identify and change unhelpful thought patterns and behaviors.
Cognitive Behavioral Therapy (CBT)
During an intake session for a child client - Ava (5) - the parent presents with concerns regarding increased crying, meltdowns, and "clinginess" over the past 5 weeks. Parent says, "School drop-off is always the worst part of the day for her and it takes me so long at the school saying 'goodbye' to her that I've been late to my new job." You learn that Ava recently started Kindergarten and, prior to that, stayed at home during the day with her mother and younger sibling. This diagnosis should be considered for Ava.
Separation Anxiety Disorder
In addition to an initial treatment plan and initial assessment, this additional piece of documentation is also necessary following an intake session.
Progress note linked to the intake session
Appropriate or Needs Adjusting?
Client will improve positive communication skills, as evidenced by her implementation of assertive communication of her needs to her partner at least twice per week outside of sessions.
Appropriate!
This is specific, measurable, achievable, relevant, and time bound.
This common office item was accidentally invented by a scientist who was trying to create a strong aerospace adhesive, and ultimately failed by creating a very weak one.
Post-It Notes
EMDR is a form of trauma-focused therapy developed by Dr. Francine Shapiro in which the implementation of this helps clients reprocess trauma-related events, decrease distress, and increase confidence in adaptive beliefs.
Bi-Lateral Stimulation (BLS)
Sandra (28) reports experiencing recent nightmares and has noticed feeling more irritable, "snapping" at her partner more than usual. She states that she's been missing more work within the past 6 weeks due to worries about her commute. Sandra has turned down recent invitations from friends and family to visit and reports that she just doesn't want to leave the house. When asked if she's experienced anything more stressful than usual lately, she says, "There was a car accident on my way to work last month that was scary to see, but I wasn't in it so I shouldn't be stressed about it". This diagnosis should be considered in Sandra's case.
Post Traumatic Stress Disorder (PTSD)
In addition to the PSC and PHQ-A assessments, this other assessment is also saved in the JotForm links to be used with child clients.
SCARED (parent and child versions)
Appropriate or Needs Adjusting?
Client will develop healthy boundaries, as evidenced by their engagement in relationship-related activities in their sessions.
Needs Adjusting!
This needs to be measurable.
This needs to be more specific.
Client will develop healthy boundaries, as evidenced by their engagement in relationship-related skill building activities in sessions 100% of the time when offered.
This animal has fingerprints that are virtually identical to humans'. The correct response is capuchin monkeys, koalas, or raccoons.
Koalas
This form of therapy was developed in the 1980's by psychologist Marsha Linehan to help clients manage intense emotions, primarily through mindfulness, distress tolerance, interpersonal effectiveness, and emotional regulation.
Dialectical Behavioral Therapy (DBT)
Tim (32) reports experiencing a challenging time getting daily tasks completed and says, "I've had these 'issues' since I was a kid and they seem to get worse when I'm more stressed out at work." During the session, you notice that his hands are very dry and that he has small scabs around his fingernails. He also says, "I know it sounds silly, but if I don't do something so that it feels just right, something bad is going to happen." This diagnosis should be considered in Tim's case.
Obsessive Compulsive Disorder (OCD)
DAILY DOUBLE!
What would your team like to wager?
You call a client to schedule for an upcoming session. What you thought would be a 5 minute phone call ended up taking 20 minutes of your time. Your client reviews their list of things to go over with you in their upcoming session during this call, including asking you to contact their PCP to consult on a recent medication change...it's really hard to end the conversation. You would document this phone call in this type of documentation in Theranest.
Appropriate or Needs Adjusting?
Client will experience a decrease in depression-related symptoms, as evidenced by their utilization of mindfulness skills 100% of the time when needed outside of sessions.
Needs Adjusting!
This is not a realistic goal to accomplish.
There is no way to realistically track this for the client.
Client will experience a decrease in depression-related symptoms, as evidenced by their utilization of mindfulness skills at least 3 times when needed outside of sessions.
This popular candy bar was named after its inventor's favorite horse.
Snickers