Service plan
Person
1
DOB
DES
Container
Safe place
Presenting complaint(s)
“Tell me more about the issue you want to work on”
Recent examples of the presenting complaint:
“What recent experiences have you had that represent the issue?”
Identify disturbing past experiences (experiences and ages):
“What is the image that respresents the worst part of the recent experience?”
“What negative belief are you having about yourself as you think of it?”
“What are the emotions you are experiencing?”
“What are you feeling in your body?”
“As you focus on the image, the negative belief
, the emotions and the sensations, let
your mind float back to an earlier time when you may have felt this way and just notice
what comes to mind (repeat with each association until no further memories are
identified):
Ages and experiences:
1.
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6.
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9.
Service plan
10.
Present triggers (in addition to recent experiences already identified)
“What other situations trigger this problem in your current life?”
1.
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5.
Future outcomes
“Tell me how you would like to see yourself handling this situation in the future”
1.
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5.
Resources
“What activities, people, places, or things are resources for you now in your life?”
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5.
Case conceptualization: (as you identify past experiences associated with the client’s
presenting problem, what is the organizing that will become the focus of treatment? Is it
a(n) negative belief about the self? Emotion/affect? Pattern of behavior? Uncomforatble
physical sensations? Is the symptom part of a larger set of issues that involves more
comprehensive treatment?)
2
Service plan
3
negative belief
emotion/affect
pattern of bx
physical sensation
symptom is part of larger set of issues suggesting more comprehensive treatment
Targeting plan:
Targeting memory selected for first reprocessing session:
Check one:
touchstone memory
worst memory
other past
present
If the dominant symptom is a negative belief:
Possible negative cognition:
Desired positive cognition:
Check one:
responsibility/defectiveness
safety/vulnerability
power/choice