A
o A focus on anger
management and
containment of acting out
o Addressed current life
stressors and both adaptive
and maladaptive responses
to these that client displays.
o Addressed interfering
behaviors in session
o An emphasis on addressing
problematic core beliefs
o An emphasis on coping with
current life difficulties
o Analyze fears, in logical
manner
o Assessed:
o behaviors and thoughts
o client progress
o history…
o reasons for symptoms
of…
o suicidal behaviors
o suicide potential and risk
o for increased symptoms
of…
o Assign positive affirmations
o Assisted client in…
o building support system
o evaluating consequences
of…
o examining the benefits
of…
o labeling feelings related
to…
o management of
symptoms and
improvement in overall
life/relationships/view of
self
o determining client’s
triggers
C
o Challenged client
o Challenged client’s negative
thoughts about
o Checked in with client on
o Collaborated with client to
o Connect anger/guilt with
depression
o Continued to address areas
of need, goals, and progress
o Continued to explore
aspects of client's history
that influence them in the
present
D
o
o
o
o
Deescalated client by
Define roles in the family
Demonstrated
Develop insight into
worry/avoidance
o Directed client to
o Discussed:
o benefits of taking
medication
o benefits/ effectiveness of
medication
o how medication is
helping
o problem solving
techniques
o self-regulation skills
E
o Educate on benefits of
assertiveness skills
o Educate on co-dependency
o Educate on dissociation as a
coping response
o Educate on skills training
o Emotion-focused techniques
and strategies to address
difficulties within the couple
o Encouraged:
o healthy expression of
feelings
o journaling feelings as
coping skill
o outside reading on…
o practicing boundaries
o practice use of coping
skills
o trust in own responses
o use of skills
o using “no”
o use of journaling
o
o
o
o
o
o use of self-talk exercises
o use of positive self-talk
Engaged in empathetic
listening
Evaluating and addressing
dysfunctional thoughts
Exploration and
implementation of
techniques for securing
appropriate boundaries
Exploration of strategies to
promote trust and
commitment to the couple
relationship
Explored:
o effects of childhood
experiences
o effects of sensitivity to
criticism
o familial communication
patterns
o family of origin
o fears of independence
o feelings throughout
session
o history of dependency on
others
o history of dissociative
experiences
o how _____ may be
helpful
o how trauma impacts
parenting patterns
o interpersonal skills
o issues around codependency
o issues around trust
o issues of unresolved
grief/loss
o patterns of conflict within
the family/the
relationship
o potential reasons for
sadness/pain
o risky behaviors
o roles of victim and
survivor and how they are
playing out
o suicidal thoughts/selfinjurious behaviors
o trauma/abuse
o triggers and coping skills
to assist in management
of symptoms and
improvement in overall
life/relationships/view of
self
o various dynamics and
patterns within their life
that cause some
discomfort and/or
emotional instability
F
o Facilitated family/
relationship communication
o Facilitate healthy expression
of feelings/concerns
H
o Helped client…
o develop a plan of action
o externalize anger
o problem solve solutions
o recognize/reflect on their
triggers
o reframe cognitive
distortions/distorted
thinking patterns
I
o Identified:
o alternative behaviors to
_____
o triggers related to _____
o and work through
therapy interfering
behaviors
o areas of strength used to
parent
o behaviors associated with
_____
o coping skills that have
helped in the past
o feelings of fear/guilt/
disappointment
o how distorted thoughts
affect understanding
o
o
o
o
o
L
o
o
o
o
o how family patterns of
conflict and
communication are
played out
o how fear of disappointing
others affects functioning
o patterns of dependency
on family members
o situations that are anxiety
provoking
o source of distorted
thoughts
o strengths
o support system
o symptoms of _____
o unresolved conflicts and
how they arise
o ways of giving without
receiving
o ways to increase
independence
Implementing strategies to
promote a greater
acceptance of ongoing
emotional experience
Improve insight into selfinjurious behaviors
Interpersonal problems
Introduced strategy of
Introduced the skill of
Labeled feelings of
Led client in
List positive aspects of self
List ways family may
participate in healthy
activities in community
M
o Modeled for client the
practice of
o Monitor and encourage
hygiene/grooming
N
o Normalize feelings of
sadness and responses
o Normalized feelings of
o Normalized throughs of
P
o Paraphrased for client
regarding
o Practice/reinforce/model
use of healthy boundaries
o Practiced tools with client in
session
o Practiced with client
o Praised client for progress in
o Praised client for progress
toward treatment goals
o Problem solved with client
regarding
o Processed fears of
o Processed feelings related to
o Prompted client to
o Prompted client to discuss
o Provided education about
ADHD
o Provided psycho-education
on _____
o anger management
o on CBT
o related to client symptom
presentation
o related to processing
emotions
o related to the grief
process
o Provided safe space for
client to process
R
o Reassured client regarding
o Redirected client regarding
o Refer for medication
evaluation to address
o Reflected back to client
o Reframed client report of
negative thoughts
o Reframed for client
o Reinforced:
o completion of homework
o use of CBT/DBT skills
o use of healthy expression
of feelings
o use of positive self-talk
o
o
o
o
o
o use of assertiveness/
healthy communication
Research family dynamics
and how they play out
Restated what client said in
order to
Review homework
Reviewed client negative
statements
Role-played with client
o
o
o
o
o
S
o Set boundaries regarding
o Set goals related to
o Sought clarification
regarding
o Summarized for client
o Support confronting of
perpetrator
o Supportive
psychotherapeutic
techniques, including active
listening, supportive
reflection, and validation
T
o Taught client
o about communication
skills
o about healthy boundaries
o conflict resolution skills
o relaxation skills
o thought stopping
techniques
o assertiveness skills
o problem-solving
strategies
o Teach/practice/model
parenting techniques
o Today we explored negative
thinking patterns and
behaviors that have
remained present over a
significant period of time
and continue to be present
o Trained client in
U
o Used:
o
o
o
o behavior management for
_____
o open ended questions to
_____
o paraphrasing to
Used play therapy to
Used reflection to
Used relaxation training for
Used rephrasing techniques
to
Used supportive questioning
to assist with
Utilize empty-chair exercise
to work through trauma
Utilize relaxation homework
to reinforced skills
Utilized active listening
throughout session
V
o Validate distress and
difficulties
o Validate/reinforce use of
coping skills
o Validated client expressions
of emotions
W
o Work together on:
o building trust
o identification of
unhealthy patterns in
client's life and
interventions to improve
on these
o improvement of
responses and
management of triggers
and negative emotions on
this day.
o Worked with client on:
o communications skills
o specific skills related to
assertiveness
o understanding how their
experiences with
trauma/or in childhood
have influenced their
ability to cope well in
situations where similar
emotions are triggered
o Worked with client to
develop coping strategies
o Worked with client to
improve self sufficiency
o Worked with client to
process ____