Moving Forward Defining Problems and Setting Goals Please ask your doctor or Wellbeing worker for an interpreter if you need one Contents Page Your problems 3-5 Setting your goals 6 Short term goals 7 Medium term goals 8 Long term goals 9 Attachments: Patient example 2 Your problems Before overcoming any problem you need to be clear what it is. If you see your problem as being depressed, working with your Wellbeing worker will help you know what it is about being depressed that is a problem to you. Your problem may be lack of sleep, loss of enjoyment in activities, or not feeling you want to go out. Your Wellbeing worker may suggest that you monitor your feelings, thoughts and behaviour for one week: this may help you to identify the problem. The following questions may be helpful in defining your problem: o How is your usual day affected? o Does the problem only happen at a certain time or place? o Does the problem only happen when you are with a certain person or group of people? o Is the problem stopping you from doing anything? 3 Using the questions from the last page and the information you have talked about with your Wellbeing worker to write your problems in the spaces below. Then chose a number using the scale of 0 to 8 and put this in the first box. This will be looked at often to see how the problem has changed. This problem affects me: 0 not at all 2 a little 4 sometimes 6 a lot 8 all the time Problem 1 …………………………………………………………………………………… …………………………………………………………………………………… …………………………………………………………………………………… 1 2 3 4 5 Problem 2 …………………………………………………………………………………… …………………………………………………………………………………… …………………………………………………………………………………… 1 2 3 4 5 Problem 3 …………………………………………………………………………………… …………………………………………………………………………………… …………………………………………………………………………………… 1 2 3 4 5 4 It is best to work on one or two problems at a time, so start with the two that are most important. Work on these and when you have completed them, you can start on the others. 5 Setting your goals Goals are what you would like to aim for. Plan your goals in stages Short term goals - over the next few days and weeks Medium term goals - over the next few weeks to months Long term goals - over the next few years and your life-long goals you may want to work towards. When setting a goal be: o Clear o Realistic o Positive Use the next pages to make some notes of goals you may wish to work towards. Review them with your Wellbeing worker and talk with them if you find this hard. 6 Short-term Goals (Over the next few weeks) Goal 1: Goal 2: Goal 3: 7 Medium-term Goals (Over the next few months to a year) Goal 1: Goal 2: Goal 3: 8 Long-term Goals (Things you may wish to work towards over your lifetime, you may wish to redefine these towards the end of your work with the wellbeing service) Goal 1: Goal 2: Goal 3: 9 Moving Forward Defining Problems and Setting Goals Patient example Jenny was referred to the Wellbeing worker at her surgery after visiting the Practice Nurse for a routine appointment. During the appointment with the nurse Jenny became very tearful and told her that she had been feeling down for some time now. The nurse said it might be helpful to go and see the Wellbeing worker. Jenny felt worried when she first saw the Wellbeing worker. She did not understand why she was feeling so tearful and Jenny was glad that the Wellbeing worker made her feel comfortable while they talked about her problems. In the first session Jenny began to link her feelings to problems at work: she could identify she felt stressed from recent changes and working long hours. Jenny left the session with a booklet to help her to try to organise some of these issues into problems and goals. Her first short term goal was to use the relaxation CD given to her by the Wellbeing worker 3 times per week. Jenny recognised that her workload was difficult but she felt unable to deal with this right away. Her medium term goal was to deal with her work and speak to her new manager about the amount of work she had been given. Although the recent changes at work had led to Jenny’s problems she had not been happy in her job for quite a while: her long term plan was to find out about training courses, to help her look for other jobs she would like. At the end of the sessions with the Wellbeing worker Jenny had made good progress with all of her goals and felt confident in carrying on with this. 10