CLIENT PRESENTATION
- Persistent and Unreasonable Fear (1)1
- An immediate anxiety response has been exhibited by the client each time he/she encounters the phobic stimulus.
- The client reported that the strength of his/her phobic response has been increasing in the past several months.
- The client described the level of fear he/she experiences in response to the phobic stimulus as paralyzing.
- The client indicated that although the phobia is of recent origin, it has quickly become very persistent and unreasonable.
- As the client has become engaged in therapy, there has been a decrease in the intensity and frequency of the phobic response.
- Avoidance and Endurance of Phobia (2)
- The client reported that his/her avoidance of the phobic stimulus has caused major interference in his/her normal daily routines.
- The client indicated that the intensity of his/her anxiety in response to the phobic stimulus has resulted in marked personal distress.
- The client questioned whether he/she would ever be able to resolve the phobia.
- The client has progressed to the point that the phobic stimulus does not create interference in his/her normal daily routines or cause him/her marked distress.
- Fear Seen as Unreasonable (3)
- The client acknowledged that his/her persistent fear is excessive and unreasonable.
- The client's recognition of his/her persistent fear as excessive and unreasonable has provided good motivation for cooperation with treatment and follow-through on attempts to change.
- In spite of acknowledging his/her fear as unreasonable, the client's avoidance and escape behaviors remain strong.
- Sleep Disturbance (4)
- The client reported that his/her sleep has been disturbed by frequent dreams of the feared stimulus.
- The client indicated his/her disturbed sleep pattern has started to affect his/her daily functioning.
- The client's sleep has improved as he/she has worked toward resolving the feared stimulus.
- Dramatic Fear Reaction (5)
- At the slightest mention of the phobic stimulus, the client indicated he/she has a dramatic fear reaction.
- The client's reaction to the phobic stimulus is so dramatic and overpowering that it is difficult to calm him/her down.
- The client reported that his/her reaction to the phobic stimulus is rapidly becoming more and more dramatic.
- There has been a marked decrease in the client's dramatic fear reaction to the phobic stimulus since he/she has started to work in therapy sessions.
- Parental Reinforcement (6)
- The parents have catered to the client's fear and have thus reinforced and increased it.
- The parents' own fears seemed to be projected onto and acted out by the client.
- The parents have worked to curb their reaction to the client's fears, which has resulted in a marked decrease in the client's level of fear.
INTERVENTIONS IMPLEMENTED
- Build Trust (1)2
- An initial trust level was established with the client through the use of unconditional positive regard.
- Warm acceptance and active-listening techniques were utilized to establish the basis for a trusting relationship.
- The client has formed a trust-based relationship and was urged to begin to express his/her fearful thoughts and feelings.
- Despite the use of active listening, warm acceptance, and unconditional positive regard, the client remains hesitant to trust and to share his/her thoughts and feelings.
- Assess Fear and Avoidance/Administer Fear Survey (2)
- An objective fear survey was administered to the client to assess the depth and breadth of his/her phobic fear.
- The Anxiety Disorders Interview Schedule for Children—Parent Version or Child Version (Silverman and Albano) was used to assess the level of phobia symptoms.
- The fear survey results indicated that the client's phobic fear is extreme and severely interferes with his/her life.
- The fear survey results indicate that the client's phobic fear is moderate and occasionally interferes with his/her daily functioning.
- The fear survey results indicate that the client's phobic fear is mild and rarely interferes with his/her daily functioning.
- The results of the fear survey were reviewed with the client.
- Administer Client-Report Measure (3)
- A client-report measure was used to further assess the depth and breadth of the client's phobic responses.
- Measures for Specific Phobias (Antony) was used to assess the depth and breadth of the client's phobic responses.
- The client-report measure indicated that the client's phobic fear is extreme and severely interferes with his/her life.
- The client-report measure indicated that the client's phobic fear is moderate and occasionally interferes with his/her life.
- The client-report measure indicated that the client's phobic fear is mild and rarely interferes with his/her life.
- The client declined to complete the client-report measure, and the focus of treatment was changed to this resistance.
- Refer/Conduct Substance Abuse Evaluation (4)
- The client was referred for a substance abuse evaluation to assess the extent of his/her drug/alcohol usage and determine the need for treatment.
- The findings from the substance abuse evaluation revealed the presence of a substance abuse problem and the need for treatment.
- The findings from the substance abuse evaluation revealed the presence of a substance abuse problem that appears to be contributing to the client's behavior control problems.
- The evaluation findings did not reveal the presence of a substance abuse problem or the need for treatment in this area.
- Assess Level of Insight (5)
- The client's level of insight toward the presenting problems was assessed.
- The client was assessed in regard to the syntonic versus dystonic nature of his/her insight about the presenting problems.
- The client was noted to demonstrate good insight into the problematic nature of the behavior and symptoms.
- The client was noted to be in agreement with others' concerns and is motivated to work on change.
- The client was noted to be ambivalent regarding the problems described and is reluctant to address the issues as a concern.
- The client was noted to be resistant regarding acknowledgment of the problem areas, is not concerned about them, and has no motivation to make changes.
- Assess for Correlated Disorders (6)
- The client was assessed for evidence of research-based correlated disorders.
- The client was assessed in regard to his/her level of vulnerability to suicide.
- The client was identified as having a comorbid disorder, and treatment was adjusted to account for these concerns.
- The client has been assessed for any correlated disorders, but none were found.
- Assess for Culturally Based Confounding Issues (7)
- The client was assessed for age-related issues that could help to better understand his/her clinical presentation.
- The client was assessed for gender-related issues that could help to better understand his/her clinical presentation.
- The client was assessed for cultural syndromes, cultural idioms of distress, or culturally based perceived causes that could help to better understand his/her clinical presentation.
- Alternative factors have been identified as contributing to the client's currently defined “problem behavior,” and these were taken into account in regard to his/her treatment.
- Culturally based factors that could help to account for the client's currently defined “problem behavior” were investigated, but no significant factors were identified.
- Assess Severity of Impairment (8)
- The severity of the client's impairment was assessed to determine the appropriate level of care.
- The client was assessed in regard to his/her impairment in social, relational, vocational, and occupational endeavors.
- It was reflected to the client that his/her impairment appears to create mild to moderate effects on the client's functioning.
- It was reflected to the client that his/her impairment appears to create severe to very severe effects on the client's functioning.
- The client was continuously assessed for the severity of impairment, as well as the efficacy and appropriateness of treatment.
- Assess for Pathogenic Care (9)
- The home, school, and community of the client were assessed for pathogenic care and concerns.
- The client's various environments were assessed for the persistent disregard of the child's needs, repeated changes in caregivers, limited opportunities for stable attachment, harsh discipline, or other grossly inept care.
- Pathogenic care was identified and the treatment plan included strategies for managing or correcting these concerns and protecting the child.
- No pathogenic care was identified and this was reflected to the client and caregivers.
- Refer for Medication Evaluation (10)
- The client was referred for a physician evaluation for possible psychotropic medications.
- The client was asked to commit to following through on all recommendations of the physician evaluation.
- Communication was established with the physician pre-and postevaluation.
- The client was prescribed psychotropic medication.
- The client was assessed but not prescribed psychotropic medication.
- Monitor Medication Compliance and Effectiveness (11)
- The client was informed about major side effects of the medication and asked to report any that he/she experiences.
- The client was monitored for compliance with the prescription, and the effectiveness was also noted.
- The client was confronted when he/she reported not taking the medication consistently, and positive aspects of medication were reinforced with the client.
- Normalize Phobias (12)
- A discussion was held about how phobias are very common.
- The client was shown that phobias are a natural but irrational expression of our fight-or-flight response.
- It was emphasized to the client that phobias are not a sign of weakness but cause unnecessary distress and disability.
- The client was reinforced as he/she displayed a better understanding of the natural facets of phobias.
- The client struggled to understand the natural aspects of phobias and was provided with remedial feedback in this area.
- Discuss Phobic Cycle (13)
- The client was taught how phobic fears are maintained by a cycle of unwarranted fear and avoidance that precludes positive, corrective experiences with the feared object or situation.
- The client was taught how treatment breaks the phobic cycle by encouraging positive, corrective experiences.
- The client was taught information from Mastering Your Fears and Phobias—Workbook (Antony, Craske, and Barlow) regarding the phobic cycle.
- The client was taught about the phobic cycle from information in Helping Your Anxious Child (Rapee et al.).
- The client was taught about the phobic cycle from information in Anxiety and Phobia Workbook (Bourne).
- The client was reinforced as he/she displayed a better understanding of the phobic cycle of unwarranted fear and avoidance, and how treatment breaks the cycle.
- The client displayed a poor understanding of the phobic cycle and was provided with remedial feedback in this area.
- Discuss Unrealistic Threats, Physical Fear, and Avoidance (14)
- A discussion was held about how phobias involve perceiving unrealistic threats, bodily expressions of fear, and avoidance of what is threatening that interact to maintain the problem.
- The client displayed a clear understanding of how unrealistic threats, bodily expression of fear, and avoidance combine to maintain the phobic problem; his/her insight was reinforced.
- Despite specific information about factors that interact to maintain the problem, the client displayed a poor understanding of these issues; he/she was provided with remedial information in this area.
- Discuss Benefits of Exposure (15)
- A discussion was held about how exposure serves as an arena to desensitize learned fear, build confidence, and make one feel safer by building a new history of success experiences.
- The client was taught about the benefits of exposure as described in Face Your Fears: A Proven Plan to Beat Anxiety, Panic, Phobias, and Obsessions (Tolin).
- The client was taught about the benefits of exposure as described in Helping Your Anxious Child (Rapee et al.).
- The client was taught about the benefits of exposure as described in Freeing Your Child from Anxiety (Chansky).
- The client displayed a clear understanding of how exposure serves to desensitize learned fear, build confidence, and make one feel safer by building a new history of success experiences; his/her insight was reinforced.
- Despite specific information about how exposure serves to desensitize learned fear, build confidence, and make one feel safer by building a new history of success experiences, the client displayed a poor understanding of these issues; he/she was provided with remedial information in this area.
- Teach Anxiety Management Skills (16)
- The client was taught anxiety management skills.
- The client was assigned the exercise “Progressive Muscle Relaxation” in the Adolescent Psychotherapy Homework Planner (Jongsma, Peterson, and McInnis).
- The client was taught about staying focused on behavioral goals and positive self-talk.
- Techniques for muscular relaxation and paced diaphragmatic breathing were taught to the client.
- The client was reinforced for his/her clear understanding and use of anxiety management skills.
- The client has not used new anxiety management skills and was redirected to do so.
- Assign Calming Skills Exercises (17)
- The client was assigned a homework exercise in which he/she practices daily calming skills.
- The parents and the client were directed to read portions of The Relaxation and Stress Reduction Workbook for Kids (Shapiro and Sprague).
- The client's use of the exercises for practicing daily calming skills was closely monitored.
- The client's success at using daily calming skills was reinforced.
- The client was provided with corrective feedback for his/her failures at practicing daily calming skills.
- Use EMG Biofeedback (18)
- EMG biofeedback techniques were utilized to facilitate the client's relaxation skills.
- The client achieved deeper levels of relaxation from the EMG biofeedback experience.
- The client did not develop deep relaxation as a result of EMG biofeedback.
- Teach Applied Tension Technique (19)
- The client was taught the applied tension technique to help prevent fainting during encounters with phobic objects or situations.
- The client was taught to tense his/her neck and upper torso muscles to curtail blood flow out of the brain to help prevent fainting during encounters with phobic objects or situations involving blood, injection, or injury.
- The client was taught specific applied tension techniques as indicated in “Applied Tension, Exposure In Vivo, and Tension-Only in the Treatment of Blood Phobia” (Ost, Fellenius, and Sterner in Behaviour Research and Therapy).
- The client was provided with positive feedback for his/her use of the applied tension technique.
- The client has struggled to appropriately use the applied tension technique and was provided with remedial feedback in this area.
- Assign Daily Applied Tension Practice (20)
- The client was assigned a homework exercise in which he/she practices daily use of the applied tension skills.
- The client's daily use of the applied tension technique was reviewed.
- The client was reinforced for his/her success at using daily applied tension skills.
- The client was provided with corrective feedback for his/her failure to appropriately use daily applied tension skills.
- Identify Distorted Thoughts (21)
- The client was assisted in identifying the distorted schemas and related automatic thoughts that mediate anxiety responses.
- The client was taught the role of distorted thinking in precipitating emotional responses.
- The client was reinforced as he/she verbalized an understanding of the cognitive beliefs and messages that mediate his/her anxiety responses.
- The client was assisted in replacing distorted messages with positive, realistic cognitions.
- The client failed to identify his/her distorted thoughts and cognitions and was provided with tentative examples in this area.
- Assign Homework on Self-Talk (22)
- The client was assigned homework exercises to identify fearful self-talk, create reality-based alternatives, and record his/her experience.
- The client was assigned “Journal and Replace Self-Defeating Thoughts” from the Adult Psychotherapy Homework Planner (Jongsma).
- The client's use of self-talk techniques was reviewed and reinforced.
- The client has struggled in his/her implementation of self-talk techniques and was provided with corrective feedback.
- The client has not attempted to use the self-talk techniques and was redirected to do so.
- Model/Rehearse Self-Talk (23)
- Modeling and behavioral rehearsal were used to train the client in positive self-talk that reassured him/her of the ability to work through and endure anxiety symptoms without serious consequences.
- The client was assigned “Positive Self-Talk” from the Adult Psychotherapy Homework Planner (Jongsma).
- The client has implemented positive self-talk to reassure himself/herself of the ability to endure anxiety without serious consequences; he/she was reinforced for this progress.
- The client has not used positive self-talk to help endure anxiety and was provided with additional direction in this area.
- Construct Anxiety Hierarchy (24)
- The client was directed and assisted in constructing a hierarchy of anxiety-producing situations.
- The client was successful in identifying a range of stimulus situations that produced increasingly greater amounts of anxiety, and this hierarchy was reviewed.
- The client found it difficult to identify a range of stimulus situations that produce increasingly greater amounts of anxiety and was provided with assistance in this area.
- The client and parents were assisted in developing a list of rewards for successes in overcoming anxiety-producing situations
- Develop Contingency Contract (25)
- The adolescent and parents were assisted in developing a contingency contact that details the child's exposure tasks and rewards.
- The steps in the hierarchy were used to identify the gradual exposure tasks.
- The parents were consulted in regard to approval of rewards for the successful completion of each exposure task.
- Teach Strategies to Facilitate Exposure (26)
- The parents were taught strategies to facilitate the child's exposure or approach behavior toward feared objects or situations.
- The parents were taught about positive reinforcement, shaping, extinction, following through, and consistency.
- The parents were reinforced for their use of strategies to facilitate the child's exposure or approach behavior.
- The parents have not embraced their role in facilitating the child's exposure or approach behavior, and were redirected to do so.
- Assign Reading about Situational Exposure (27)
- The parents were assigned to read about situational exposure in books or treatment manuals on specific phobia.
- The parents were assigned to read Helping Your Anxious Child (Rapee et al.).
- The parents have read the assigned material on cognitive restructuring, and important concepts were reviewed within the session.
- The parents have not read the assigned material on cognitive restructuring and were redirected to do so.
- Select Initial Exposures (28)
- Initial exposures were selected from the hierarchy of anxiety-producing situations, with a bias toward likelihood of being successful.
- The client was assigned the exercise “Gradual Exposure to Fear” in the Adolescent Psychotherapy Homework Planner (Jongsma, Peterson, and McInnis).
- A plan was developed with the client for managing the symptoms that may occur during the initial exposure.
- The client was assisted in rehearsing the plan for managing the exposure-related symptoms within his/her imagination.
- Positive feedback was provided for the client's helpful use of symptom management techniques.
- The client was redirected for ways to improve his/her symptom management techniques.
- Conduct Graduated Exposure (29)
- The client was assisted in conducting exposures to his/her feared stimuli.
- Modeling was used to help the client cope within the exposure situation.
- The client was reinforced for his/her success in the exposure situation.
- The client's level of exposure was gradually increased.
- The client was congratulated on his/her ability to function within the exposure situation without any assistance.
- Assign Homework on Situational Exposures (30)
- The client was assigned homework exercises to perform situational exposures and record his/her experience.
- The client was assigned situational exposure homework from Mastery of Your Specific Phobia—Client Manual (Antony, Craske, and Barlow).
- The client's use of situational exposure techniques was reviewed and reinforced.
- The client has struggled in his/her implementation of situational exposure techniques and was provided with corrective feedback.
- The client has not attempted to use the situational exposure techniques and was redirected to do so.
- Conduct Cognitive-Behavioral Family Therapy (31)
- Cognitive-behavioral family therapy was conducted in accordance with the concepts espoused by Howard et al. in Cognitive-Behavioral Family Therapy for Anxious Children and the FRIENDS Program for Youth (Barrett et al.).
- Cognitive-behavioral family therapy was conducted in which family members were taught about the cognitive, behavioral, and emotional components of anxiety.
- Cognitive-behavioral family therapy was conducted in which family members learned implemented skills for coping with anxiety, practiced the new skills, and parents learned parenting skills to facilitate therapeutic progress.
- Overcome Pattern of Reinforcing Phobia (32)
- The family was assisted in identifying situations in which they tend to reinforce the client's phobia through avoidance.
- The family was assisted in developing techniques for overcoming the pattern of reinforcement of the client's phobia through avoidance.
- As the client's phobia has decreased, the family was taught constructive ways to reward the client's progress.
- Teach Family Skills (33)
- Family members were taught anxiety management, problem-solving, and communication skills.
- The family members were directed to use the skills to reduce family conflict and assist the client's progress.
- AssignReading about Family Reactions to Phobia Resolution (34)
- The parents were assigned to read about family reactions to phobias and their resolution.
- The parents were assigned to read excerpts from Helping Your Anxious Child (Rapee et al.).
- The information that the parents have read was reviewed and processed within the session.
- The parents have not read the assigned information and were redirected to do so.
- Consolidate Strategies (35)
- The client was asked to list strategies that he/she has learned in therapy to reduce his/her phobic fear and minimize his/her avoidance.
- The client was assigned “Finding a Strategy to Minimize My Fear” from the Adolescent Psychotherapy Homework Planner (Jongsma, Peterson, and McInnis).
- The client was reinforced for his/her clear understanding of multiple useful techniques for managing his/her phobic fear.
- Differentiate between Lapse and Relapse (36)
- A discussion was held with the client regarding the distinction between a lapse and a relapse.
- A lapse was associated with a temporary and reversible return of symptoms, fear, or urges to avoid.
- A relapse was associated with the decision to return to fearful and avoidant patterns.
- The client was provided with support and encouragement as he/she displayed an understanding of the difference between a lapse and a relapse.
- The client struggled to understand the difference between a lapse and a relapse, and he/she was provided with remedial feedback in this area.
- Discuss Management of Lapse Risk Situations (37)
- The client was assisted in identifying future situations or circumstances in which lapses could occur.
- The session focused on rehearsing the management of future situations or circumstances in which lapses could occur.
- The client was reinforced for his/her appropriate use of lapse management skills.
- The client was redirected in regard to his/her poor use of lapse management skills.
- Encourage Routine Use of Strategies (38)
- The client was instructed to routinely use the strategies that he/she has learned in therapy (e.g., cognitive restructuring, exposure).
- The client was urged to find ways to build his/her new strategies into his/her life as much as possible.
- The client was reinforced as he/she reported ways in which he/she has incorporated coping strategies into his/her life and routine.
- Develop a “Coping Card” (39)
- The client was provided with a coping card on which specific coping strategies were listed.
- The client was assisted in developing his/her coping card in order to list his/her helpful coping strategies.
- The client was encouraged to use his/her coping card when struggling with anxiety-producing situations.
- Employ Stimulus Desensitization Interventions (40)
- A session was conducted with the client in which he/she was surrounded with pleasant pictures, readings, and storytelling related to the phobic stimulus situation.
- The client remained calm and relaxed while the phobic stimulus situation was depicted in pictures, informational material, and storytelling.
- The client's ability to face the phobic fear was affirmed, and his/her ability to cope was reinforced.
- The client had an extreme reaction to the pictures, reading, and storytelling related to the phobic situation and was provided with support for his/her use of coping techniques during this anxiety.
- Interject Use of Humor (41)
- Situational humor, jokes, riddles, and stories about the phobic stimulus were used to decrease the client's tension and seriousness regarding the fear.
- The client was asked to start each day by telling the parents a joke, riddle, or silly story about the phobic stimulus.
- A humorous side was pointed out for each issue/fear the client raised.
- Explore Symbolic Meanings of Phobic Situation (42)
- The possible symbolic meaning of the client's phobic stimulus was probed and discussed.
- Selected interpretations of the phobic stimulus were offered to the client, and each was processed with him/her.
- Clarify and Differentiate Present Fears from Past Pains (43)
- The client was asked to list his/her present fears and also past emotionally painful experiences that may be related to the current fear.
- The client was assisted in clarifying and separating his/her present irrational fears from past emotionally painful experiences.
- It was noted that since the client was successful in separating past emotionally painful experiences from the present, he/she has reduced his/her level of phobic fear.
- Encourage the Expression of Feelings (44)
- The positive value of expressing feelings was emphasized with the client.
- Using active-listening and unconditional positive regard techniques, the client was encouraged to express his/her feelings regarding the past painful experiences.
- Gentle questioning was used with the client to help him/her start sharing feelings from the past.
- Feelings that were shared regarding past painful experiences were affirmed and supported.
- Link Past Pain with Present Anxiety (45)
- The connection the client was making between his/her past emotional pain and present anxiety was pointed out.
- When talking about his/her present fear the client was reminded of how he/she connected it to his/her past emotional pain.
- It was noted that since the client was successful in separating past emotionally painful experiences from the present, he/she has reduced his/her level of phobic fear.