Contributor: Yvette McBride Thomas
Dimension 3: Emotional/Behavioral Conditions
Problem (need)
- Patient reports evidences of possible depressive symptoms
- Patient reports unresolved loss/grief issues due to deaths in immediate family
- Patient has a history of poor anger management
- Patient has a history of illicit behavior which has led to legal problems
- Patient reports difficulty coping with loss of child custody
- Patient exhibits very low frustration tolerance
- Patient’s current functioning affected by history of verbal/sexual/physical abuse
- Patient experiencing grief due to divorce/desperation
- Patient experiencing difficulty coping with loss of significant relationship
- Patient seems unable to keep schedule of structured recovery activities, showing erratic or irresponsible behavior.
Goal (I will)
- Patient to address unresolved loss issues
- Patient to increase frustration management skills
- Patient to increase anger management skills
- Patient to cease illegal behaviors
- Patient to develop alternative to illegal behavior
- Patient to increase communication skills
- Patent to address emotional needs of family
- Patient to increase responsible time/task management skills
Intervention (Objective)
- Patient to complete mental health symptoms questionnaire with counselor within ___ weeks
- Patient to examine situations precipitating frustration and anger and discuss nonaggressive responses to address and discuss in counseling sessions and monitor progress on anger/frustration.
- Patient to contact anger management group with in _______weeks and attend as scheduled, following up with primary counselor (pc)
- Patient to process the loss of loved one in counseling sessions and progress on grief management to be monitored with with grief support group within ______ of referral
- Patient to process feelings over possible loss of child custody
- Patient to explore ways to cope with emotional affects of serious illness
- Patient is to discuss progress on avoiding arrest and illicit activities
ANGER MANAGEMENT
Behavioral Definitions
- History of explosive aggressive outburst out of proportion to any precipitating stressors leading to assaultive acts or destruction of property
- Overreaction of hostility to insignificant irritants
- Body language of tense muscles (clenched fist/jaw, glaring looks, or refusal to make eye contact)
- Consistent pattern of challenging or disrespectful treatment of authority figures using verbally abusive language
Long term goals
- Decrease overall intensity and frequency of angry feelings and increase ability to recognize and appropriately express angry feelings as they occur.
- Develop an awareness of current anger behaviors, clarifying origins of and alternatives to aggressive anger
- Come to an awareness and acceptance of angry feelings while developing better control and more serenity.
- Become capable of handling angry feelings in constructive ways that enhance daily functioning.
Therapeutic Interventions
- Identify targets of and causes of anger
- Verbalize increased awareness of anger expression patterns
- Verbalize how influential people in growing up have modeled anger expressions
- Identify pain and hurt of past or current life that fuels anger
- Utilize relaxation techniques to cope with angry feelings
- Verbalize increased awareness of how past ways of handling angry feelings have had a negative impact
- Verbalize increased awareness of and ability to react to hot buttons or anger triggers in a nonaggressive manner
- Write an angry letter to target and process this letter with counselor/therapist
- Write a letter of forgiveness to perpetrator of past or present pain and process letter with therapist/counselor
- Assist patient in identifying ways key life figures have expressed angry feelings and how positively or negatively these experiences have influenced the way patient handles anger
- Assign patient to list the experiences of life that have hurt and led to anger
- Ask patient to list ways anger has negatively impacted his/her daily life. Process list in counseling session
- Ask patient to write an angry letter to parents, spouse, or whomever, focusing on the reason for his/her anger toward that person. Process letter in counseling session
- Ask patient to write a forgiveness letter to target anger as a step toward letting go of anger. Process letter in session.
DYI! Get ready with me.
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