Psy/270 Treatment Plan

• Scoring: The inventory uses a 5-point scale of distress (0–4), ranging from “not at all” (0) to “extremely” (4). The DIE yields raw scores and T scores for the Total Score and Primary Dimension scores. Results are hand scored. T scores above 65 on the Total Score and the Primary Dimensions are considered in the “clinical range.”

The proposed experiment would be a 2x2x5 factorial design with pre-testing that would be conducted to investigate each participant’s previous medical history and how it may affect their results. The experiment would use 120 adult participants who have been diagnosed with ADHD. For the purposes of the proposed experiment, an adult is an individual who is at least age 18 or older. There would be eleven groups with ten patients in each group, treated over a ten week period: a modafinil group with medication, modafinil group without medication, dexmethylphenidate group with CBT, dexmethylphenidate without CBT, methylphenidate group with CBT, methylphenidate group without CBT, an atomoxetine group with CBT, a CBT group, and a placebo-control group. The experiment will measure the reduction of ADHD symptoms in adults 18 years or older.

I acknowledge that the assessment process has been fully explained to me, and that I

The client and counselor have had multiple sessions before the assessments to create a good relationship that will allow the counselor to interpret the data and better understand the relationship of the scores to the client. The next sections include a report on each assessment and scores that Ireland received as well as a discussion on whether or not these results associate with Ireland. The structure of each assessment section will be similar and display background on the assessment, Ireland’s scores and what they mean, and then a discussion on the degree of connection the scores have with Ireland. The language will change so Ireland can better understand the assessments and the scoring of her results.

I am known for my non-judgemental, direct, forthright counselling style. Clients often comment about how I am able to get them to think about things or see things in new and different ways. Over the years I have developed my knowledge and clinical skill in a number of approaches to treatment. So when you see me I might use elements of Cognitive Behavioral Therapy to help you think differently, I might teach you tools for improving your communication or I might help you explore how the past is effecting the present and how to get unstuck. What elements I blend together is intentional, not hap hazard and is chosen to get you to your goals. I am not here to tell you what to do. Why would you want to pay me, when there are many people who will tell you for free! We explore together what it is you want and what it is that is keeping you from getting it and then we get down to fixing it. In the end, you make the choices, because it is you, not me, that lives with the consequences! I guide you in determining options based on YOUR values and beliefs, help provide psychologically relevant information to make the best possible choice(s) and support you as you implement your choices.

Anxiety is an aroused emotional state distinguished by feelings of apprehension and bodily tension present when no real danger is present (“Measuring stress and anxiety,” 2011). Although used synonymously in everyday life, they are not the same. Psychologists view stress as a larger construct than anxiety; anxiety is the deleterious emotional reaction to stressors (“Measuring stress and anxiety,” 2011). Stress is a “pattern of physiological, behavioral, emotional, and cognitive” reactions to stimuli that are perceived as a potential threat to our well-being (“Measuring stress and anxiety,” 2011). Responding to stress can manifest itself in somatic anxiety (“Measuring stress and anxiety,” 2011). This is seen in a neuroendocrine secretion, quick breathing, perspiration, rapid heart rate, and more. Winchester should seek out Cognitive Behavioral Therapy (CBT) for phobias are most effectively understood and treated from a behavioral perspective (Cromer, 2010). In CBT, the irrational fear and beliefs are identified and dissected in order to take away from of its power. The main objective of CBT is to desensitize a person to the trepidation to edify how to identify, assuage, and manage with anxious thoughts and feelings (Cromer, 2010). At times, therapy alone is not sufficient so one would be prescribed medication and pair it with therapy to treat the phobia (National Mental Health Information Center, 2005). Other than

Proceeding, I set up an additional interview to find out about the current evaluation process that the program is currently using. I hope that the information will help me as I select the assessment tools that I will use. Some of the questions that I was thinking of asking were:

Situations on the exposure hierarchy Jenny rated below a 60 will be focused on. The reason this specific rating range is selected is because it is the window of tolerance Jenny is willing to engage in without avoiding that situation. After an item on the exposure hierarchy is confronted in session with the therapist, Jenny will be instructed to keep working on situations ranked a 60 or below (thinking about touching a door knob, touching a door knob, touching a doormat, touching the floor, touching the bottom of a shoe) as daily self-exposure homework between sessions. This will help to promote habituation, learning that one can experience anxiety safely, though small achievable goals. Once each item on the exposure hierarchy is mastered, Jenny

safer space to engage in my challenge. That being said, the downside to this approach is the fact that I lack the technology to actually engage in such method and the technology is quite pricey for me to go out and buy. In addition to the exposure therapy approaches, another counterconditioning approach I could attempt to use is systemic desensitization. This approach requires an individual to gradually think about more troubling situations that they may encounter related to their fear (Chance, 2014). In the same way, I can use this to correct my behavioral challenge. To apply this method, I could first think about pulling out of my parking spot, then I can picture driving around the block, next I could imagine driving to the grocery store

When I first started the wellness assessment, I had no idea how and when I was going to be able to take it with the vast array of multiple choice and written response questions, I made sure I tried my best to answer them; opening up and sharing a part of me, that’s mostly hidden, was a little difficult task for me to do. Once I finished the assessment and received the results, they helped me realized the aspects in my life I was working on well, and others I completely disregarded majority of the time. Most of my life and even to this day, my family has been the type to use medication and surgery to fix our physical problems, so seeing all of the categories that make your whole wellbeing, convicted me. Speaking for myself, this whole time, I assumed if all my physical pain and abnormalities would be relieved, I

It provides an assessment of symptoms corresponding to criteria for diagnosing depressive disorders. She obtained a raw sore of 26, indicating she is experiencing moderate depressive symptoms. She endorsed she has experienced feeling saddness and fleeting suicidal thoughts thoughts of killing herself. However, she declined acting on those thoughts. She endorsed experiencing feelings of fatigue, restlessness, guilt, with the expectation of being punished, and expressed a dislike for herself. Ms. A is very self-critical, lacks self- worth and sees herself as a failure. She further endorsed having loss of appetite and difficulty making

The first goal is to start with reducing fear and anxiety in social situations. The counselor initially needs to guide the person in a step-by-step manner in cognitive therapy by having the client identity negative thoughts and replace with positive. The use of systematic desensitization is used to practice cognitive

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This behavior is reinforced by negative reinforcement based on operant conditioning. Systematic desensitization tries to overcome this avoidance concept by gradually exposure to this subject until the patient can handle with it. This form of the treatment called a graduated exposure therapy. For example, if a man feels fear during communicating with a women. First, he must form a hierarchy (sitting beside her, talking with her, walking, and finally dating her). The therapist teaches him how to relax when he is put in an imaginary situation (in vitro), if he succeeds, he would move to the next step which is a real situation (in