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The veteran/service member reported significant patterns of shame, guilt, and low self-worth due to his/her opioid abuse and its consequences. The veteran/service member denied any pattern of shame, guilt, and low self-worth. List Reasons for Abstinence A. The veteran/service member was asked to make a list of at least 10 positive effects that abstinence from opioid abuse could have on his/her life. The veteran/service member was assigned “Making Change Happen” from The Addiction Treatment Homework Planner, 4th ed. The veteran/service member was assigned “A Working Recovery Plan” from The Addiction Treatment Homework Planner, 4th ed. The veteran/service member made a list of positive effects of abstinence from opioid abuse, and this list was processed and reinforced.
Progress Meter
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The partners’ spiritual conflict has lessened. Grief A. One partner described feelings of depression as part of the grief process related to the loss of the relationship. Both partners described feelings of depression as part of the grief process related to the loss of the relationship. One partner displayed evidence of social withdrawal as part of the grief process related to loss of the relationship.
The veteran/service member has struggled to understand the ways to conceptualize anger and was provided with remedial feedback in this area. Identify Positive Consequences of Anger Management A. The veteran/service member was asked to identify the positive consequences he/she has experienced in managing his/her anger. The veteran/service member was assisted in identifying positive consequences of managing anger (e.g., respect from others and self, cooperation from others, improved physical health).
Great Expectations Dating Service Review
Today’s clinical contact focused on building the level of trust with the veteran/service member through consistent eye contact, active listening, unconditional positive regard, and warm acceptance. Empathy and support were provided for the veteran’s/service member’s expression of thoughts and feelings during today’s clinical contact. The veteran/service member was asked about the frequency, intensity, duration, and history of his/her anxiety symptoms, fear, and avoidance. The veteran/service member was assigned the “How the Trauma Affects Me” portion of the Adult Psychotherapy Homework Planner, 2nd ed. The veteran/service member was provided with support and feedback as he/she described his/her maladaptive pattern of anxiety. As the veteran/service member has remained mistrustful and reluctant to share his/her underlying thoughts and feelings, he/she was provided with additional reassurance.
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As the veteran/service member has stabilized in a recovery program, he/she has discovered a large amount of time to give to constructive activities. Suspension of Activities A. The veteran/service member has suspended his/her involvement in important social, occupational, and recreational activities because of opioid use. The veteran/service member is beginning to recognize that all other aspects of his/her life became secondary to the primary object of obtaining and using opioids. The veteran/service member is resuming his/her social, occupational, and recreational activities as he/she becomes established in the recovery lifestyle.
The couple’s therapy was quite focused, keeping in mind that the number of meetings may be limited. The couple’s session was more directive in nature, due to the limited time available to resolving these concerns. The couple was reinforced for working to resolve marital concerns. Encourage Increased Affection A. The service member was encouraged to increase levels of verbal and physical affection during the weeks preceding deployment. The service member was reinforced for his/her increased verbal and physical affection during the weeks preceding deployment. The service member has not significantly increased levels of verbal and physical affection during the weeks preceding deployment and was reminded to do so.
The service member has struggled to set limits with extended family and friends and was redirected in this area. Refer for a Chemical Dependency Treatment A. The veteran/service Heyy member was referred for chemical dependency treatment. The veteran/service member has utilized chemical dependency treatment, and his/her progress was noted.
The non-deployed parent reports difficulties with parenting alone while the partner is deployed. The non-deployed parent reports feeling stressed and overwhelmed with the continued difficulties of parenting alone. As treatment has progressed, the non-deployed parent reports less stress and difficulties with managing parenting duties while the partner is deployed. As treatment has progressed, the non-deployed partner has identified ways to manage the overwhelming feelings when stressed about caretaking responsibilities. Low Income A. The non-deployed parent reports insufficient income to adequately provide for the family. Changes in the family income pattern have caused financial difficulties for the non-deployed parent and the rest of the family.
The veteran/service member was asked to identify 10 lies that he/she has told to hide substance abuse. The veteran/service member developed a list of lies that he/she has told to hide substance abuse, and these were reviewed. The veteran/service member denied any pattern of dishonesty to hide substance abuse and was provided with examples of how this occurs. Teach about Honesty A. The veteran/service member was taught about why honesty is essential to recovery. The veteran/service member was provided with several examples of how honesty is an important part of recovery. The veteran/service member was asked to identify his/her own understanding of how honesty is essential to recovery.
The veteran’s/service member’s hopeless attitude about life has diminished and he/she has begun to make more hopeful statements about the future. The veteran/service member no longer has a hopeless attitude about life and has demonstrated a normal attitude of hope and planning for the future. The veteran/service member described a history of suicide gestures without any specific intent of actually killing himself/herself. The veteran/service member minimized his/her history of suicide attempts and treated the experience lightly. The veteran/service member acknowledged the history of suicide attempts with appropriate affect and explained the depth of his/her depression at the time of the attempt.