Ирина Архипова – English for Psychotherapy and Counselling: Handbook for Practitioners. Английский для психотерапии и консультирования: практическое руководство (страница 30)
• Progressive muscle relaxation training
• Graduated exposure hierarchy
• Social skills practice
• Homework: weekly exposure exercises
Outcome Measures: GAD-7*, subjective anxiety ratings, behavioural tracking
Planned Duration: 16 weekly sessions
Relapse Prevention: Continued gradual exposures, recognition of anxiety warning signs, maintenance of coping strategies
*GAD-7 (Generalized Anxiety Disorder-7) – стандартизированный опросник из 7 вопросов для скрининга и оценки тяжести генерализованного тревожного расстройства
Useful Phrases for Treatment Planning
Describing Presenting Problems:
• The client presents with…
• Primary concerns include…
• The client reports experiencing…
• Main difficulties are…
Setting Goals:
• The overall goal of treatment is to…
• The client aims to…
• We will work toward…
• Treatment will focus on…
Writing SMART Objectives:
• Within [timeframe], the client will…
• By [date], the client will be able to…
• The client will demonstrate… [number] times per [period]
• By the end of treatment, the client will achieve…
Describing Interventions:
• Treatment will include…
• Therapeutic techniques will consist of…
• We will utilize…
• The approach combines…
• Sessions will incorporate…
Measuring Outcomes:
• Progress will be measured using…
• We will track…
• Outcome measures include…
• Success will be indicated by…
Planning Termination:
• Termination is planned for…
• Treatment will conclude when…
• We will begin discussing termination…
• Relapse prevention will include…
Practice Exercises
Exercise 1: Identify SMART Elements
Look at these goals and identify which SMART criteria each one meets or lacks:
1. “Client will feel better”
2. “Within 8 weeks, client will practise relaxation exercises 5 times per week”
3. “Client will reduce panic attacks from 5 per week to 1 per week within 10 weeks as measured by daily tracking”
Exercise 2: Convert Vague Goals to SMART Goals
Rewrite these vague goals as SMART goals:
1. Vague: Client will have less anxiety
SMART: _________________________________
2. Vague: Client will improve relationships
SMART: _________________________________
3. Vague: Client will cope better with stress
SMART: _________________________________
Exercise 3: Match Interventions to Goals
Match each goal with the most appropriate intervention:
Goals:
1. Reduce frequency of panic attacks
2. Improve communication with a partner
3. Decrease depressive symptoms
4. Manage anger more effectively
Interventions:
a) behavioural activation and cognitive restructuring
b) Couples therapy and active listening skills training
c) Interoceptive exposure and breathing techniques