Kevin continues to reside at Pine Street Apartments 2727 Unit 4 in Everett. He states that he lives alone and continues to receive weekly support services from Sunrise Services, primary is David Rauchi (spelling?). Kevin reports no concerns about his weekly support services from Sunrise since the last reporting period.
Kevin continues to work as a volunteer, on Tuesdays, and Thursday, at Sno-Isle, in their co-op grocery store as a general laborer. He states that he has not had any issues at work and continues to enjoys the work that he does.
Kevins chief complaint that brought him to therapy was having outbursts of aggression towards women and having thoughts of brutally assaulting them. During this reporting period, Kevin has not …show more content…
Treatment plan:
(CBT) Cognitive Model of Emotional Response:
Cognitive-behavioral therapy is the modality currently being used to address Kevin’s autism as well as his cognitive distortions (thinking errors) about women. Kevin appears to believe his thinking errors and this impacts his feelings and behaviors. Separating what is real and not in his mind has been an ongoing treatment challenge since Kevin began seeing this provider for therapy. He has had many challenges separating what is real and what is imaginary.
Update:
Kevin has not reported having violent thoughts about women this reporting period. As stated in the comments section, he has shifted his aggression towards “sexual predators”. While the target of his aggression has changed, the goal of mitigating his cognitive distortions remains the same. Kevin appears to understand and accept redirection and education about his active thinking errors, but the challenge is for him to use what he has learned when he leaves therapy and is out in the …show more content…
He will be asked to list the situation, the level of anger on a scale of one to ten and the coping strategies that helped him overcome or reduce feelings of anger.
Update: Scaling questions have been very helpful in working with Kevin. Keeping a diary, however, has not been affective as he has not been able to follow through with this recommendation. He has been willing to discuss the chain of thoughts, emotions, and events to each emotional episode in word to ground out what some of his triggers are.
Recommendations:
Kevin continues to be amenable to therapy and states that he finds value in continuing to come to therapy twice a month. He states, “Getting things off my chest”, is what has been most helpful for him. Kevin has come a long way since he began seeing this provider for therapy services and he would continue to benefit from continued therapy to address his anger, increase social skills, boundary management, self-confidence, and awareness of his emotional
Kevin continues to work as a volunteer, on Tuesdays, and Thursday, at Sno-Isle, in their co-op grocery store as a general laborer. He states that he has not had any issues at work and continues to enjoys the work that he does.
Kevins chief complaint that brought him to therapy was having outbursts of aggression towards women and having thoughts of brutally assaulting them. During this reporting period, Kevin has not …show more content…
Treatment plan:
(CBT) Cognitive Model of Emotional Response:
Cognitive-behavioral therapy is the modality currently being used to address Kevin’s autism as well as his cognitive distortions (thinking errors) about women. Kevin appears to believe his thinking errors and this impacts his feelings and behaviors. Separating what is real and not in his mind has been an ongoing treatment challenge since Kevin began seeing this provider for therapy. He has had many challenges separating what is real and what is imaginary.
Update:
Kevin has not reported having violent thoughts about women this reporting period. As stated in the comments section, he has shifted his aggression towards “sexual predators”. While the target of his aggression has changed, the goal of mitigating his cognitive distortions remains the same. Kevin appears to understand and accept redirection and education about his active thinking errors, but the challenge is for him to use what he has learned when he leaves therapy and is out in the …show more content…
He will be asked to list the situation, the level of anger on a scale of one to ten and the coping strategies that helped him overcome or reduce feelings of anger.
Update: Scaling questions have been very helpful in working with Kevin. Keeping a diary, however, has not been affective as he has not been able to follow through with this recommendation. He has been willing to discuss the chain of thoughts, emotions, and events to each emotional episode in word to ground out what some of his triggers are.
Recommendations:
Kevin continues to be amenable to therapy and states that he finds value in continuing to come to therapy twice a month. He states, “Getting things off my chest”, is what has been most helpful for him. Kevin has come a long way since he began seeing this provider for therapy services and he would continue to benefit from continued therapy to address his anger, increase social skills, boundary management, self-confidence, and awareness of his emotional