Target Behaviors The target behavior is to increase relaxation with breathing techniques in order to reduce his maladaptive behaviors such as, avoidance, withdrawal, irritability, trouble focusing, concentration, task completion, memory, and emotional detachment.
Maintaining Conditions A primary maintaining condition of Josh’s avoidance and inability to move forward is the series of intrusive maladaptive thoughts (i.e., “Its my fault, I should have saved her”, “It should have been me that had been run over”, “If I had gone to the restaurant she wanted, she would have still been alive”, “If I didn’t work at that hospital she wouldn’t have died”) that occurs on a day-to-day basis. These thoughts trigger his response by avoiding and withdrawing …show more content…
Specifically a behavioral and cognitive approach will be utilized in order to alter the maladaptive automatic thoughts and distorted beliefs he has developed. Early in treatment, Josh will be psychoeducated on the PTSD in order for him to understand that he has a condition that has changed the chemistry of his thought patterns. This understanding will guide Josh toward the process of letting go of his guilt that is experienced on a day-to-day basis. Furthermore, emotional regulation using the various skills of mindfulness and emotional awareness, will help him find a safe space in which he can take his troubled thoughts. The ability of relaxation and breathing techniques will be vital in his step toward the next goal of his treatment. Exposure therapy will open Josh’s ability to cope with everyday life.. Furthermore, these techniques will help Josh in his reduction of alcohol consumption. The coping skills that will be put in place will ultimately replace the numbing he has been accomplishing through his drinking. Josh’s progress will be monitored with weekly collaboratively designed homework assignment and client self-reports of progress. Also, Josh will be required to fill out the PCL-C monthly in order to keep track of his PTSD symptomology
Maintaining Conditions A primary maintaining condition of Josh’s avoidance and inability to move forward is the series of intrusive maladaptive thoughts (i.e., “Its my fault, I should have saved her”, “It should have been me that had been run over”, “If I had gone to the restaurant she wanted, she would have still been alive”, “If I didn’t work at that hospital she wouldn’t have died”) that occurs on a day-to-day basis. These thoughts trigger his response by avoiding and withdrawing …show more content…
Specifically a behavioral and cognitive approach will be utilized in order to alter the maladaptive automatic thoughts and distorted beliefs he has developed. Early in treatment, Josh will be psychoeducated on the PTSD in order for him to understand that he has a condition that has changed the chemistry of his thought patterns. This understanding will guide Josh toward the process of letting go of his guilt that is experienced on a day-to-day basis. Furthermore, emotional regulation using the various skills of mindfulness and emotional awareness, will help him find a safe space in which he can take his troubled thoughts. The ability of relaxation and breathing techniques will be vital in his step toward the next goal of his treatment. Exposure therapy will open Josh’s ability to cope with everyday life.. Furthermore, these techniques will help Josh in his reduction of alcohol consumption. The coping skills that will be put in place will ultimately replace the numbing he has been accomplishing through his drinking. Josh’s progress will be monitored with weekly collaboratively designed homework assignment and client self-reports of progress. Also, Josh will be required to fill out the PCL-C monthly in order to keep track of his PTSD symptomology