Kevin continues to volunteer on, Mondays, Tuesdays, and Thursdays, at Volunteers Of America, and Sno-Isle, in their food-bank as a general laborer. Kevin states that he is working toward obtaining a paying job and this volunteer work is helping him gain the skills he will need in the future. Kevin does not report any challenges or difficulties at with his volunteer work at the time of this report.
Kevin has not had any known acts of aggression, or challenges …show more content…
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, people, situations, events, and what is imaginary.
Update 12/4/15: Kevin continues to learn how to separate his internal story and what is reality. Kevin does great job of unpacking difficult experiences and identifying what is reality and what is his internal story when he is in the safe container of the therapy room, but he has not yet been able to generalize this when he is in the community. Kevin will continue to work on this therapy focus.
Balanced …show more content…
He states that his outward displays of anger and aggression have been at home and when he enters into a community setting, he does not feel safe enough to get feedback from others, for fear of judgment. It appears that Kevin’s fear of feedback may be related to his internal understanding that his disability automatically places him in a position of vulnerability and to ask for feedback about issues that are of concern, would only make him appear more problematic. This challenge has been addressed multiple times in therapy and Kevin has been asked to identify individuals that he trusts that would give him honest feedback about what they observe when he becomes emotionally dysregulated. To date, Kevin has not made an attempt in obtaining feedback. Kevin will be encouraged to work on this therapy focus in the next reporting period.
Levels of anger and coping strategies
As Kevin becomes more aware of situations associated with his anger, he will be encouraged to keep a record of events, triggers and associated levels of anger. His different levels of anger will be explored, mildly annoyed, frustrated, irritated and higher levels of anger, so appropriate or alternative responses can be explored.
Update: