Scribd
Upload
5K views2 pages

Treatment Plan Templates

This document provides templates for matching treatment interventions to common problems in cognitive behavioral therapy. It lists problems commonly seen in functioning such as being overwhelmed or having poor motivation and recommends initial interventions like self-assessment, psychoeducation, or behavioral scheduling. For more complex issues, it recommends second-line interventions like relapse prevention planning, impulse control planning, or anxiety-specific treatments. The templates are meant to aid clinical decision-making in selecting appropriate CBT interventions based on the identified problems.

Uploaded by

Shalini Dass
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
5K views2 pages

Treatment Plan Templates

This document provides templates for matching treatment interventions to common problems in cognitive behavioral therapy. It lists problems commonly seen in functioning such as being overwhelmed or having poor motivation and recommends initial interventions like self-assessment, psychoeducation, or behavioral scheduling. For more complex issues, it recommends second-line interventions like relapse prevention planning, impulse control planning, or anxiety-specific treatments. The templates are meant to aid clinical decision-making in selecting appropriate CBT interventions based on the identified problems.

Uploaded by

Shalini Dass
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

The Flexible CBT Approach: Online Textbook and Training Program

Templates for Treatment Planning (from Module 3)

First Line Clinical Decision-Making:


Matching Treatment Interventions to Problems

If these problems: Then consider these interventions:

 Identify Problems in Functioning  Self-Assessment Skills: Learn Triangle to


o Overwhelmed with problems differentiate problems into thoughts, behaviors,
o Main focus on distressing feelings without and feelings
sense of agency  De-construct into small chunks as concretely as
o Unclear about priorities possible
 Work collaboratively to prioritize starting points
for treatment

 Unclear of diagnosis / condition  Basic Psychoeducation to provide frame of


reference for problems

 Minimal daily Life structure  Behavioral Scheduling/Behavioral Activation


o Inertia o Build activities one at a time
o Little or no motivation o Sleep Hygiene routine
o Poor sleep patterns o Move toward balance of
o Depressed mood mastery/pleasure/self-care

 Poor sense of life patterns  Self-Assessment: Review flow of triangle


o Does not see causal sequences  Description skills for life context
o Unclear of triggers  Chain Analysis (macro /micro
o May see patterns, but doesn’t change o Identify Triggers / typical reactions
o Consider alternatives
 Pervasive Negative Thoughts  Distinguish thoughts and feelings
o Self-critical patterns  Mood Monitor/Thought records
o Ruminative thoughts o Guided discovery/Question Evidence
o Automatically thinks negatively o Identify Cognitive Distortions
o Related to depressed mood o “Don’t believe everything you think”
 Practice in and outside session

 Social Isolation and Avoidance  Use triangle to describe patterns


o Avoiding people  Assess anxiety, shame, inertia
o Hiding out  Behavioral Scheduling—one social contact at a
o Shame time
o Fear of change  Focus on how to ask for help

 Anxiety  Psychoeducation re: anticipatory anxiety


o Anticipatory Anxiety  Psychoeducation on fear of anxious feelings
o Physiological Anxiety  Psychoeducation about Avoidance
o Avoidance  Teach normalized breathing
 Introduce concept of Acceptance
The Flexible CBT Approach: Online Textbook and Training Program
Templates for Treatment Planning (from Module 3)

Second Line Clinical Decision-Making:


Complex Skills to Match Interventions to Problems

If these problems: Then consider these interventions:

 Patterns of Relapse  Relapse Prevention (RP) Plan


o Depression o Integrate Self-Assessment and Behavioral
o Anxiety Coping Skills
o Personality Disorders o Focus on triggers and patterns of reactions
o Bipolar Disorder  Tailor RP plan to specific patterns related to
o Substance Abuse diagnostic profile

 Self-Destructive Behaviors  Impulse Control Plan


o Self-harm o Identify triggers and sequences of reactions
o Self Injurious Behaviors (SIB) o Integrate Self-Assessment and Behavioral
Coping Skills
 Distress Tolerance
o First move away from distress
o Advanced skill to accept and tolerate distress

 Anxiety Disorders  Use Barlow’s Unified Treatment Interventions


o Social Anxiety o Cognitive Re-Appraisals
o Panic Disorder o Behavioral Activation despite anxiety
o Generalized Anxiety Disorder o Exposure
 Identify need for more formal protocol for
specific anxiety disorder, or that general
approach suffices for this stage of treatment

You might also like