Sample Treatment Plan With Goals For Anxiety and Depression
Sample Treatment Plan With Goals For Anxiety and Depression
Sample Treatment Plan With Goals For Anxiety and Depression
Diagnosis:
Major depressive disorder, single episode, severe without psychotic features, F32.2 (ICD-10) (Active)
Anxiety disorder, unspecified, F41.9 (ICD-10) (Active)
Current Medications:
#1) Prozac 40 mg PO BID
#2) Ambien 10 mg PO QHS PRN
Problem / Needs:
Problem / Need # 1: Anxiety
Problem / Need # 2: Depressed Mood
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PROBLEM: Anxiety
Mary's anxiety has been identified as an active problem that requires treatment. It is primarily evidenced by:
History of Anxiety: Details as follows:
*With History of Treatment
*Was Not Prescribed Medication
Intervention:
Therapist/Counselor will provide therapy to help Mary expose and extinguish irrational beliefs and conclusions
that contribute to anxiety. Progress will be monitored and documented.
Frequency: once per week Duration: one hour Initials: LCSW
Intervention:
Therapist/Counselor will assist Mary in developing reality based, positive cognitive messages that will increase
self confidence and thereby decrease anxiety. Progress will be monitored.
Frequency: once per week Duration: one hour Initials: LCSW
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9/22/2016: The undersigned clinician met with the patient (and family, as appropriate) on the date above in a face to
face meeting to work with her in developing this Treatment Plan.
SNAP: Golden, Mary has identified the following strengths, needs, abilities and preferences as well as goals and desired
accomplishments. This information will be used in the development of the patient's personal achievement agenda.
Strengths:
*A stable environment
*Supportive spiritual beliefs.
Needs:
*An explanation of my diagnoses.
*Help in managing my feelings.
Abilities:
*I am able to ask for help from others.
*I can accept and act on advice from others
*I can easily share my thoughts and feelings with others
Preferences:
*Individual Therapy
Specific Issues:
*Anxiety
*Depression
TRANSITION PLAN
Refer to Psychiatrist/Prescriber: Alissa Collins, MD.
_________________________________________________
Barriers
Emotional problems interfere with treatment.
- Emotional problems will be dealt with via individual and/or group therapy.
Strengths
Mary's strengths include:
Relationship
- Appears to have healthy supportive relationships
- Spouse is currently supportive
- Family is supportive
Electronically Signed
By: Susan Lobao, LCSW
On: 9/22/2016 12:07:49 PM