pEducate about Multimodal Approaches A. The veteran/service member was educated about the use of multiple approaches to create the greatest chance of success in the cessation of tobacco use. The veteran/service member was educated about combining pharmacological therapy and cognitive-behavioral therapy. The veteran/service member displayed a clear understanding of the use of a combination of treatment approaches./p
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pSelect Moderately Distressing Problem A. The non-deployed parent was asked to identify a problem with a moderate level of distress. The non-deployed parent’s choice of a moderately distressing problem was reviewed and processed. Use Problem-Solving Technique A. The non-deployed parent was asked to brainstorm possible solutions to the a href=https://reviewsforsingles.com/kik-review/https://reviewsforsingles.com/kik-review//a moderately distressing family problem. The non-deployed parent listed and weighed the pros and cons of each possible solution to the parenting problem. The non-deployed parent was asked to decide on a plan of action for the parenting problem. The non-deployed parent was asked to implement his/her solution to the parenting problem./p
pThe veteran/service member was reinforced for his/her successes in scheduling activities that have a high likelihood for pleasure and mastery. The veteran/service member has not engaged in pleasurable activities and was redirected to do so. Rage A. The veteran/service member reports an unreasonable and unpredictable pattern of rage in regard to the loss of his/her comrade. The veteran/service member has displayed rage toward those he/she sees as responsible for the loss of the comrade. The veteran/service member displays rage in an unreasonable and unpredictable manner, even against those who had nothing to do with the loss. As treatment has progressed, the veteran/service member reports that his/her anger has been more reasonable, predictable, and appropriately placed./p
pThe veteran/service member no longer expresses feelings of irrational guilt. Low Self-Esteem A. The veteran/service member stated that he/she has a very negative perception of himself/herself. The veteran’s/service member’s low self-esteem was evident within the session as he/she made many self-disparaging remarks and maintained very little eye contact. The veteran’s/service member’s self-esteem has increased as he/she is beginning to affirm his/her self-worth./p
pThe service member has discussed needed accommodations in the work environment with his/her chain of command, and his/her experience was processed. The service member has not discussed needed accommodations in the work environment and was reminded to do so. Assess Social Support Network A. The veteran’s/service member’s social support network was assessed. The veteran/service member was encouraged to connect with people within his/her social support network who facilitate or support his/her positive change. The veteran/service member has not regularly used his/her social support network and was redirected to do so. Refer to a Support Group A. The veteran/service member was referred to a chronic pain support group./p
pThe veteran/service member has kept a journal of anger-producing situations, and this material was processed within the session. The veteran/service member has not kept an anger journal and was redirected to do so. B. The veteran/service member was directed to maintain a daily journal of automatic thoughts. The veteran/service member was assigned the homework exercise “Journal of Distorted, Negative Thoughts” in the Adult Psychotherapy Homework Planner, 2nd ed. The veteran/service member identified his/her automatic thoughts, and these were processed within the session. The veteran/service member struggled to identify distorted, negative thoughts and was provided with additional examples in this area./p
pDistinctions were drawn between the resistance to authority within civilian life and the need for authority and chain of command within the military setting. The service member was encouraged to develop new reactions to authority within the military setting. The service member was encouraged to view civilian resistance to authority as appropriate at that time but submission to authority as appropriate for this time. List Negative Consequences for Resistance to Authority A. The service member was asked to list the negative consequences that will occur if a pattern of resistance to authority continues. The service member was assisted in developing a list of negative consequences for resistance, including lack of promotion, possible confinement, disciplinary assignments, etc./p
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pC. The service member is trying to interact in a more cooperative manner within social and employment settings. The service member is showing less irritability and argumentativeness within therapy sessions. Authority Conflicts A. The service member acknowledged a history of irritability, aggression, and argumentativeness when interacting with authority figures. The service member’s history of conflict with acceptance of authority and has led to employment instability and legal problems./p
pC. The veteran/service member continues to use an inappropriate amount of caffeine and was redirected in this area. Advise about Brief Naps A. The veteran/service member was encouraged to take brief naps during breaks or lunch periods, if allowed. The veteran/service member has utilized “power naps” to help increase alertness during work hours, and the benefits of this technique were reviewed./p
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pThe veteran/service member was provided with feedback about his/her use of progressive muscle relaxation skills. Explain Learned Nature of Nightmares A. It was explained to the veteran/service member that nightmares can develop into a distinct disorder. The nature of nightmares as a learned behavior similar to insomnia was reviewed with the veteran/service member. An analogy was used to compare nightmares to the concept of a broken record that needs to be reset./p

pThe veteran/service member was reinforced as he/she has embraced the rationale for treatment and the management of his/her own pain. The veteran/service member has not accepted the rationale for treatment and the concept of managing his/her own pain and was provided with additional feedback in this area. Identify Negative Connotations A. The veteran/service member was assisted in exploring his/her schema and self-talk that result in negative cognitions to influence pain levels. The veteran’s/service member’s negative cognitions that influence pain levels were identified and challenged. The veteran/service member was assisted in developing more adaptive cognitions that mitigate pain symptoms. The veteran/service member was assisted in generating alternative thoughts that correct for his/her biased schema and negative self-talk/cognitions./p
pThe partners were questioned about their suspicion of extramarital affairs. There is a strong suspicion about extramarital affairs, and this was brought out into the open. It was noted that the partners acknowledged a history of extramarital affairs. It was reflected to the partners that there are no indications of presence or suspicion of extramarital affairs. Assess Developmental Stage of Marriage The partners were assessed for what developmental stage of marriage they are in. The partners were noted to be in the early-marriage stage./p