Based on the information collected in Week 4, complete the following treatment plan for your client Eliza. Be sure to include a description of the problem, goals, objectives, and interventions. Remember to incorporate the client’s strengths and support system in the treatment plan.
Client: Eliza__________________________________________ Date: __
Age: 18 years__ DOB: ______
DSM Diagnosis
ICD Diagnosis

Adjustment disorder with anxiety
ICD-9-CM 309.24

Goals / Objectives:

Interventions:
Frequency:

□ Mood Stabilization
Counseling sessions should help the client to:
Identify situations that affect the mood
Use the support system
Share any problems with counselors.
□ Psychotropic Medication Referral & Consultation
□ Journaling
Note the problems and issue in life
□ Cognitive Behavior Therapy
Ensure the identification of negative emotions and thoughts.
Help the client to widen thinking by asking questions.
Experiment on behavior
□ Skill Training
Allow the patient to gain confidence in various situations.
□ Emotion Recognition – Regulation Techniques
Muscle relaxation
Exercise in deep breathing
Imagery
□ Weekly □ Bi Weekly □ Monthly
□ other: ________
□ Group □ Individual □ Family

□ Anxiety Reduction
The client should identify various stressors that promote anxiousness and incorporate learning skills to reduce them.
□ Psychotropic Medication Referral & Consultation
Referral to a specialist in psychotropic medication.
□ Journaling
Engage the client in knowing the negative thoughts causing anxiety.
□ Cognitive Behavior Therapy
Referral to a cognitive behavior therapist.
□ Skill Training
Embrace practical social skills.
Enhancement of communication skills
Allow problem solving in care
Train in assertiveness
□ Relaxation Techniques
Engage in yoga
Participate in deep breathing
Conduct body scan
Meditation through the mind
□ Weekly □ Bi Weekly □ Monthly
□ other: ________
□ Group □ Individual □ Family