The service member was reinforced as he/she verbalized an understanding of the cognitive beliefs and messages that mediate his/her fear of loss of competence. The service member was assisted in replacing distorted messages with positive, realistic cognitions. The service member failed to identify his/her distorted thoughts and cognitions and was provided with tentative examples in this area. Assign Self-Talk Homework A. The service member was assigned homework exercises in which he/she identifies fearful self-talk and creates reality-based alternatives. The “Negative Thoughts Trigger Negative Feelings” exercise from the Adult Psychotherapy Homework Planner, 2nd ed. Was used to help the service member develop health self-talk.
The partners are still uncertain about whether to remain in the military and were urged to make a more definite decision in this area. Encourage Support Group The partners were encouraged to attend a local divorce support group. The partners were encouraged to attend a self-help group (e.g., Parents Without Partners). One partner was directed to attend a local divorce support group.
That takes time. Great and this whole I was lonely and weak when I was sold my membership, ok so you were going through a low point but let me sign you. That is a lot of stuff YOU had to do.
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The service member’s first-line supervisor indicated mild concerns in regard to the service member’s job performance. The service member’s first-line supervisor indicated moderate concerns in regard to the service member’s job performance. The service member’s first-line supervisor indicated severe concerns in regard to the service member’s job performance. B. The veteran/service member was taught that pain and disappointment result when honesty is not given the highest priority in one’s life. The veteran/service member was asked to identify situations in which he/she could become more honest and reliable.
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Explore Intent to Remain in the Military A. The service member was asked if it was his/her intent to remain in the military. The service member was engaged in discussion about whether remaining in the military is appropriate for him/her. The service member has decided to leave the military, and this decision was accepted.
Refer/Conduct Psychological Testing A. Psychological testing was administered to assess the presence and strength of anxiety and depressive symptoms related to homesickness and loneliness. The Beck Depression Inventory-II was administered to the service member. The Beck Anxiety Inventory was administered to the service member. Psychological testing confirmed the presence of significant anxiety and depressive symptoms related to homesickness/loneliness. Psychological testing confirmed mild anxiety and depressive symptoms related to homesickness/loneliness.
The veteran/service member was assigned “Monitoring My Panic Attack Experiences” from the Adult Psychotherapy Homework Planner, 2nd ed. The veteran/service member could not identify any specific stimulus situations that produce social discomfort; he/she was helped to identify that they occur unexpectedly and without any pattern. The veteran/service member was helped to identify his/her social discomfort symptoms that occur when he/she is expected to perform basic social interaction expectations. F. The veteran/service member has little insight into his/her perceived flaws and was provided with remedial feedback in this area.
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The veteran/service member was provided with feedback regarding the results of the assessment of his/her level of agoraphobia symptoms. The veteran/service member declined to participate in the objective assessment of his/her level of agoraphobia symptoms, and this resistance was processed. B. The veteran/service member acknowledged using opioid abuse as a way to escape from stress, emotional pain, and/or boredom. The veteran/service member reported that he/she has decreased his/her opioid abuse as a way to escape stress, emotional pain, and/or boredom. The veteran/service member denied the idea that opioid abuse has been used as an escape from stress. Probe Guilt and Shame Issues A. The veteran/service member was probed for his/her sense of shame, guilt, and low selfworth that has resulted from opioid abuse and its consequences.