Mastering Competencies in Family Therapy: A Practical Approach to Theories and Clinical Case Documentation, Fourth Edition
Diane R. Gehart
Table of Contents
Foreword by Ronald J. Chenail, Ph.D. xiii
Foreword by Harlene Anderson, Ph.D. xvi
Preface xix
Acknowledgments xxiv
About the Author xxvi
Author’s Introduction: On Saying “Yes” and Falling in Love xxvii
Part I Theoretical Foundations 1
Chapter 1 Competency and Theory in Family Therapy 2
The Secret to Competent Therapy | 2
Mapping a Successful Therapeutic Journey | 3
From Trainee to Seasoned Therapist | 4
Competency and Theory: Why Theory Matters | 4
Why All the Talk about Competency? | 5
Competency and (Not) You | 7
Common Threads of Competencies | 7
Social Justice, Diversity, and Competency | 8
Research and Competency | 8
Law, Ethics, and Competency | 9
Person-of-the-Therapist and Competency | 9
Laugh Your Way to Licensure . . . with Competency | 10
How This Book Is Different and What It Means
to You | 11
Lay of the Land | 11
Anatomy of a Theory | 12
Voice and Tone | 14
Suggested Uses for This Text | 15
Suggestions for Thinking about Family Therapy
Theories | 15
Suggestions for Using This Book to Learn Theories | 15
Suggestions for Using This Book to Write Treatment
Plans | 16
Suggestions for Use in Internships and Clinical
Practice | 16
Suggestions for Studying for Licensing Exams | 16
Suggestions for Faculty to Measure Competencies and
Student Learning | 17
Questions for Personal Reflection and Class
Discussion | 17
Online Resources for Students and License Exam
Candidates | 17
Online Resources for Instructors | 18
Resources for Professional Competencies | 18
References | 19
Chapter 2 Philosophical Foundations of Family Therapy:
Systems Theory and Postmodernism 20
Lay of the Land | 20
Systemic Foundations | 21
Rumor Has It: The People and Their Stories | 21
Systemic Theoretical Concepts | 22
Postmodern Foundations | 31
The Evolution from Systems and Social
Constructionism | 31
Rumor Has It: The People and Their Stories | 32
Postmodern Theoretical Concepts | 32
Once Upon a Time…: Philosophical Wrap-Up | 36
Laugh Your Way to Licensure: License Exam
Preparation Tips | 37
Questions for Personal Reflection and Class
Discussion | 37
Online Resources | 37
References | 38
Chapter 3 Social Justice in Family Therapy 40
Social Justice: Diversity, Equity, and Inclusion in
Family Therapy | 40
Lay of the Land | 41
Rumor Has It: Early Pioneers and Their Stories | 42
Social Justice: Foundational Terminology | 43
Intersectionality and Social Location | 43
Cultural Humility | 43
Equity vs. Equality | 43
Privilege | 43
Social Justice: Philosophical Foundations | 44
Critical Social Theories | 44
The Social Construction of Us versus Them | 46
Socioculturally Attuned Family Therapy | 48
Relational Responsiveness | 49
International and Indigenous Models | 51
Global Family Therapy: Systemic Inclusive
Framework | 51
Just Therapy: Working with Indigenous, Native, and
Aboriginal Communities | 54
Sociocultural Oppression and Trauma | 55
Residual Effects of Slavery | 56
Liberation-Based Healing Perspectives | 58
Gender and Power in Family Therapy | 59
LGBTQIA+ Affirmative Therapy | 62
Self-of-the-Therapist and Sociocultural Relational
Connection | 64
Laugh Your Way to Licensure: License Exam
Preparation Tips | 65
Questions for Personal Reflection and Class
Discussion | 66
Online Resources | 66
References | 66
Chapter 4 Cross-Theoretical and Integrative Frameworks 71
Lay of the Land | 71
Tomm’s IPscope | 72
Identify Interpersonal Patterns | 74
Types of Interpersonal Patterns | 74
Using Tomm’s IPscope to Compare Family Therapy
Models | 79
Integrative Systemic Therapy | 79
In a Nutshell: The Least You Need to Know | 80
Conceptual Pillars: Five Foundational Assumptions | 80
The Big Picture: The Essence of IST | 81
The Viewing: Case Conceptualization | 83
The Doing: Interventions | 85
Therapy that Works: A Unifying Framework
for Psychotherapy | 86
A Brief History of the Therapy that Works
Framework | 87
Professional Knowledge Turned “Inside-Out” | 88
Learning the Doing | 89
The Big Picture: The Six Components of the Therapy
that Works Framework | 89
Self-of-the-Clinician | 90
Making Connection: Collaborative Connecting | 93
The Viewing: The 4-Level Conceptualization | 97
Reducing Therapist Bias | 101
Evidence-Informed Treatment Planning | 101
Considering the Evidence-Base | 101
The Doing: Interventions | 103
Making Change Last: Long-Term Wellness | 103
Putting It All Together | 106
Cross-Theoretical and Integrative Wrap Up | 107
Questions for Personal Reflection and Class
Discussion | 108
Online Resources | 108
References | 108
Chapter 5 Contemporary Practice: Research, Ethics, and Telehealth 111
Lay of the Land | 112
Research and the Evidence Base | 112
The Minimum Standard of Practice: Evidence-Based
Practice | 112
Heart of the Matter: Common Factors Research | 113
Show Me Proof: Evidence-Based Therapies | 117
Interpersonal Neurobiology | 119
Review of the MFT Evidence Base | 121
Legal and Ethical Issues in Couple and
Family Therapy | 124
Lay of the Land: More than Just Rules | 125
The Big Picture: Standards of Professional Practice | 125
Specific Legal and Ethical Concerns in Couple and
Family Work | 127
Current Legal and Ethical Issues in Couple and Family
Work | 132
Conclusion | 135
Telehealth: Effectiveness | 136
Safety and Pragmatic Considerations for Relational
Telehealth | 136
Clinical Considerations | 138
Laugh Your Way to Licensure: Tips for Studying for
Licensure | 140
Questions for Personal Reflection and Class
Discussion | 140
Online Resources for Research | 141
Online Resources for Law and Ethics | 141
References | 142
Part II Couple and Family Therapy Theories 146
Chapter 6 Systemic and Strategic Therapies 147
Lay of the Land | 148
In the Grand Scheme of Things: Cross-Theoretical
Comparison | 148
Systemic–Strategic Family Therapy | 148
In a Nutshell: The Least You Need to Know | 148
The Juice: Significant Contributions to the Field | 149
Rumor Has It: The People and Their Stories | 151
The Big Picture: Overview of Treatment | 154
Making a Connection: The Therapeutic Relationship | 155
The Viewing: Case Conceptualization and Assessment | 157
Targeting Change: Goal Setting | 161
The Doing: Language-Based Interventions | 163
The Doing: Action-Oriented Interventions | 166
Lights, Camera, Action: Telehealth Applications | 170
Tapestry Weaving: Diversity Considerations | 171
Ethnic, Racial, and Cultural Diversity | 171
Sexual and Gender Identity Diversity | 172
Research and the Evidence Base | 174
Putting It All Together: Systemic–Strategic Case
Conceptualization and Treatment Plan Templates | 174
Areas for Theory-Specific Case Conceptualization:
Systemic–Strategic | 174
Treatment Plan for Individual with Depression/Anxiety:
Systemic–Strategic | 175
Treatment Plan for Couple/Family Conflict:
Systemic–Strategic | 176
Clinical Spotlight: Multisystemic Therapy | 178
Goals in Multisystemic Therapy | 178
Case Conceptualization | 179
Principles of Intervention | 179
Clinical Spotlight: Brief Strategic Family Therapy | 179
Goals | 179
Case Conceptualization | 179
Principles of Intervention | 180
Systemic Case Study: Adolescent Substance
Use and Divorce | 180
Laugh Your Way to Licensure: License Exam Preparation
Tips | 198
Questions for Personal Reflection and Class
Discussion | 198
Online Resources | 199
References | 199
Chapter 7 Structural Family Therapies 202
Lay of the Land | 203
In the Grand Scheme of Things: Cross-Theoretical
Comparison | 203
Structural Family Therapy | 204
In a Nutshell: The Least You Need to Know | 204
The Juice: Significant Contributions to the Field | 204
Rumor Has It: The People and Their Stories | 207
The Big Picture: Overview of Treatment | 208
Making Connections: The Therapeutic
Relationship | 209
The Viewing: Case Conceptualization and
Assessment | 211
Targeting Change: Goal Setting | 216
The Doing: Interventions | 216
Research and the Evidence Base: Structural Family
Therapy | 219
Putting It All Together: Structural Case
Conceptualization and Treatment Plan
Templates | 219
Theory-Specific Case Conceptualization:
Structural | 219
Treatment Plan for Individual with Depression/Anxiety:
Structural | 221
Treatment Plan Template for Distressed Couple/Family:
Structural | 222
Tapestry Weaving: Working with Diverse
Populations | 223
Clinical Spotlight: Ecosystemic Structural Family
Therapy (ESFT) | 225
The Big Picture: Overview of Treatment | 226
The Viewing: Case Conceptualization | 227
Targeting Change: Goals | 228
The Doing: Interventions | 228
ESFT Supervision/Training Models | 229
Clinical Spotlight: Intensive Structural Therapy | 229
The Big Picture: Overview of Treatment | 229
The Viewing: Case Conceptualization | 230
Functional Family Therapy (FFT) | 232
In a Nutshell: The Least You Need to Know | 232
The Juice: Significant Contributions to the Field | 232
Rumor Has It: People and Their Stories | 233
The Big Picture: Overview of Treatment | 233
Making a Connection: The Therapeutic
Relationship | 234
The Viewing: Case Conceptualization and Assessment | 235
Targeting Change: Goal Setting | 238
The Doing: Interventions | 239
Research and the Evidence Base: FFT | 243
Putting It All Together: FFT Case Conceptualization
and Treatment Plan Templates | 243
Areas for Theory-Specific Case Conceptualization:
FFT | 243
Treatment Plan Template for Family: FFT | 224
Tapestry Weaving: Diversity Considerations | 246
Structural Case Study: Teen Conduct Issues | 246
Lights, Camera, Action: Telehealth Applications | 247
Laugh Your Way to Licensure: License Exam
Preparation Tips | 264
Questions for Personal Reflection and Class
Discussion | 264
Online Resources | 265
References | 265
Chapter 8 Experiential Family Therapies 268
Lay of the Land | 269
Shared Assumptions and Practices in Experiential
Approaches | 269
In the Grand Scheme of Things: Cross-Theoretical
Comparison | 269
The Satir Model | 270
In a Nutshell: The Least You Need to Know | 270
The Juice: Significant Contributions to the Field | 270
Rumor Has It: The People and Their Stories | 273
The Big Picture: Overview of Treatment | 274
Making Connections: The Therapeutic
Relationship | 274
The Viewing: Case Conceptualization and
Assessment | 276
Targeting Change: Goal Setting | 280
The Doing: Interventions | 280
Lights, Camera, Action: Telehealth Applications of the
Satir Model | 284
Putting It All Together: Satir Case Conceptualization
and Treatment Plan Templates | 285
Areas for Theory-Specific Case Conceptualization:
Satir | 285
Treatment Plan Template for Individual with
Depression/Anxiety: Satir | 286
Treatment Plan Template for Distressed
Couple/Family: Satir | 287
Tapestry Weaving: Working with Diverse
Populations | 288
Research and the Evidence Base: Satir Model | 290
Emotionally Focused Therapy (EFT) | 291
In a Nutshell: The Least You Need to Know | 291
The Juice: Significant Contributions to the Field | 291
Rumor Has It: The People and Their Stories | 293
The Big Picture: Overview of Treatment | 293
Making Connection: The Therapeutic
Relationship | 295
The Viewing: Case Conceptualization and
Assessment | 296
Targeting Change: Goal Setting | 299
The Doing: Interventions | 299
Lights, Camera, Action: Telehealth Applications with
EFT | 305
Putting It All Together: EFT Case Conceptualization
and Treatment Plan Templates | 306
Areas for Theory-Specific Case Conceptualization:
EFT | 306
Treatment Plan Template for Distressed Couple/Family:
EFT | 307
Tapestry Weaving: Diversity Considerations | 308
Research and the Evidence Base: EFT | 310
Clinical Spotlight: Symbolic–Experiential
Therapy | 311
In a Nutshell: The Least You Need to Know | 311
The Juice: Significant Contributions to the Field | 311
The Big Picture: Overview of Treatment | 312
Making Connections: The Therapeutic Relationship | 313
The Viewing: Case Conceptualization and
Assessment | 314
Laugh Your Way to Licensure: License Exam
Preparation Tips | 315
Questions for Personal Reflection and Class
Discussion | 316
Experiential Case Study: Child Sexual Abuse | 316
Online Resources | 333
References | 333
Chapter 9 Intergenerational and Psychoanalytic Family Therapies 337
Lay of the Land | 338
In the Grand Scheme of Things: Cross-Theoretical
Comparison | 338
Bowen Intergenerational Therapy | 339
In a Nutshell: The Least You Need to Know | 339
The Juice: Significant Contributions to the Field | 339
Rumor Has It: The People and Their Stories | 340
The Big Picture: Overview of Treatment | 341
Making a Connection: The Therapeutic
Relationship | 342
The Viewing: Case Conceptualization and
Assessment | 342
Targeting Change: Goal Setting | 346
The Doing: Interventions | 346
Interventions for Special Populations | 348
Putting It All Together: Case Conceptualization
and Treatment Plan Templates | 349
Areas for Theory-Specific Case Conceptualization:
Bowen | 349
Treatment Plan Template for Individual with
Depression/Anxiety: Bowen | 350
Treatment Plan Template for Distressed
Couple/Family: Bowen | 351
Psychoanalytic Family Therapies | 353
In a Nutshell: The Least You Need to Know | 353
The Juice: Significant Contributions to
the Field | 353
Rumor Has It: The People and Their Stories | 353
The Big Picture: Overview of Treatment | 354
Making a Connection: The Therapeutic
Relationship | 354
The Viewing: Case Conceptualization and
Assessment | 355
Targeting Change: Goal Setting | 358
The Doing: Interventions | 359
Putting It All Together: Case Conceptualization and
Treatment Plan Templates | 360
Areas for Theory-Specific Case Conceptualization:
Psychodynamic | 360
Treatment Plan Template for Individual With
Depression/Anxiety: Psychodynamic | 361
Treatment Plan Template for Distressed
Couple/Family: Psychodynamic | 362
Clinical Spotlight: Internal Family Systems
Therapy | 363
In a Nutshell: The Least You Need to
Know | 363
The Juice: Significant Contributions to
the Field | 364
Rumor Has It: The People and Their Stories | 364
Making a Connection: The Therapeutic
Relationship | 365
The Viewing: Case Conceptualization and
Assessment | 365
Targeting Change: Goal Setting | 368
The Doing: Interventions | 368
Clinical Snapshot: Attachment-Based Family
Therapy | 371
Lights, Camera, Action: Telehealth Applications | 372
Tapestry Weaving: Working with Diverse
Populations | 372
Gender Diversity: The Women’s Project | 372
Ethnicity and Cultural Diversity | 373
Sexual and Gender Identity Diversity | 374
Research and the Evidence Base | 375
Laugh Your Way to Licensure: License Exam
Preparation Tips | 376
Questions for Personal Reflection and Class
Discussion | 376
Intergenerational Case Study: Panic, Launching Children,
and an Adult Survivor of Sexual Abuse | 377
Online Resources | 393
References | 393
Chapter 10 Cognitive–Behavioral and Mindfulness-
Based Couple and Family Therapies 396
Lay of the Land | 397
In the Grand Scheme of Things: Cross-Theoretical
Comparison | 397
Cognitive–Behavioral Family Therapies | 398
In a Nutshell: The Least You Need to Know | 398
The Juice: Significant Contributions to the Field | 398
Rumor Has It: The People and Their Stories | 399
The Big Picture: Overview of Treatment | 400
Making a Connection: The Therapeutic
Relationship | 400
The Viewing: Case Conceptualization and
Assessment | 402
Targeting Change: Goal Setting | 406
The Doing: Behavioral Interventions | 407
The Doing: Cognitive Interventions | 412
Putting It All Together: Case Conceptualization
and Treatment Plan Templates | 414
Areas for Theory-Specific Case Conceptualization:
CBFT | 414
Treatment Plan for an Individual with
Depression/Anxiety: CBFT | 415
Treatment Plan for Couples/Families in
Conflict: CBFT | 416
Clinical Spotlight: Integrative Behavioral Couples
Therapy | 418
In a Nutshell: The Least You Need to Know | 418
The Big Picture: Overview of Treatment | 418
The Viewing: Case Conceptualization | 418
The Doing: Interventions | 419
Clinical Spotlight: Gottman Method
Couples Therapy Approach | 421
In a Nutshell: The Least You Need to Know | 421
The Big Picture: Overview of Treatment | 421
Making a Connection: The Therapeutic
Relationship | 422
The Viewing: Case Conceptualization and Assessment | 422
The Doing: Interventions | 424
Clinical Snapshot: Trauma-Focused CBT | 426
Evidence-Based Couple and Family Group Therapies | 427
Lay of the Land | 427
Psychoeducational Multifamily Groups for Severe
Mental Illness | 428
Multi-Couple Groups for Intimate Partner Abuse | 429
Relationship Enhancement Programs | 431
Parent Training | 433
Mindfulness-Based Therapies | 433
In a Nutshell: The Least You Need to Know | 433
A Brief History of Mindfulness in Mental Health | 433
Mindfulness Basics | 434
Resources to Support Your Practice | 436
Specific Mindfulness Approaches | 436
Loving Kindness Meditation | 440
Lights, Camera, Action: Telehealth Applications | 441
Tapestry Weaving: Working with Diverse Populations | 441
Ethnic, Racial, and Cultural Diversity | 441
Sexual and Gender Identity Diversity | 445
Research and the Evidence Base | 446
Laugh Your Way to Licensure: License Exam
Preparation Tips | 447
Questions for Personal Reflection and Class
Discussion | 447
Cognitive–Behavioral Case Study: ADHD and Blended
Family | 448
Online Resources | 467
References | 467
Chapter 11 Solution-Based Therapies 472
Lay of the Land | 473
In the Grand Scheme of Things: Cross-Theoretical
Comparison | 473
Solution-Based Therapies | 474
In a Nutshell: The Least You Need to Know | 474
Common Solution-Based Therapy Myths | 474
The Juice: Significant Contributions to the Field | 475
Rumor Has It: The People and Their Stories | 476
The Big Picture: Overview of Treatment | 478
Making a Connection: The Therapeutic
Relationship | 478
The Viewing: Case Conceptualization and
Assessment | 480
Targeting Change: Goal Setting | 482
The Doing: Interventions | 488
Interventions for Specific Problems | 490
Lights, Camera, Action: Telehealth Applications | 493
Putting It All Together: Case Conceptualization
and Treatment Plan Templates | 493
Theory-Specific Case Conceptualization: Solution-
Based | 493
Treatment Plan Template for Individuals with Sexual
Abuse Trauma: Solution-Based | 494
Treatment Plan Template for Distressed
Couple/Family: Solution-Based | 496
Solution-Oriented Ericksonian Hypnosis | 497
Difference from Traditional Hypnosis | 497
The Big Picture: Overview of Treatment | 497
The Doing: Interventions | 497
Tapestry Weaving: Working with Diverse
Populations | 498
Ethnic, Racial, and Cultural Diversity | 498
Sexual and Gender Identity Diversity | 501
Research and the Evidence Base | 502
Laugh Your Way to Licensure: License Exam
Preparation Tips | 503
Questions for Personal Reflection and Class
Discussion | 503
Solution-Based Therapy Case Study: Same-Sex
Couple Conflict | 504
Online Resources | 521
References | 521
Chapter 12 Postmodern and Sociocultural Approaches 525
Lay of the Land | 526
In the Grand Scheme of Things: Cross-Theoretical
Comparison | 526
Collaborative Therapy and Reflecting Teams | 527
In a Nutshell: The Least You Need to Know | 527
The Juice: Significant Contributions to
the Field | 528
Rumor Has It: The People and Their Stories | 529
The Big Picture: Overview of Treatment | 531
Making a Connection: The Therapeutic
Relationship | 532
The Viewing: Case Conceptualization and
Assessment | 535
Targeting Change: Goal Setting | 536
The Doing: Facilitating Transformation | 538
Reflecting Teams and the Reflecting Process | 541
Putting It All Together: Collaborative Case
Conceptualization and Treatment Plan
Templates | 543
Areas for Theory-Specific Case Conceptualization:
Collaborative | 543
Treatment Plan Template for Individual with
Depression/Anxiety: Collaborative | 544
Treatment Plan Template for Distressed Couple/Family:
Collaborative | 545
Narrative Therapy | 546
In a Nutshell: The Least You Need to Know | 546
The Juice: Significant Contributions to
the Field | 547
Rumor Has It: The People and Their Stories | 547
The Big Picture: Overview of Treatment | 548
Making a Connection: The Therapeutic
Relationship | 549
The Viewing: Case Conceptualization and
Assessment | 550
Targeting Change: Goal Setting | 552
The Doing: Interventions | 552
Interventions for Specific Problems | 561
Putting It All Together: Narrative Case
Conceptualization and Treatment Plan
Templates | 562
Areas for Theory-Specific Case Conceptualization:
Narrative | 562
Treatment Plan Template for Individual with
Depression/Anxiety: Narrative | 564
Treatment Plan Template for Distressed
Couple/Family: Narrative | 565
Clinical Spotlight: Open Dialogue, an Evidence-Based
Approach to Psychosis | 566
Clinical Spotlight: Socioemotional Relationship
Therapy | 567
Tapestry Weaving: Working with Diverse
Populations | 569
Socioculturally Attuned Guideline for Postmodern
Therapies | 570
Applications with Native Americans, First Nations, and
Aboriginals | 570
Hispanic/Latinx Youth | 571
Multiracial/Ethnic Individuals and Couples | 571
Identifying Racial and Cultural and Related Gender
Discourses | 572
Sexual and Gender Identity Diversity | 573
Research and the Evidence Base | 575
Research on Postmodern Therapies | 575
Neurobiology of Narrative | 576
Lights, Camera, Action: Telehealth Applications | 577
Postmodern Case Study: Self-Harm, Depression,
Same-Sex Blended Family | 577
Laugh Your Way to Licensure: License Exam
Preparation Tips | 593
Questions for Personal Reflection and Class
Discussion | 593
Online Resources | 593
References | 594
Part III Clinical Case Documentation 599
Chapter 13 Case Conceptualization 600
Map to Competency | 600
Step 1: Mapping the Territory | 601
Case Conceptualization and the Art of Viewing | 601
Overview of Cross-Theoretical Case
Conceptualization | 602
Introduction to Client and Significant Others | 602
Presenting Concerns | 603
Background Information | 604
Client/Family Strengths and Social
Location | 605
Family Structure | 608
Interactional Patterns | 613
Intergenerational and Attachment
Patterns | 615
Solution-Based Assessment | 618
Postmodern: Social Location and Dominant
Discourses | 619
Client Perspectives | 621
Case Conceptualization, Diversity, and
Sameness | 622
Comprehensive Cross-Theoretical Case
Conceptualization | 622
Online Resources | 630
References | 630
Chapter 14 Clinical Assessment 632
Step 2: Identifying Oases and Obstacles | 632
Clinical Assessment and Diagnosis | 633
Purpose of Clinical Assessment and Diagnosis | 633
Diagnosis and Our Inescapable Cultural Lenses | 634
Diagnosis and Gender | 635
Social Justice and the Cultural Case Formulation | 635
Mental Health Diagnosis in Family Therapy | 636
Systemic Perspectives on Diagnosis | 636
Postmodern Perspectives on Diagnosis | 636
A General Family Therapy Approach to Diagnosis | 636
Contemporary Issues in Diagnosis | 637
Dimensional Assessment: The Future of Diagnosis | 637
The Recovery Model and Diagnosis | 638
Parity and Nonparity Diagnoses | 640
Introduction to the DSM-5-TR | 640
Title of the DSM-5-TR | 640
Manual Structure | 640
Organization of Diagnostic Chapters | 641
Diagnostic Codes and the ICD | 642
DSM-5 Diagnosis Format and Considerations | 642
Subtypes and Specifiers | 644
NOS versus NEC Diagnosis | 645
WHODAS 2.0 | 646
Cultural Formulation and Assessment | 646
DSM-5-TR Major Changes | 647
Conducting a Clinical Assessment | 647
Diagnostic Interview and Mental Status Exam | 647
Mental Status Exam in Couple and Family
Therapy | 649
Cross-Cutting Symptom Measures | 650
Level 1 Domains for Adults | 651
Level 1 Domains for Children | 651
Level 2 Assessments | 651
Symptom Severity Scales | 651
Early Development and Home Background | 652
Other Possible Assessment Instruments | 652
Measures for Broad Range of Symptoms | 652
Measures for Specific Symptoms/Syndromes | 653
Making a Diagnosis | 653
Documenting Clinical Assessment | 653
Risk Management | 655
Case Management | 658
Communicating with Other Professionals | 659
Language of the DSM | 659
Mental Status Terms | 660
Interpersonal Issues | 660
Common Mood Descriptors | 660
Common Affect Descriptors | 660
Common Sleep Descriptors | 660
Common Eating Descriptors | 661
Common Anxiety Descriptors | 661
Common Psychotic Descriptors | 661
Common Motor Activity Descriptors | 661
Common Thought Descriptors | 661
Laugh Your Way to Licensure: License Exam
Preparation Tips | 662
Clinical Assessment Form | 662
Questions for Personal Reflection and Class
Discussion | 667
Online Resources | 667
References | 667
Chapter 15 Treatment Planning 669
Treatment 1 Plan 5 ? | 669
Step 3: Selecting a Path | 670
Clinical Treatment Plans | 671
Writing Useful Client Goals | 673
The Basic Steps | 674
The Goal-Writing Process | 676
Writing Useful Interventions | 678
Writing Useful Therapeutic Tasks | 679
Social Location and Diversity Considerations | 679
Evidence-Based Practice | 680
Client Perspectives | 681
Do Plans Make a Difference? | 681
Laugh Your Way to Licensure: License Exam
Preparation Tips | 681
Questions for Personal Reflection and Class
Discussion | 682
References | 682
Chapter 16 Evaluating Progress in Therapy 683
Step 4: Evaluating Progress | 683
Nonstandardized Evaluations | 684
Standardized Evaluations | 685
Ultrabrief Measures | 687
Brief Symptom Measures | 690
Couple Measures | 692
Family Measures | 693
Final Thoughts on Outcome | 693
Laugh Your Way to Licensure: License Exam
Preparation Tips | 693
Questions for Personal Reflection and Class
Discussion | 694
Online Resources | 694
References | 694
Chapter 17 Document It: Progress Notes 696
Step 5: Documenting It: A Profession behind Closed
Doors | 696
Two Different Animals: Progress Notes versus
Psychotherapy Notes | 697
Progress Notes | 697
Progress Note Ingredients | 698
Progress Note Options | 698
The All-Purpose HIPAA Form for Progress Notes | 699
Completing a Progress Note Form | 700
Client Number | 700
Date, Time, and Session Length | 700
Persons Present | 701
CPT Billing Codes | 701
Symptoms and Progress | 701
Interventions | 701
Client Response | 702
Plan | 702
Crisis Issues | 702
Consultation and Supervision | 702
Collateral Contacts | 702
A Time and Place for Progress Notes | 703
Final Note on Notes | 704
Laugh Your Way to Licensure: License Exam
Preparation Tips | 704
Questions for Personal Reflection and Class
Discussion | 704
Online Resources | 704
References | 704
Afterword Closing Thoughts: Where to Go from Here? 705
Getting Started: Working with a Supervisor | 705
Realistic Expectations | 705
Asking for What You Need | 705
Seeking Advanced Training | 706
Belonging: Professional Organizations | 706
Self-Supervision | 707
Last Words | 707
Appendix A The Family Therapy Core Competencies 708
Appendix B CACREP Competency-Based Standards 716
Appendix C Psychology Benchmarks 718
Appendix D Social Work 2015 Competencies 728
Index 733