Treatment FAQ

psychotherapy treatment planning and what can affect it

by Prof. Keeley Gerlach Published 2 years ago Updated 2 years ago
image

What are the key issues in developing a treatment plan?

Ingredients of an Effective Counseling Treatment Plan
  • Client History, Background, and Assessments. ...
  • Problem Statements. ...
  • Strengths. ...
  • Treatment Contract. ...
  • Goals. ...
  • Objectives. ...
  • Interventions. ...
  • Progress.

What are 2 factors that can impact the effectiveness of psychotherapy?

Other factors that contribute to successful therapy mentioned include: being collaborative, teaching skills and giving tangible assignments, consistency of the therapist, higher number of sessions, client's personality, and client's ability to feel safe.

What factors influence psychotherapy?

DISCUSSION. We reviewed 6 well known and widely researched common factors in psychotherapy: (1) patient characteristics; (2) the Hawthorne effect; (3) hope and positive expectations; (4) the therapeutic alliance; (5) therapist characteristics and behaviors; and (6) extratherapeutic variables.

What are the main factors that account for the effectiveness of psychotherapy?

EVIDENCE FOR VARIOUS COMMON FACTORS
  • Alliance. The alliance is composed of three components: the bond, the agreement about the goals of therapy, and the agreement about the tasks of therapy (12). ...
  • Empathy and related constructs. ...
  • Expectations. ...
  • Cultural adaptation of evidence-based treatments. ...
  • Therapist effects.
Sep 25, 2015

What is the most important factor in successful therapy?

The most important aspect of effective therapy is that the patient and the therapist work together to help the patient reach their goals in therapy. Q. Some therapists consistently produce better outcomes than others, regardless of treatment and patient characteristics.Dec 22, 2009

How effective is psychotherapy and what factors influence its effectiveness?

The average effects of psychotherapy are larger than the effects produced by many medical treatments. Large multi-site and meta-analytic studies have demonstrated that psychotherapy reduces disability, morbidity and mortality; improves work functioning; and decreases psychiatric hospitalization.

What are the key elements of psychotherapy?

Elements of Psychotherapy
  • Helping a person become aware of ways of thinking that may be automatic but are inaccurate and harmful. ...
  • Identifying ways to cope with stress.
  • Examining in depth a person's interactions with others and offering guidance with social and communication skills, if needed.

What are the factors that contribute to effective therapeutic relationship?

Edward Bordin, defined a good therapeutic relationship as consisting of three essential qualities: an emotional bond of trust, caring, and respect; agreement on the goals of therapy; and collaboration on the "work" or tasks of the treatment.

What are three major therapeutic factors that bring about change in clients?

They are listed below: Installation of hope. Universality. Imparting of information.Jul 7, 2011

What are the common factors in therapy What are the two most impactful factors?

Although among the least cited factors, the characteristics of the client may be among the most important ingredients in effective therapy. Positive expectation and hope are the most frequently cited of these client factors.

How does the therapeutic relationship influence the outcome of therapy?

Once the therapeutic relationship is formed, an individual in therapy might be more inclined to open up emotionally and provide further details about his or her concerns. This, in turn, helps the therapist to better comprehend the affected person's point of view, feelings, and motives.Aug 28, 2015

What Is A Treatment Plan?

A treatment plan is a course of medical care, such as surgery or therapy, designed to cure a disease. It can also refer to the process in which counselors and therapists plan for their clients. Counselors and therapists use treatment planning to determine the appropriate course of treatment for a client.

Treatment Planning In Counseling

Counseling sessions should include appropriate goals, coping strategies, medications, relapse prevention plans, and self-care plans. Clients must be aware that treatment planning is a constantly changing process over the course of therapy sessions.

Things Treatment Planning In Counselling Should Include

The word “treatment” is defined as “a course of medical care, such as surgery or therapy, designed to cure a disease.” This term can also refer to the process in which counselors and therapists plan for their clients. Counselors and therapists use treatment planning to determine what type of interventions are appropriate for a client.

Types Of Treatment Plans

There are three types of treatment plans: specific, general, and virtual. A specific plan would be something like family counseling sessions. While a general plan might include any type of counseling session. Virtual plans involve communication over the internet between the counselor and client.

Timeline Of A Treatment Plan

A timeline of the treatment plan is crucial to consider how long the plan may last. It involves identifying when intervention or objective will be accomplished by and what date or time it is needed. There are five steps in creating a timeline:

Who Uses Treatment Planning In Counseling?

A therapist uses treatment planning in counseling to identify needs of the client and goals for therapy. The purpose of treatment planning is to help clients with what they do to live their life. That may include getting over difficulties, and deal with stress. The goals set out in the plan should be specific.

How Patients Should Do Treatment Planning In Counseling?

Clients should prepare for their appointments by writing down specific questions about their situation and what they want to learn from therapy.

What is the purpose of psychotherapy?

Psychotherapy (sometimes called “talk therapy”) is a term for a variety of treatment techniques that aim to help a person identify and change troubling emotions, thoughts, and behavior. Most psychotherapy takes place with a licensed, trained mental health professional and a patient meeting one-on-one or with other patients in ...

What is the purpose of a therapist?

The therapist helps the person find ways to question these thoughts, understand how they affect emotions and behavior, and change self-defeating patterns. This approach is central to a type of psychotherapy called cognitive behavioral therapy (CBT). Identifying ways to cope with stress and developing specific problem-solving strategies.

What is cognitive behavioral therapy?

This approach is central to a type of psychotherapy called cognitive behavioral therapy (CBT).

What is the first treatment for depression?

A health care provider may suspect or have diagnosed depression, anxiety, bipolar disorder, post-traumatic stress disorder, or other conditions or symptoms that may be interfering with your life, and recommended psychotherapy as a first treatment or to go along with medication.

What is exposure therapy?

Exposure therapy for people with anxiety disorders. In exposure therapy, a type of C BT, a person spends brief periods in a supportive environment, learning to tolerate the distress caused by certain items, ideas, or imagined scenes cause . Over time, the fear associated with these things may dissipate.

Why is tracking emotions important?

Tracking emotions and behaviors to raise awareness and the impact of each on the other.

How to contact a crisis counselor?

Call 1-800-273-TALK (8255) to connect with a skilled, trained counselor at a crisis center in your area. Support is available in English and Spanish and via live chat. Disaster Distress Hotline: People affected by any disaster or tragedy can call this helpline, sponsored by SAMHSA, to receive immediate counseling.

Why do we need treatment plans?

Treatment plans can reduce the risk of fraud, waste, abuse, and the potential to cause unintentional harm to clients. Treatment plans facilitate easy and effective billing since all services rendered are documented.

What is a mental health treatment plan?

At the most basic level, a mental health treatment plan is simply a set of written instructions and records relating to the treatment of an ailment or illness. A treatment plan will include the patient or client’s personal information, the diagnosis (or diagnoses, as is often the case with mental illness), a general outline ...

What is the treatment contract?

Treatment Contract – the contract between the therapist and client that summarizes the goals of treatment. Responsibility – a section on who is responsible for which components of treatment (client will be responsible for many, the therapist for others)

What is the part of effective mental health?

Part of effective mental health treatment is the development of a treatment plan. A good mental health professional will work collaboratively with the client to construct a treatment plan that has achievable goals that provide the best chances of treatment success. Read on to learn more about mental health treatment plans, how they are constructed, ...

What are the sections of a treatment plan checklist?

The checklist breaks down treatment plans into five sections: Problem Statements, Goals, Objectives, Interventions, and General Checklist.

What is intervention in therapy?

Interventions – the techniques, exercises, interventions, etc., that will be applied in order to work toward each goal. Progress/Outcomes – a good treatment plan must include space for tracking progress towards objectives and goals (Hansen, 1996)

What is blended care in therapy?

Blended care involves the provision of psychological services using telecommunication technologies.

What factors to consider when scheduling a psychotherapy appointment?

Factors to consider include: Your best time of day. Whether you’re a morning person or a night owl, know when you’re at your best and schedule your appointment accordingly. Work. If you have to take time off from work, ask your human resources department if you can use sick leave for your psychotherapy sessions.

Why do people seek psychotherapy?

Some people seek psychotherapy because they have felt depressed, anxious, or angry for a long time. Others may want help for a chronic illness that is interfering with their emotional or physical well-being.

What is a psychotherapist?

Psychologists who specialize in psychotherapy and other forms of psychological treatment are highly trained professionals with expertise in mental health assessment, diagnosis, and treatment, and behavior change.

Why is privacy important to a psychologist?

More importantly, it is a condition of their professional license. Psychologists who violate patient confidentiality risk losing their ability to practice psychology in the future.

How can a psychologist help you?

A psychologist can help you work through such problems. Through psychotherapy, psychologists help people of all ages live happier, healthier, and more productive lives. In psychotherapy, psychologists apply scientifically validated procedures to help people develop healthier, more effective habits.

What is the role of theoretical perspective in psychotherapy?

Each theoretical perspective acts as a roadmap to help the psychologist understand their patients and their problems and develop solutions.

How many years of college do psychologists go to?

After graduating from a four-year undergraduate college or university, psychologists spend an average of seven years in graduate education and training to earn a doctoral degree. That degree may be a PhD, PsyD or EdD.

How to evaluate the effectiveness of a treatment plan?

To evaluate the effectiveness of the treatment plan, you need to keep score of how the patient is doing. Ask the patient to count and keep track of their thoughts, feelings and behaviors in a log so you can monitor their progress.

What is a treatment plan?

A treatment plan is a detailed plan tailored to the individual patient and is a powerful tool for engaging the patient in their treatment. Treatment plans usually follow a simple format and typically include the following information: The patient’s personal information, psychological history and demographics.

What is the goal of a mental health treatment plan?

Both parties work together to create a shared vision and set attainable goals and objectives. A goal is a general statement of what the patient wishes to accomplish .

What happens if you don't have a treatment plan?

Without a treatment plan, a patient has no clear direction on how to improve behaviors, negative thinking patterns, and other problems impacting their lives.

What is a comprehensive treatment plan?

When a mental health professional creates a comprehensive treatment plan specially designed to meet their patient’s needs, they give their patient directions towards growth and healing.

Why do objectives need specific times, amounts or dates for completion?

Measurable: Objectives need specific times, amounts or dates for completion so you and your patients can measure their progress.

How does a mental health treatment plan complement other therapy notes?

A treatment plan is a tool that promotes good communication between staff members and helps provide documentation necessary for billing.

What are the challenges of evidence based psychotherapy?

First, concerns have been raised about the generalizability of the findings, given that the conditions and characteristics of randomized controlled treatment outcome research versusthose of real-world clinical practice differ significantly [34]. For example, research samples often under-represent minority populations or patients with comorbid conditions [35] and, as a result, evidence-based psychotherapies often are not effective for individuals with complex multimorbidities or from sociodemographic groups for which the intervention has yet to be tested [30]. In addition, many psychotherapy trials for depression and anxiety recruit participants with limited psychosocial stressors given their confounding nature. However, in actual practice, most patients face these stressors and it is unclear how well the purported evidence-based psychotherapies will treat these individuals [34]. Evidence-based psychotherapy is also challenging to apply to individuals given that the evidence is based on a composite of multiple subjects, with limited attention to the impact of individual factors and influences on the patient’s health.

Why is evidence based psychotherapy important?

There are advantages of evidence-based psychotherapies for practitioners, clinical teams, and patients [18]. It has been argued that for practice to be ethical it is imperative that it is guided by the relevant data [23]. By incorporating research into clinical practice, providers use research-driven evidence rather than rely solely on personal opinion. Using empirical evidence reduces opinion-based bias of recalling only “successes”. When practiced appropriately, EBP can complement clinical expertise when making judgments. Incorporating research inevitably promotes the development of guidelines, databases, and other clinical tools that can help clinicians make critical treatment decisions, particularly in community-based settings [24]. Evidence-based psychotherapy encompasses both scientific and local evidence, such as diagnostic patient information, situational information including cost and time constraints, and the provider’s judgment and experience to achieve the best outcome [25].

What is the difference between EBP and psychotherapy?

For example, EBP tends to focus on ameliorating symptoms or disorders, whereas many people seek out psychotherapy to cope more effectively with life’s challenges and have a greater sense of meaning in their lives. In addition, psychotherapies typically prioritize empowerment and supporting people in achieving their own treatment goals, whereas evidence-based approaches risk not attending to patients as agents of change or self-healers. As another example, diverse forms of psychotherapy guided by myriad theoretical perspectives or a combination of such models are practiced. The majority of evidence-based psychotherapies are cognitive–behavioral, whereas many practitioners employ existential–humanistic, interpersonal, psychodynamic, systemic, and/or integrative models [9]. While there appears to be a divide between evidence-based research and practice and clinical application, evidence-based psychotherapies synthesize new knowledge when providers test evidence-based guidelines and adapt them to cohort specific circumstances.

How does fidelity affect psychotherapy?

Fidelity adherence when using evidence-based psychotherapies faces some challenges. Unfortunately, other than in efficacy research, it is not generally feasible to closely monitor fidelity in real-world implementation. Rigid application of fidelity reduces the usability of a particular psychotherapy. For example, labeling a treatment as only for depression without anxiety eliminates application to many patients with depression. Maintaining fidelity often requires time and resources for training and ongoing monitoring. In fact, programs with high staff turnover requiring repeated trainings of new-hires, leadership or government requirements, and extensive training for the psychotherapy can influence fidelity over time, particularly for larger-scale implementation of evidence-based psychotherapies [49]. Some evidence-based psychotherapies are simply more challenging to implement with fidelity than others. Fidelity requires conscientious application of the principles of the evidence-based psychotherapy to practice, which is subject to problems in translation or competence, particularly in the context of dissemination efforts.

What is the goal of EBP?

One key goal of EBP psychotherapy is to maximize patient choice about options. Since the outset of EBP generally and the psychotherapy movement specifically, patients’ preferences are prioritized, which affords them active choices. Clinical decisions associated with evidence-based psychotherapies optimally are made collaboratively with the patient, based on the best available evidence, with attention to costs, benefits, available resources, and options [21, 22]. Such decision-making involves ongoing monitoring and adjustment.

Why is EBP training important?

Training in an EBP, coupled with an active and ongoing learning process, is required for professionals to facilitate patient change and other positive outcomes [28, 31].

How does flexibility affect evidence-based therapy?

Flexibility can be difficult to include in research on evidence-based psychotherapy as the variation from the protocol becomes challenging to monitor and introduces confounding factors. Overuse of flexibility reduces fidelity, which as discussed earlier, is critical to maintaining an effective evidence-based psychotherapy. The challenge psychotherapists face is walking the fine line between flexible implementation of an evidence-based psychotherapy and the maintenance of the core components of the intervention. It is for this reason therefore that evidence-based psychotherapies are increasingly being developed that provide guidance with regard to both flexibility and fidelity. For example, the Skills Training in Affective and Interpersonal Regulation–Narrative Therapy (STAIR-NT) protocol includes a wide range of sessions per topic, allows for nonprotocol sessions to address individual patient crises, and encourages optional booster sessions [50].

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9