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BEHAVIORAL DEFINITIONS
. Demonstrates sad or flat affect.
. Reports a preoccupation with the subject of death.
. Reports suicidal thoughts and/or actions.
. Exhibits moody irritability.
. Isolates self from family and/or peers.
. Deterioration in academic performance.
. Lacks interest in previously enjoyed activities.
. Refuses to communicate openly.
. Demonstrates low energy.
. Makes little or no eye contact.
. Frequently expresses statements reflecting low self-esteem.
. Exhibits a reduced appetite.
. Demonstrates an increased need for sleep.
. Exhibits poor concentration and indecision.
. Expresses feelings of hopelessness, worthlessness, or inappropriate guilt.
. Reports unresolved feelings of grief.
. Uses street drugs to elevate mood.
LONG-TERM GOALS
. Elevate mood and show evidence of usual energy, activities, and socialization
level.
. Renew typical interest in academic achievement, social involvement, and eating
patterns as well as occasional expressions of joy and zest for life.
. Reduce irritability and increase normal social interaction with family and friends.
. Develop healthy cognitive patterns and beliefs about self and the world that lead
to alleviation and help prevent the relapse of depression symptoms.
. Develop healthy interpersonal relationships that lead to alleviation and help
prevent the relapse of depression symptoms.
. Appropriately grieve the loss in order to normalize mood and to return to previous
adaptive level of functioning.
SHORT-TERM OBJECTIVES
.
Describe current and past experiences with depression complete with its
impact on function and attempts to resolve it.
.
Complete psychological testing to assess the depth of depression, the need
for antidepressant medication, and suicide prevention measures.
.
Provide behavioral, emotional, and attitudinal information toward an
assessment of specifiers relevant to a DSM diagnosis, the efficacy of treatment,
and the nature of the therapy relationship. , , , ,
Verbalize any history of suicide attempts and any current suicidal urges.
.
Take prescribed psychotropic medications responsibly at times ordered by
physician. ,
.
Parents and child learn about depression, factors that influence its
development and continuance, and methods for overcoming and preventing its
relapse.
.
Identify and replace depressive thinking that leads to depressive feelings and
actions. , , ,
.
Learn and implement calming skills to reduce overall tension and moments of
increased anxiety, tension, or arousal. ,
.
Learn and implement personal skills for managing stress, solving daily
problems, and resolving conflicts effectively.
.
Learn and implement social skills to reduce anxiety and build confidence in
social interactions.
Initiate and respond actively to social communication with family and peers. ,
.
Discuss current personal and/or interpersonal conflicts/problems with
therapist. ,
.
State the connection between rebellion, self-destruction, or withdrawal and
the underlying depression. , ,
.
Participate in family therapy to improve relationships and support among
members.
teacher reports.
.
Verbalize the changes that would result in a reduction of sadness and an
increase in hope and meaningfulness in life.
DIAGNOSTIC SUGGESTIONS
Using DSM-/ICD--CM/ICD--CM:
ICD--CM ICD--CM DSM- Disorder, Condition, or Problem
.
F.
Adjustment Disorder, With Depressed Mood
.xx F.xx Bipolar I Disorder
.
F.
Bipolar II Disorder
.
F.
Persistent Depressive Disorder
.xx F.x Major Depressive Disorder, Single Episode
.xx
V.
F.x
Z.
Notas sobre: Arthur E. Jongsma, Jr. The Child Psychotherapy Treatment Planner.
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