Adult Psychotherapy Homework Planner - Arthur E. Jongsma - E-Book

Adult Psychotherapy Homework Planner E-Book

Arthur E. Jongsma

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Facilitate your client's involvement in change with 98 ready-to-print homework assignments The newly updated Sixth Edition of the Adult Psychotherapy Homework Planner offers practitioners a wide variety of ready-to-use assignments for adult clients in almost every therapeutic mode. Designed to be used with the Complete Adult Psychotherapy Treatment Planner, Sixth Edition, this planner saves time and energy otherwise spent studying, finding, or writing custom assignments for each client. The book is organized as a quick reference, with assignments grouped by behavioral problems like depression, anxiety, eating disorders, and more. It includes expert guidance on hw and when to make the most productive use of the exercises and is extensively cross-referenced to the corresponding treatment planner. This powerful resource includes: * 92 ready-to-copy, customizable homework assignments that facilitate adult therapy * Cross-references for each homework assignment to presenting problems from the Complete Adult Psychotherapy Treatment Planner, Sixth Edition * New downloadable assignments from a supplementary online portal * New homework assignments for opiod-related disorders and clients experiencing loneliness Perfect for psychologists, therapists, counselors, social workers, and psychiatrists, the latest edition of the Adult Psychotherapy Homework Planner is an indispensable resource for any mental health professional who works with adult clients.

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Table of Contents

COVER

TITLE PAGE

COPYRIGHT

DEDICATION

ABOUT THE DOWNLOADABLE ASSIGNMENTS

PRACTICE

PLANNERS

®

SERIES PREFACE

ACKNOWLEDGMENTS

INTRODUCTION

WHY HOMEWORK?

HOW TO USE THIS

HOMEWORK

PLANNER

ABOUT THE ASSIGNMENTS

CARRYING OUT THE ASSIGNMENT

SECTION 1: ANGER CONTROL PROBLEMS

THERAPIST'S OVERVIEW ALTERNATIVES TO DESTRUCTIVE ANGER

EXERCISE 1.A ALTERNATIVES TO DESTRUCTIVE ANGER

THERAPIST'S OVERVIEW ANGER JOURNAL

EXERCISE 1.B ANGER JOURNAL

THERAPIST'S OVERVIEW ASSERTIVE COMMUNICATION OF ANGER

EXERCISE 1.C ASSERTIVE COMMUNICATION OF ANGER

ASSERTIVE COMMUNICATION LOG

SECTION 2: ANTISOCIAL BEHAVIOR

THERAPIST'S OVERVIEW HOW I HAVE HURT OTHERS

EXERCISE 2.A HOW I HAVE HURT OTHERS

THERAPIST'S OVERVIEW LETTER OF APOLOGY

EXERCISE 2.B LETTER OF APOLOGY

THERAPIST'S OVERVIEW THREE ACTS OF KINDNESS

EXERCISE 2.C THREE ACTS OF KINDNESS

SECTION 3: ANXIETY

THERAPIST'S OVERVIEW ANALYZE THE PROBABILITY OF A FEARED EVENT

EXERCISE 3.A ANALYZE THE PROBABILITY OF A FEARED EVENT

THERAPIST'S OVERVIEW PAST SUCCESSFUL ANXIETY COPING

EXERCISE 3.B PAST SUCCESSFUL ANXIETY COPING

THERAPIST'S OVERVIEW WORRY TIME

EXERCISE 3.C WORRY TIME

DAILY “WORRY TIME” LOG

SECTION 4: ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD)

THERAPIST'S OVERVIEW PROBLEM‐SOLVING: AN ALTERNATIVE TO IMPULSIVE ACTION

EXERCISE 4.A PROBLEM‐SOLVING: AN ALTERNATIVE TO IMPULSIVE ACTION

THERAPIST'S OVERVIEW Self‐Monitoring/Self‐Reward Program

EXERCISE 4.B SELF‐MONITORING/SELF‐REWARD PROGRAM

SELF‐MONITORING/SELF‐REWARD FORM

THERAPIST'S OVERVIEW SYMPTOMS AND FIXES FOR ADHD

EXERCISE 4.C SYMPTOMS AND FIXES FOR ADHD

SECTION 5: BIPOLAR DISORDER—DEPRESSION

THERAPIST'S OVERVIEW EARLY WARNING SIGNS OF DEPRESSION

EXERCISE 5.A EARLY WARNING SIGNS OF DEPRESSION

THERAPIST'S OVERVIEW IDENTIFYING AND HANDLING TRIGGERS

EXERCISE 5.B IDENTIFYING AND HANDLING TRIGGERS

SECTION 6: BIPOLAR DISORDER—MANIA

THERAPIST'S OVERVIEW KEEPING A DAILY RHYTHM

EXERCISE 6.A KEEPING A DAILY RHYTHM

DAILY ACTIVITIES FORM

SELF‐MONITORING OF MOODS

THERAPIST'S OVERVIEW RECOGNIZING THE NEGATIVE CONSEQUENCES OF IMPULSIVE BEHAVIOR

EXERCISE 6.B RECOGNIZING THE NEGATIVE CONSEQUENCES OF IMPULSIVE BEHAVIOR

THERAPIST'S OVERVIEW WHAT ARE MY GOOD QUALITIES?

EXERCISE 6.C WHAT ARE MY GOOD QUALITIES?

THERAPIST'S OVERVIEW WHY I DISLIKE TAKING MY MEDICATION

EXERCISE 6.D WHY I DISLIKE TAKING MY MEDICATION

SECTION 7: BORDERLINE PERSONALITY DISORDER

THERAPIST'S OVERVIEW JOURNAL AND REPLACE SELF‐DEFEATING THOUGHTS

EXERCISE 7.A JOURNAL AND REPLACE SELF‐DEFEATING THOUGHTS

THERAPIST'S OVERVIEW PLAN BEFORE ACTING

EXERCISE 7.B PLAN BEFORE ACTING

SECTION 8: CHILDHOOD TRAUMA

THERAPIST'S OVERVIEW CHANGING FROM VICTIM TO SURVIVOR

EXERCISE 8.A CHANGING FROM VICTIM TO SURVIVOR

THERAPIST'S OVERVIEW DEEP BREATHING EXERCISE

EXERCISE 8.B DEEP BREATHING EXERCISE

THERAPIST'S OVERVIEW FEELINGS AND FORGIVENESS LETTER

EXERCISE 8.C FEELINGS AND FORGIVENESS LETTER

SECTION 9: CHRONIC PAIN

THERAPIST'S OVERVIEW PAIN AND STRESS JOURNAL

EXERCISE 9.A PAIN AND STRESS JOURNAL

SECTION 10: COGNITIVE DEFICITS

THERAPIST'S OVERVIEW MEMORY AID—PERSONAL INFORMATION ORGANIZER

EXERCISE 10.A MEMORY AID—PERSONAL INFORMATION ORGANIZER

THERAPIST'S OVERVIEW MEMORY ENHANCEMENT TECHNIQUES

EXERCISE 10.B MEMORY ENHANCEMENT TECHNIQUES

SECTION 11: DEPENDENCY

THERAPIST'S OVERVIEW MAKING YOUR OWN DECISIONS

EXERCISE 11.A MAKING YOUR OWN DECISIONS

THERAPIST'S OVERVIEW SATISFYING UNMET EMOTIONAL NEEDS

EXERCISE 11.B SATISFYING UNMET EMOTIONAL NEEDS

THERAPIST'S OVERVIEW TAKING STEPS TOWARD INDEPENDENCE

EXERCISE 11.C TAKING STEPS TOWARD INDEPENDENCE

SECTION 12: DEPRESSION—UNIPOLAR

THERAPIST'S OVERVIEW IDENTIFY AND SCHEDULE PLEASANT ACTIVITIES

EXERCISE 12.A IDENTIFY AND SCHEDULE PLEASANT ACTIVITIES

THERAPIST'S OVERVIEW NEGATIVE THOUGHTS TRIGGER NEGATIVE FEELINGS

EXERCISE 12.B NEGATIVE THOUGHTS TRIGGER NEGATIVE FEELINGS

THERAPIST'S OVERVIEW POSITIVE SELF‐TALK

EXERCISE 12.C POSITIVE SELF‐TALK

SECTION 13: DISSOCIATION

THERAPIST'S OVERVIEW DESCRIBE THE TRAUMA

EXERCISE 13.A DESCRIBE THE TRAUMA

THERAPIST'S OVERVIEW STAYING FOCUSED ON THE PRESENT REALITY

EXERCISE 13.B STAYING FOCUSED ON THE PRESENT REALITY

SECTION 14: EATING DISORDERS AND OBESITY

THERAPIST'S OVERVIEW A REALITY JOURNAL: FOOD, WEIGHT, THOUGHTS, AND FEELINGS

EXERCISE 14.A A REALITY JOURNAL: FOOD, WEIGHT, THOUGHTS, AND FEELINGS

THERAPIST'S OVERVIEW HOW FEARS CONTROL MY EATING

EXERCISE 14.B HOW FEARS CONTROL MY EATING

SECTION 15: EDUCATIONAL DEFICITS

THERAPIST'S OVERVIEW MY ACADEMIC AND VOCATIONAL STRENGTHS

EXERCISE 15.A MY ACADEMIC AND VOCATIONAL STRENGTHS

THERAPIST'S OVERVIEW THE ADVANTAGES OF EDUCATION

EXERCISE 15.B THE ADVANTAGES OF EDUCATION

SECTION 16: FAMILY CONFLICT

THERAPIST'S OVERVIEW APPLYING PROBLEM‐SOLVING TO INTERPERSONAL CONFLICT

EXERCISE 16.A APPLYING PROBLEM‐SOLVING TO INTERPERSONAL CONFLICT

THERAPIST'S OVERVIEW A STRUCTURED PARENTING PLAN

EXERCISE 16.B A STRUCTURED PARENTING PLAN

SECTION 17: FEMALE SEXUAL DYSFUNCTION

THERAPIST'S OVERVIEW FACTORS INFLUENCING NEGATIVE SEXUAL ATTITUDES

EXERCISE 17.A FACTORS INFLUENCING NEGATIVE SEXUAL ATTITUDES

THERAPIST'S OVERVIEW STUDY YOUR BODY: CLOTHED AND UNCLOTHED

EXERCISE 17.B STUDY YOUR BODY: CLOTHED AND UNCLOTHED

SECTION 18: FINANCIAL STRESS

THERAPIST'S OVERVIEW PLAN A BUDGET

EXERCISE 18.A PLAN A BUDGET

SECTION 19: GRIEF/LOSS UNRESOLVED

THERAPIST'S OVERVIEW CREATING A MEMORIAL COLLAGE

EXERCISE 19.A CREATING A MEMORIAL COLLAGE

DEAR _________: A LETTER TO A LOST LOVED ONE

EXERCISE 19.B DEAR ________: A LETTER TO A LOST LOVED ONE

SECTION 20: IMPULSE CONTROL DISORDER

THERAPIST'S OVERVIEW IMPULSIVE BEHAVIOR JOURNAL

EXERCISE 20.A IMPULSIVE BEHAVIOR JOURNAL

SECTION 21: INTIMATE RELATIONSHIP CONFLICTS

THERAPIST'S OVERVIEW HOW CAN WE MEET EACH OTHER'S NEEDS AND DESIRES?

EXERCISE 21.A HOW CAN WE MEET EACH OTHER'S NEEDS AND DESIRES?

THERAPIST'S OVERVIEW POSITIVE AND NEGATIVE CONTRIBUTIONS TO THE RELATIONSHIP: MINE AND YOURS

EXERCISE 21.B POSITIVE AND NEGATIVE CONTRIBUTIONS TO THE RELATIONSHIP: MINE AND YOURS

SECTION 22: LEGAL CONFLICTS

THERAPIST'S OVERVIEW ACCEPT RESPONSIBILITY FOR ILLEGAL BEHAVIOR

EXERCISE 22.A ACCEPT RESPONSIBILITY FOR ILLEGAL BEHAVIOR

THERAPIST'S OVERVIEW CROOKED THINKING LEADS TO CROOKED BEHAVIOR

EXERCISE 22.B CROOKED THINKING LEADS TO CROOKED BEHAVIOR

SECTION 23: LONELINESS

THERAPIST'S OVERVIEW IDENTIFYING WHAT I VALUE

EXERCISE 23.A IDENTIFYING WHAT I VALUE

THERAPIST'S OVERVIEW MINDFULNESS EXERCISES

EXERCISE 23.B MINDFULNESS EXERCISES

MINDFUL BREATHING EXERCISE INSTRUCTION

MINDFUL THOUGHTS EXERCISE INSTRUCTION

THERAPIST'S OVERVIEW LETTING GO OF UNHELPFUL THOUGHTS

EXERCISE 23.C LETTING GO OF UNHELPFUL THOUGHTS

SECTION 24: LOW SELF‐ESTEEM

THERAPIST'S OVERVIEW ACKNOWLEDGING MY STRENGTHS

EXERCISE 24.A ACKNOWLEDGING MY STRENGTHS

THERAPIST'S OVERVIEW REPLACING FEARS WITH POSITIVE MESSAGES

EXERCISE 24.B REPLACING FEARS WITH POSITIVE MESSAGES

SECTION 25: MALE SEXUAL DYSFUNCTION

THERAPIST'S OVERVIEW JOURNALING THE RESPONSE TO NONDEMAND SEXUAL PLEASURING (SENSATE FOCUS)

EXERCISE 25.A JOURNALING THE RESPONSE TO NONDEMAND SEXUAL PLEASURING (SENSATE FOCUS)

SECTION 26: MEDICAL ISSUES

THERAPIST'S OVERVIEW HOW I FEEL ABOUT MY MEDICAL TREATMENT

EXERCISE 26.A HOW I FEEL ABOUT MY MEDICAL TREATMENT

THERAPIST'S OVERVIEW THE IMPACT OF MY ILLNESS

EXERCISE 26.B THE IMPACT OF MY ILLNESS

SECTION 27: OBSESSIVE‐COMPULSIVE DISORDER (OCD)

THERAPIST'S OVERVIEW INTERRUPTING YOUR OBSESSIONS/COMPULSIONS

EXERCISE 27.A INTERRUPTING YOUR OBSESSIONS/COMPULSIONS

THERAPIST'S OVERVIEW MAKING USE OF THE THOUGHT‐STOPPING TECHNIQUE

EXERCISE 27.B MAKING USE OF THE THOUGHT‐STOPPING TECHNIQUE

THERAPIST'S OVERVIEW REDUCING THE STRENGTH OF COMPULSIVE BEHAVIORS

EXERCISE 27.C REDUCING THE STRENGTH OF COMPULSIVE BEHAVIORS

SECTION 28: OPIOID USE DISORDER

THERAPIST'S OVERVIEW IDENTIFYING THOUGHTS AND EMOTIONS

EXERCISE 28.A IDENTIFYING THOUGHTS AND EMOTIONS

THERAPIST'S OVERVIEW EXPLORING MY MOTIVATION TO CHANGE

EXERCISE 28.B EXPLORING MY MOTIVATION TO CHANGE

THERAPIST'S OVERVIEW LIVING WELL WITH CHRONIC PAIN

EXERCISE 28.C LIVING WELL WITH CHRONIC PAIN

SECTION 29: PANIC/AGORAPHOBIA

THERAPIST'S OVERVIEW COPING CARD

EXERCISE 29.A COPING CARD

THERAPIST'S OVERVIEW MONITORING MY PANIC ATTACK EXPERIENCES

EXERCISE 29.B MONITORING MY PANIC ATTACK EXPERIENCES

SECTION 30: PARANOID IDEATION

THERAPIST'S OVERVIEW CHECK SUSPICIONS AGAINST REALITY

EXERCISE 30.A CHECK SUSPICIONS AGAINST REALITY

SECTION 31: PARENTING

THERAPIST'S OVERVIEW LEARNING TO PARENT AS A TEAM

EXERCISE 31.A LEARNING TO PARENT AS A TEAM

THERAPIST'S OVERVIEW THE TWO SIDES OF PARENTING (Being Parented and Being a Parent)

EXERCISE 31.B THE TWO SIDES OF PARENTING

THERAPIST'S OVERVIEW USING REINFORCEMENT PRINCIPLES IN PARENTING

EXERCISE 31.C USING REINFORCEMENT PRINCIPLES IN PARENTING

SECTION 32: PHASE OF LIFE PROBLEMS

THERAPIST'S OVERVIEW WHAT NEEDS TO BE CHANGED IN MY LIFE?

EXERCISE 32.A WHAT NEEDS TO BE CHANGED IN MY LIFE?

THERAPIST'S OVERVIEW WHAT'S GOOD ABOUT ME AND MY LIFE?

EXERCISE 32.B WHAT'S GOOD ABOUT ME AND MY LIFE?

SECTION 33: PHOBIA

THERAPIST'S OVERVIEW FOUR WAYS TO REDUCE FEAR

EXERCISE 33.A FOUR WAYS TO REDUCE FEAR

THERAPIST'S OVERVIEW GRADUALLY REDUCING YOUR PHOBIC FEAR

EXERCISE 33.B GRADUALLY REDUCING YOUR PHOBIC FEAR

SECTION 34: POSTTRAUMATIC STRESS DISORDER (PTSD)

THERAPIST'S OVERVIEW HOW THE TRAUMA AFFECTS ME

EXERCISE 34.A HOW THE TRAUMA AFFECTS ME

THERAPIST'S OVERVIEW SHARE THE PAINFUL MEMORY

EXERCISE 34.B SHARE THE PAINFUL MEMORY

SECTION 35: PSYCHOTICISM

THERAPIST'S OVERVIEW WHAT DO YOU HEAR AND SEE?

EXERCISE 35.A WHAT DO YOU HEAR AND SEE?

SECTION 36: SEXUAL ABUSE VICTIM

THERAPIST'S OVERVIEW A BLAMING LETTER AND A FORGIVING LETTER TO PERPETRATOR

EXERCISE 36.A A BLAMING LETTER AND A FORGIVING LETTER TO PERPETRATOR

THERAPIST'S OVERVIEW PICTURING THE PLACE OF THE ABUSE

EXERCISE 36.B PICTURING THE PLACE OF THE ABUSE

SECTION 37: SEXUAL ORIENTATION CONFUSION

THERAPIST'S OVERVIEW JOURNAL OF SEXUAL THOUGHTS, FANTASIES, CONFLICTS

EXERCISE 37.A JOURNAL OF SEXUAL THOUGHTS, FANTASIES, CONFLICTS

THERAPIST'S OVERVIEW TO WHOM AND HOW TO REVEAL MY SEXUAL ORIENTATION

EXERCISE 37.B TO WHOM AND HOW TO REVEAL MY SEXUAL ORIENTATION

SECTION 38: SLEEP DISTURBANCE

THERAPIST'S OVERVIEW SLEEP PATTERN RECORD

EXERCISE 38.A SLEEP PATTERN RECORD

SECTION 39: SOCIAL ANXIETY

THERAPIST'S OVERVIEW BECOMING ASSERTIVE

EXERCISE 39.A BECOMING ASSERTIVE

RESTORING SOCIALIZATION COMFORT

EXERCISE 39.B RESTORING SOCIALIZATION COMFORT

SECTION 40: SOMATIZATION

THERAPIST'S OVERVIEW CONTROLLING THE FOCUS ON PHYSICAL PROBLEMS

EXERCISE 40.A CONTROLLING THE FOCUS ON PHYSICAL PROBLEMS

SECTION 41: SPIRITUAL CONFUSION

THERAPIST'S OVERVIEW MY HISTORY OF SPIRITUALITY

EXERCISE 41.A MY HISTORY OF SPIRITUALITY

THERAPIST'S OVERVIEW YOUR SPIRITUAL INHERITANCE INVENTORY

EXERCISE 41.B YOUR SPIRITUAL INHERITANCE INVENTORY

SECTION 42: SUBSTANCE USE

THERAPIST'S OVERVIEW AFTERCARE PLAN COMPONENTS

EXERCISE 42.A AFTERCARE PLAN COMPONENTS

THERAPIST'S OVERVIEW IDENTIFYING RELAPSE TRIGGERS AND CUES*

EXERCISE 42.B IDENTIFYING RELAPSE TRIGGERS AND CUES

THERAPIST'S OVERVIEW RELAPSE PREVENTION PLANNING*

EXERCISE 42.C RELAPSE PREVENTION PLANNING

THERAPIST'S OVERVIEW RELAPSE TRIGGERS

EXERCISE 42.D RELAPSE TRIGGERS

THERAPIST'S OVERVIEW SUBSTANCE ABUSE'S NEGATIVE IMPACT VERSUS SOBRIETY'S POSITIVE IMPACT

EXERCISE 42.E SUBSTANCE ABUSE'S NEGATIVE IMPACT VERSUS SOBRIETY'S POSITIVE IMPACT

NOTES

SECTION 43: SUICIDAL IDEATION

THERAPIST'S OVERVIEW JOURNAL OF DISTORTED, NEGATIVE THOUGHTS

EXERCISE 43.A JOURNAL OF DISTORTED, NEGATIVE THOUGHTS

THERAPIST'S OVERVIEW NO SELF‐HARM CONTRACT

EXERCISE 43.B NO SELF‐HARM CONTRACT

NO SELF‐HARM CONTRACT

THERAPIST'S OVERVIEW STRATEGIES TO RESIST SUICIDAL THOUGHTS AND FEELINGS

EXERCISE 43.C STRATEGIES TO RESIST SUICIDAL THOUGHTS AND FEELINGS

THERAPIST'S OVERVIEW THE AFTERMATH OF SUICIDE

EXERCISE 43.D THE AFTERMATH OF SUICIDE

SECTION 44: TYPE A BEHAVIOR

THERAPIST'S OVERVIEW DEVELOPING NONCOMPETITIVE VALUES

EXERCISE 44.A DEVELOPING NONCOMPETITIVE VALUES

SECTION 45: VOCATIONAL STRESS

THERAPIST'S OVERVIEW A VOCATIONAL ACTION PLAN

EXERCISE 45.A A VOCATIONAL ACTION PLAN

APPENDIX A: ALTERNATE ASSIGNMENTS FOR PRESENTING PROBLEMS

APPENDIX B: ALPHABETICAL INDEX OF EXERCISES

END USER LICENSE AGREEMENT

Guide

Cover Page

Table of Contents

Title Page

Copyright

Dedication

About the Downloadable Assignments

PracticePlanners

®

Series Preface

Acknowledgments

Begin Reading

Appendix A: Alternate Assignments for Presenting Problems

Appendix B: Alphabetical Index of Exercises

End User License Agreement

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PracticePlanners® Series

Treatment Planners

The Complete Adult Psychotherapy Treatment Planner, Sixth Edition

The Child Psychotherapy Treatment Planner, Sixth Edition

The Adolescent Psychotherapy Treatment Planner, Sixth Edition

The Addiction Treatment Planner, Sixth Edition

The Continuum of Care Treatment Planner

The Couples Psychotherapy Treatment Planner, Second Edition

The Employee Assistance Treatment Planner

The Pastoral Counseling Treatment Planner

The Older Adult Psychotherapy Treatment Planner, Second Edition

The Behavioral Medicine Treatment Planner

The Group Therapy Treatment Planner

The Gay and Lesbian Psychotherapy Treatment Planner

The Family Therapy Treatment Planner, Second Edition

The Severe and Persistent Mental Illness Treatment Planner, Second Edition

The Intellectual and Developmental Disabilities Treatment Planner

The Social Work and Human Services Treatment Planner

The Crisis Counseling and Traumatic Events Treatments Planner, Second Edition

The Personality Disorders Treatment Planner

The Rehabilitation Psychology Treatment Planner

The Special Education Treatment Planner

The Juvenile Justice and Residential Care Treatment Planner

The School Counseling and School Social Work Treatment Planner, Second Edition

The Sexual Abuse Victim and Sexual Offender Treatment Planner

The Probation and Parole Treatment Planner

The Psychopharmacology Treatment Planner

The Speech‐Language Pathology Treatment Planner

The Suicide and Homicide Treatment Planner

The College Student Counseling Treatment Planner

The Parenting Skills Treatment Planner

The Early Childhood Education Intervention Treatment Planner

The Co‐Occurring Disorders Treatment Planner

The Complete Women's Psychotherapy Treatment Planner

The Veterans and Active Duty Military Psychotherapy Treatment Planner

Progress Notes Planners

The Child Psychotherapy Progress Notes Planner, Fifth Edition

The Adolescent Psychotherapy Progress Notes Planner, Fifth Edition

The Adult Psychotherapy Progress Notes Planner, Fifth Edition

The Addiction Progress Notes Planner, Fifth Edition

The Severe and Persistent Mental Illness Progress Notes Planner, Second Edition

The Couples Psychotherapy Progress Notes Planner, Second Edition

The Family Therapy Progress Notes Planner, Second Edition

The Veterans and Active Duty Military Psychotherapy Progress Notes Planner

Homework Planners

Couples Therapy Homework Planner, Second Edition

Family Therapy Homework Planner, Second Edition

Grief Counseling Homework Planner

Group Therapy Homework Planner

Divorce Counseling Homework Planner

School Counseling and School Social Work Homework Planner, Second Edition

Child Therapy Activity and Homework Planner

Addiction Treatment Homework Planner, Fifth Edition

Adolescent Psychotherapy Homework Planner, Fifth Edition

Adult Psychotherapy Homework Planner, Sixth Edition

Child Psychotherapy Homework Planner, Fifth Edition

Parenting Skills Homework Planner

Veterans and Active Duty Military Psychotherapy Homework Planner

Client Education Handout Planners

Adult Client Education Handout Planner

Child and Adolescent Client Education Handout Planner

Couples and Family Client Education Handout Planner

Complete Planners

The Complete Depression Treatment and Homework Planner

The Complete Anxiety Treatment and Homework Planner

Adult Psychotherapy Homework Planner

Sixth Edition

 

Arthur E. Jongsma, Jr.

Timothy J. Bruce

 

 

 

 

This edition first published 2022

© 2022 John Wiley & Sons, Inc.

Edition History

John Wiley & Sons, Inc. (1e, 2001); John Wiley & Sons, Inc. (2e, 2003); John Wiley & Sons, Inc. (3e, 2006); John Wiley & Sons, Inc. (5e, 2014)

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Library of Congress Cataloging‐in‐Publication Data

Names: Jongsma, Arthur E., Jr., 1943‐ author. | Bruce, Timothy J., author.

Title: Adult psychotherapy homework planner / Arthur E. Jongsma, Jr., Timothy J. Bruce.

Description: Sixth edition. | Hoboken, NJ : Wiley, [2022] | Series: Practiceplanners

Identifiers: LCCN 2021022332 (print) | LCCN 2021022333 (ebook) | ISBN 9781119840848 (paperback) | ISBN 9781119841067 (adobe pdf) | ISBN 9781119841050 (epub)

Subjects: LCSH: Psychotherapy—Planning—Handbooks, manuals, etc. | Psychotherapy—Problems, exercises, etc.

Classification: LCC RC480.5 .J664 2022 (print) | LCC RC480.5 (ebook) | DDC 616.89/14—dc23

LC record available at https://lccn.loc.gov/2021022332

LC ebook record available at https://lccn.loc.gov/2021022333

Cover Design: Wiley

Cover Image: © Ryan McVay/Getty Images

To Dave and Lorrie Vander Ark, whose friendship has enriched our lives and whose support is more reliable than a fine timepieceAEJ

To my colleagues and residents at the University of Illinois.It has been an honor and pleasure working with you.TJB

ABOUT THE DOWNLOADABLE ASSIGNMENTS

Thank you for choosing the Wiley PracticePlanners® series. Adult Psychotherapy Homework Planner, Sixth Edition's website includes all the book's exercises in Word format for your convenience.

To access the assignments, please follow these steps:

Step 1

Go to

www.wiley.com/go/hwpassignments

.

Step 2

Enter the password provided, and click “submit.”

Password: adult2021

Step 3

Select and download the listed exercises.

If you need any assistance, please visit

www.support.wiley.com

.

PRACTICEPLANNERS® SERIES PREFACE

Accountability is an important dimension of the practice of psychotherapy. Treatment programs, public agencies, clinics, and practitioners must justify and document their treatment plans to outside review entities in order to be reimbursed for services. The books and software in the PracticePlanners® series are designed to help practitioners fulfill these documentation requirements efficiently and professionally.

The PracticePlanners® series includes a wide array of treatment planning books including not only the original Complete Adult Psychotherapy Treatment Planner, Child Psychotherapy Treatment Planner, and Adolescent Psychotherapy Treatment Planner, all now in their sixth editions, but also Treatment Planners targeted to specialty areas of practice, including:

Addictions

Behavioral medicine

College students

Co‐occurring disorders

Couples therapy

Crisis counseling

Early childhood education

Employee assistance

Family therapy

Gays and lesbians

Group therapy

Juvenile justice and residential care

Intellectual and developmental disabilities

Older adults

Parenting skills

Pastoral counseling

Personality disorders

Probation and parole

Psychopharmacology

Rehabilitation psychology

School counseling and school social work

Severe and persistent mental illness

Sexual abuse victims and offenders

Social work and human services

Special education

Speech‐language pathology

Suicide and homicide risk assessment

Veterans and active duty military

Women's issues

In addition, there are four companion products that can be used in conjunction with the Treatment Planners, or on their own:

Progress Notes Planners

provide a menu of progress statements that elaborate on the client's symptom presentation and the provider's therapeutic intervention. Each

Progress Notes Planner

statement is directly integrated with the Behavioral Definitions and Therapeutic Interventions from its companion

Treatment Planner

.

Homework Planners

include homework assignments designed around each presenting problem (such as anxiety, depression, substance use, anger control problems, eating disorders, or panic disorder) that is the focus of a chapter in its corresponding

Treatment Planner

.

Evidence‐Based Psychotherapy Treatment Planning Video Series

offers 12 sixty‐minute programs that provide step‐by‐step guidance on how to use empirically supported treatments to inform the entire treatment planning process. In a viewer‐friendly manner, Drs. Art Jongsma and Tim Bruce discuss the steps involved in integrating evidence‐based treatment (EBT) Objectives and Interventions into a treatment plan. The research support for the EBTs is summarized, and selected aspects of the EBTs are demonstrated in role‐played counseling scenarios.

TheraScribe

®

i

s

the #1 selling treatment planning and clinical record‐keeping software system for mental health professionals. TheraScribe

®

allows the user to import the data from any of the Treatment Planner, Progress Notes Planner, or Homework Planner books into the software's expandable database to simply point and click to create a detailed, organized, individualized, and customizable treatment plan along with optional integrated progress notes and homework assignments.

TheraScribe is available by calling 616‐776‐1745. Also, see TheraScribe.com for more information.

The goal of our series is to provide practitioners with the resources they need in order to provide high‐quality care in the era of accountability. To put it simply: We seek to help you spend more time on clients and less time on paperwork.

Arthur E. Jongsma, Jr.Series EditorGrand Rapids, Michigan

Acknowledgments

The book is the result of the combined efforts of many people. First, I acknowledge the contribution of my coauthors on several other books, William McInnis and Mark Peterson. They also both previously gave permission for me to borrow and adapt some of the homework exercises we had collaborated on in writing the Adolescent Psychotherapy Homework Planner. Several of the assignments in this book have been adapted to the adult focus group from their original creation for the adolescent client. Thank you, Bill and Mark.

I also thank Jim Finley and Brenda Lenz for giving their permission to me to adapt two of their assignments from their Addiction Treatment Homework Planner for placement in the Substance Use section of this book.

I am grateful to Tim Bruce, my invaluable coauthor on several Treatment Planner books, who has accepted my invitation to contribute some additional exercises for this sixth edition of the Adult Psychotherapy Homework Planner.

My support staff at John Wiley & Sons, including Darren LaLonde and Monica Rogers, continues to move the PracticePlanners® project forward with enthusiasm and professional dedication. Thank you, all.

Finally, my personal support system is grounded in my wife, Judy, who makes me feel important even when I am not, and my children and grandchildren, who consistently show interest in my work. Thank you, family.

A. E. J.

In many models of therapy, therapeutic change arguably occurs more between sessions than within them, as clients act on what has been discussed. In this Planner, Art Jongsma and I have created a library of convenient exercises that allow therapists an array of homework options to help facilitate targeted therapeutic change. It's an honor to be invited by Art to contribute to this work, and I thank him for that generosity.

I read once that we shouldn't call it homework, because of the negative connotations associated with it. But clients know it's homework. And in recognition of that, I also acknowledge all of the clients that we ask to do these exercises. We ask a lot of our clients: to commit, trust, disclose, explore, challenge, change, and more. And we thank them for their willingness to try.

Lastly, and as always, I thank my wife, Lori, and children, Logan and Madeline. They have made home no work at all.

T. J. B.

INTRODUCTION

More and more therapists are assigning homework to their clients. Not only have short‐term therapy models endorsed this practice, but the benefits are being recognized by many traditional therapists as well.

WHY HOMEWORK?

Assigning homework to psychotherapy clients is beneficial for several reasons. With the advent of managed care, which often requires shorter and fewer treatment sessions, therapists assign between‐session homework to help maximize the effectiveness of briefer treatment. Homework is an extension of the treatment process, provides continuity, and allows the client to work between sessions on issues that are the focus of therapy. Homework is also a tool for more fully engaging the client in the treatment process. Assignments place more responsibility on the client to resolve presenting problems, counteracting the expectations that some clients may experience—that it is the therapist alone who can cure the client. For some, it even may bring a sense of self‐empowerment.

Another added benefit of homework is that these assignments give the client the opportunity to implement and evaluate insights or coping behaviors that have been discussed in therapy sessions. Practice often heightens awareness of various issues. Furthermore, homework increases the expectation for the client to follow through with making changes rather than just talking about change. Exercises require participation, which creates a sense that the client is taking active steps toward change. Homework allows the client to try new behaviors, bringing these experiences back to the next session for processing. Modifications can then be made to the client's thoughts, feelings, or behaviors as the homework is processed in the therapy session.

Occasionally treatment processes can become vague and abstract. By adding focus and structure, homework assignments can reenergize treatment. Moreover, homework can increase the client's motivation to change as it provides something specific to work on. Additionally, homework increases the involvement of family members and significant others in the client's treatment by using assignments that call for their participation. It promotes more efficient treatment by encouraging the client to actively develop insights, positive self‐talk, and coping behaviors between therapy sessions. Consequently, many clients express increased satisfaction with the treatment process when homework is given. They are empowered by doing something active that facilitates the change process, and it reinforces their sense of control over the problem. All of these advantages have made the assignment of therapeutic homework increasingly prevalent.

HOW TO USE THIS HOMEWORK PLANNER

Creating homework assignments and developing the printed forms for recording responses is a time‐consuming process. This Adult Psychotherapy Homework Planner, Sixth Edition, follows the lead of psychotherapeutic interventions suggested in The Complete Adult Psychotherapy Treatment Planner, Sixth Edition (Jongsma, Peterson, & Bruce, 2021) and provides a menu of homework assignments that can easily be photocopied. In addition to the printed format, the assignments in this Planner are provided online and accessible via a password for download after which they can be opened in WORD and customized to suit the client's individual needs or the therapist's approach or printed without change.

The assignments are grouped under presenting problems that are typical of those found in an adult population. These presenting problems are cross‐referenced to every presenting problem found in The Complete Adult Psychotherapy Treatment Planner. Although these assignments were created with a specific presenting problem in mind, don't feel locked in by a single problem‐oriented chapter when searching for an appropriate assignment. Included with each exercise is a cross‐referenced list of suggested presenting problems for which the assignment may be appropriate and useful called Additional Problems for Which This Exercise May Be Most Useful. This cross‐referenced list can assist you in applying the assignments to other situations that may be relevant to your client's particular presenting problem.

A broader cross‐referenced list of assignments is found in Appendix A, Alternate Assignments for Presenting Problems. Review this appendix to find relevant assignments beyond the one, two, three, or four exercises found in any specific presenting problem chapter. For example, under the heading of Depression—Unipolar in the appendix you will find 27 alternative assignments originally created for other presenting problems but relevant and easily adapted for use with a client struggling with depression issues. In this appendix, with every presenting problem are listed relevant additional assignments from throughout the book.

Remember, each assignment is available online and, therefore, can be quickly downloaded and edited for use with a specific client. This modified assignment can be saved on your computer's hard drive for repeated later use.

ABOUT THE ASSIGNMENTS

Therapists may introduce the homework assignment with varying degrees of detail and client preparation. Recommendations regarding this preparation and postexercise discussion are made on the title page of each assignment under the heading “Suggestions for Processing This Exercise with the Client.”

Clinical judgment must be used to choose the homework assignments that focus on relevant issues for the client. Each assignment contains a section on “Goals of the Exercise” to guide you in your selection of relevant homework for your client.

CARRYING OUT THE ASSIGNMENT

It is recommended that you review the entire book to familiarize yourself with the broad nature of the type and focus of the various homework exercises. Select a specific assignment from a chapter titled with your client's presenting problem or from the alternative list in the appendix and then review the list of homework goals. Assigning therapy homework is just a beginning step in the therapy treatment process. Carrying out the assignment requires a follow‐up exploration of the impact of the assignment on the client's thoughts, feelings, and behavior. What are the results? Was this assignment useful to the client? Can it be redesigned or altered for better results? Examine and search for new and creative ways to actively engage your client in participating in this homework process.

SECTION 1ANGER CONTROL PROBLEMS

Therapist's OverviewALTERNATIVES TO DESTRUCTIVE ANGER

GOALS OF THE EXERCISE

Increase awareness of how anger is expressed destructively.

Decrease the number, intensity, and duration of angry outbursts while increasing the use of new skills for managing anger.

Become capable of handling angry feelings in constructive ways that enhance daily functioning.

ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL

Antisocial Behavior

Attention Deficit Disorder (ADD)—Adult

Borderline Personality Disorder

Family Conflict

Posttraumatic Stress Disorder (PTSD)

SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT

Clients often feel they responded to a frustrating situation in the only way possible. They fail to realize that they have choices and control over their behavior. You may want to review the alternatives to rage listed in the first section of the assignment to help clients understand the alternatives they could apply when dealing with frustration or anger. Review the client's journal material and suggest additional constructive ways to respond to frustrating or hurtful situations that prompt mismanaged anger.

EXERCISE 1.AALTERNATIVES TO DESTRUCTIVE ANGER

Destructive anger can take many forms. Anger can be expressed in rage that is out of control, either verbally or physically. We also can express anger by snapping at someone or being unkindly critical. A third form that anger may take is that of cold, icy withdrawal that punishes others by shutting them out, shunning them, or refusing to acknowledge their attempts to relate to us. All of these reactions and many more can be destructive to the relationship and to our own feelings of self‐esteem. Destructive expressions of anger often generate later feelings of guilt and shame.

This exercise is designed to briefly identify some constructive alternatives to destructive anger by giving a brief description of the positive alternative. The goal is for you to consider these alternatives as you seek to replace destructive anger with more constructive behaviors. You will be asked to keep a journal of situations in your daily life that provoked anger and then note how one or more of these constructive alternatives may have been applied to the situations.

CONSTRUCTIVE ALTERNATIVES

Assertiveness:

Speaking forthrightly in a manner that is very respectful of the other person's needs and rights and does not attack anyone so as to make the person defensive.

Tune Out/Cool Down:

Recognize that the situation has become volatile and nonproductive and suggest withdrawal from the situation to give each party a chance to cool down and collect their thoughts and regain personal control.

Relaxation:

Learn and implement relaxation skills to reduce stress and tension through the use of words that cue relaxation, deep breathing that releases tension, imagining relaxing scenes, or deep muscle relaxation procedures.

Diversion:

When anger is felt to be building, find diversionary activities that stop the buildup and focus the mind on more enjoyable experiences.

Physical Exercise:

When anger and tension levels rise, physical exercise can be a wonderful way to release tension and expel energy as an alternative to losing control or exploding in rage.

Problem‐Solving Skills:

Identify or clarify the problem, brainstorm possible solutions, review the pros and cons of each alternative solution, select the best alternative for implementation, evaluate the outcome as to mutual satisfaction, and finally, adjust the solution if necessary to increase mutual satisfaction.

Self‐Talk:

Take time to talk to yourself in calming, reasoned, and constructive sentences that move you toward anger control and away from hurtful expressions of anger.

“I” Messages:

Speak to the target of your anger, describing your feelings and needs rather than attacking, labeling, or describing the other person's behavior, motivations, or goals. Begin your sentences with “I feel . . .” or “I need . . . .”

Other:

Describe your own or your counselor's alternative to rage.

APPLICATION TO DAILY LIFE

In the columns that follow, describe the date and time, the situation that prompted the angry response, the destructive response, and the alternative constructive response that might have been used. In the final row, instead of writing a full description of the alternative, you may simply enter the alphabetical indicator of the constructive alternative, A through I.

Entry 1

Situation

Day/Date

 

 

and Time:

 

 

__________

 

 

__________

 

 

 

Response

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alternative

 

 

Response

 

 

 

 

 

 

 

 

 

 

(NOTE:Please make additional copies of the next page for later entries.)

Entry

Situation

(# of entry)

 

 

Day/Date

 

 

and Time:

 

 

__________

 

 

__________

Response

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alternative

 

 

Response

 

 

 

 

 

 

 

 

 

 

Entry

Situation

(# of entry)

 

 

Day/Date

 

 

and Time:

 

 

__________

 

 

__________

Response

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alternative

 

 

Response

 

 

 

 

 

 

 

 

 

 

Therapist's OverviewANGER JOURNAL

GOALS OF THE EXERCISE

Develop an awareness of current angry behaviors, clarifying origins of and alternatives to aggressive anger.

Keep a daily journal of persons, situations, and other triggers of anger; record thoughts, feelings, and actions taken.

Decrease the number, intensity, and duration of angry outbursts while increasing the use of new skills for managing anger.

ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL

Antisocial Behavior

Borderline Personality Disorder

Family Conflict

Posttraumatic Stress Disorder (PTSD)

SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT

Some clients deny the degree of anger they feel and express. Other clients may be aware of feelings of anger but need help in understanding the contributing factors and causes for their anger. As you process the journal entries with clients, help them clarify and pinpoint these contributing factors and the causes for their anger. Often the causes for the anger are not those that are initially identified, but lie beneath the surface and can be discovered with some patient processing. Finally, it is helpful to press the client toward describing positive alternative behaviors that could have replaced the maladaptive anger responses that were selected in the heat of the moment. Positive alternatives may include things like assertiveness, timeout, problem‐solving, “I” messages, or self‐talk.

EXERCISE 1.BANGER JOURNAL

To make you more aware of your angry feelings, the circumstances surrounding them, the target of them, the causes for them, and how they were shown, you are being asked to keep an anger journal. This journal will help you record the when, what, who, why, and how of the angry feelings as well as allow you to give some thought to what alternative emotional, behavioral, or cognitive reaction you might have had to the situation. Be as honest as you can be with yourself about your angry feelings, trying not to discount them, excuse them, or deny them. When you conclude that you have experienced anger, that is the time to make an entry into this journal. Your entries do not have to be lengthy; a sentence or two will suffice. You should enter enough information to permit you to discuss each incident with your therapist as you try to process and learn from your anger experiences. Do not forget to include experiences that have generated some anger within you even though you did not express it in words or behavior. The buildup of unexpressed anger can result in an inappropriate outburst at a later time. This journal may help you understand that phenomenon. It is also important for you to give some thought to the last entry; that is, what alternative positive reaction could you have given to the situation instead of burying or blurting out your feelings of anger. Often there is a more constructive response available that you are able to discover when you give the issue some calm consideration and analysis. The heat of the moment leads many of us to make mistakes. Try to make at least one entry per day into your anger journal.

The anger journal that follows asks you to enter the date and time of the experience that generated anger. Second, you are asked to enter a description of the situation, such as where you were and what was happening. Third, you are asked to name the people who were present and specifically the people with whom you were angry. Next, you are asked to enter a sentence or two indicating your reason(s) for being so angry or the cause of your anger. Then you are asked to describe how your anger was or was not revealed. In the final column, enter your thoughts about how you could have responded to the experience more constructively. (NOTE: Please make additional copies of the form for later entries.)

Entry

What

(# of entry)

(Situation)

 

Day/Date

 

 

and Time:

 

 

__________

Who

 

__________

(People)

 

 

Why

 

 

(Case)

 

 

 

 

 

How

 

 

(Reaction)

 

 

 

 

 

Alternative

 

 

Positive

 

 

Reaction

 

Entry

What

(# of entry)

(Situation)

 

Day/Date

 

 

and Time:

 

 

__________

Who

 

__________

(People)

 

 

Why

 

 

(Case)

 

 

 

 

 

How

 

 

(Reaction)

 

 

 

 

 

Alternative

 

 

Positive

 

 

Reaction

 

Therapist's OverviewASSERTIVE COMMUNICATION OF ANGER

GOALS OF THE EXERCISE

Verbalize feelings of anger in a controlled, assertive way.

Decrease overall intensity and frequency of angry feelings, and increase ability to recognize and appropriately express angry feelings as they occur.

Demonstrate respect for others and their feelings.

ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL

Antisocial Behavior

Bipolar Disorder—Mania

Family Conflict

Impulse Control Disorder

SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT

The purpose of this exercise is to improve the client's ability to verbally express anger in an assertive manner. Teach the client effective communication skills and/or coping strategies in the therapy sessions to help the expression of feelings of anger in a direct, calm, controlled, yet nonaggressive manner. The client is encouraged to practice the assertive communication techniques on a regular basis at home, at school, and in the workplace. The first page of the assignment identifies several effective communication skills. Feel free to teach the client other effective communication skills that will help the client to express anger appropriately.

EXERCISE 1.CASSERTIVE COMMUNICATION OF ANGER

In this assignment, you are asked to practice expressing your anger in a calm, controlled, and assertive manner on a regular basis at home, at school, or in the workplace. Assertive communication of anger includes the following characteristics:

Use of “I” statements—“I” statements reflect ownership of thoughts and feelings. Effective “I” statements are present‐focused and free of manipulative ploys. Use of “I” statements are more likely to reflect statements of personal responsibility.

Avoid use of “You” statements that are often blaming, accusatory, or judgmental in nature. “You” statements often focus on the other person's faults and place them on the defensive.

Calmly state your reasons for your anger. Refer to specific behaviors and focus more on the present situation and not on past faults of the other person.