Friday, July 25, 2008

Ineffective Positive Coping Strategies


Diagnosis: Substance Dependence


Problem: Ineffective positive coping strategies
Long Term Goal: Veteran will be able to implement positive coping strategies independently.

Intervention:

I. Session Title: Coping Skills.

II. Group Therapy time/date: 60 minutes.

III. Topic of discussion/needs addressed:
positive coping
strategies for recovery.
The group members read and discussed
the
handout "An affirmation is a gift to
myself" looking at how their way
of looking
at situations can determine how they feel
about it. They
created a personal
affirmation and shared it with the group.
Having
a positive attitude was processed
as a coping skill for recovery.
They read
"Affirmations" by Louise Hay which
focuses on gratitude,
making positive
changes, being in the here and now as
well as having
a positive outlook on life.
The statement "those who think they can

and those who think they can't are both
right" was processed. They
were encouraged
to keep a gratitude journal to increase their

positive thoughts.

IV. Goals and/or Objectives: Group member
will participate in
discussions and exercises
during the group. He/she will demonstrate

an understanding of the topic as evidenced
by quality/content of
participation.

V. Participation/behavior A. Attendance:

{x} Attended full session
{} Arrived late.

B. Level of Participation {} Appropriately
initiates, discloses and sustains
conversation, engages appropriately in discussions.

{x} Discloses relevant information within the structure of the group.
{} Excessive discussions, may disclose
information
inappropriately at times or
discuss items not pertinent to topic.

{} Requires maximum cuing to
participate or does not
participate in
discussion.

C. Attention

{x} attentive, eye contact as appropriate,
appears interested
throughout the group
{} intermittent periods of attention/inattention
{} lacks eye contact, appears disinterested
throughout the
group.

VI. Outcome:
He/she met goal to demonstrate an
understanding of the topic
as evidenced
by quality and content of participation: {x} Yes.
He/she met goal to participate in the group
discussions and
exercise: {x} Yes.

VII. Plan: Continue coping skills group
/es/ PAM, MHSE OTR/L
Occupational Therapist

I left the class thinking, if I believe I can stay
sober, I will. I had been
drinking for forty years and it nearly killed me. I have to believe that
statement.

I did not particularly like this instructor, her
class came over pretty flat.

Author: Alden Morrison