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What is a Treatment Plan & how do we make one?
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- Опубликовано: 12 окт 2014
- I'm Kati Morton, a licensed therapist making Mental Health videos!
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Basically the only treatment goal I said was “family harmony” and we hardly talk about it. They have tons of goals for me like “stop smoking weed so she can be discharged”. When I asked what happens after I’m off weed and have more intense anger, I was rushed out the door :( it’s dehumanizing to treat someone like an unmanageable animal to be broken. I’m afraid the ACT team will separate me more from community.
This video was perfect timing, I'm starting at my new therapist tomorrow, so it's really nice to have an idea of what will happen! :-)
There are many factors in ways to treat anxiety. One resource I found that succeeds in merging these is Kevs Control Plan (google it if you're interested) without a doubt the most incredible resource that I've heard of. look at all the interesting info .
I sub! I am in Grad school for MFT. This was helpful from the perspective student and someone who would love to do therapy one day. You have a precious and sweet heart.
Interesting thought.... your main goal is to get them to not need therapy anymore. I feel way too "excited" about therapy that I never want to leave. I plan all week about what I want to talk about the next week. I recently got a therapist with my parents' permission but previously I had a therapist through the school without them knowing. I still talk to her and she knows about my new therapist. I don't really like her that much but I love to tell her great things that happen. I get way too attached... I don't have the courage to tell her that I don't want to see her anymore. A part of me doesn't want to let go. And I love to update the school counselors about my progress in recovery... I have group sessions with my friends as well. I also find it really disturbing to look things up about my new therapist... I feel like a stocker. I have this weird obsession of wanting to know about the therapist's personal life. But then when I find out she had the same struggles as me... I compare our stories and feel invalidated because she got "sicker" than me before she got help. This is just so wrong, I don't know how to stop getting so attached to the people who care about me.
Oh, that just means you have boundary issues. Tell your therapist that you want to work on boundaries :)
I am intimidated by goals. I feel like goals may overshadow the dialogue I hope to build in therapy
As a client or therapist?
I love the roadmap analogy at the end
Journal topic “Recovery does not mean cure. Rather recovery is an attitude, a stance, and a way of approaching the day’s challenges. It is not a perfectly linear journey. There are times of rapid gains and disappointing relapses. There are times of just living, just staying quiet, resting and regrouping. Each person’s journey of recovery is unique. Each person must find what works for them. This means that we must have the opportunity to try and to fail and to try again.” What works for you ? What opportunities have you tried and failed and accomplished? Focus not on the things you couldn't do, but the things you were able to accomplish after thinking that you couldn't do it.
+Jen M This is brilliant! Thank you :)
To clarify a statement you mention: ethically, every provider must talk with the client about their treatment plan. The client is to be involved in the treatment plan and have control/input into the treatment plan. I mention this not because of you as I know you do this, but many providers do not. Just for example, in the ACA 2014 Code of Ethics, there are several locations to look up about informed consent for treatement: D.2.b. Informed Consent in Formal Consultation, A.2. Informed Consent in the Counseling Relationship and if they want to change the role/plan, A.6.d. Role Changes in the Professional Relationship, and more.
Thanks for great videos Kati and for being a therapist who is safe and competent for her clients! Therapy can be a very helpful experience with providers like yourself. I want to see more providers like yourself and am working with others to improve those odds.
Thanks, Kati. I wish every therapist were this thorough!
Kati you are amazing. I have always wondered about this. Thank YOU!!!!!!! :) *rises and claps hands three times in a row*
Excellent video! Thank you. I work at a substance abuse detox as a case manager and this was very helpful.
I didn't even realise that my counsellor was doing this with me at the time. Mine talked about the intended time scale of the treatment as well as talk about being more accurate with my treatment goals. I have Primarily obsessive OCD and she talked about assessing how you would like to be treated and to be realistic like how if someone wants to be a better runner if they are an athlete you need to be more accurate and describe how much further you would like to get and how much quicker do you want to get. It was a helpful analogy for me to understand.
This is an excellent video explaining what a treatment plan is. You simplified the subject very well, and it is easy to follow. Thank you!
Brilliant! thanks heaps, I needed some inspiration for a assignment I am finalising.
Exposure Therapy and CBT works well for
agoraphobia and anxiety.
Such a helpful video! Thank you so much Kati :) P.s. Hope you had a lovely birthday!
Thanks for the thought, going to need a large 3 ring binder.
I really wish you could be my therapist! I'm getting one soon & I hope they are like you!
I've been with my first therapist since may. She asked why I was there on day1. Then every session since, has been me rambling. I pause thinking she will jump in and ask questions, guide me, make a treatment plan or guide me in ways to achieve my goal, but she doesn't do anything. So I ramble...people pleaser that can't stand silence. No idea what to do from here. I mentioned it to her a couple of times, saying I don't think anything is changing. She got mildly defensive. She's very nice. But I feel like there's something missing. I'm not sure what I expected, but after watching your videos I think I need more structure and guidance. I don't know that I have the energy to find a new Dr, which was the main reason I was seeing her in first place. When I asked her point blank if I had depression she said yes, get on med. Primary Dr gave me meds that we've been increasing over time, but zero difference. I feel like a psychiatrist may be better, then I'm getting the therapy part and meds by one person. I just don't have any on my insurance plan that don't work in treatment facilities. That seems like it's the complete opposite of my therapist. She said she feels like I just need someone to vent to. I don't. I have a family and friends for that. And talking about problems isn't 'venting. I don't get it. I feel like I'm doing therapy all wrong.
Do you have any videos showing examples on you putting together treatment plans?
It helps me for my study.
Thanks for making this video
Happy birthday Kati!!! Xxxx you are so inspirational! *****
Outstanding Video. Now i can get going on my assignments.
what do I do if I suspect my therapist doesn’t have a treatment plan she is consistently adjusting, and instead is trying to keep me as a client in order to get paid?
thank you so much for this awesomely ha bisky vid i loved it so much and i am bookmarking this video so i can refer back to it just in case i need it for anything/when i am ready to get better
Haha "what brings you here today?" Try being in the ER waiting to get in to the psych unit...they ask you that SO MUCH.
It was really helpful for me that my inpatient helped me make a post treatment plan and I was able to use those ideas to work with my current therapist.
Hi Kati, I am an LPC and I teach my students that they should be working WITH the client to develop and update the treatment plan. It shouldn't be a secret!
Thank you Kati! :)
I was having some trouble understanding how to get started. Starving student here. 💪😀👍
Im getting a treatment plan in 2 weeks and im going to a paediatrician next week from today.
thank you !
Thank you for this video you just answered all i search for 😄 . I have activity in Diass Counseling in action. Thank you very much.this really realy helpful
Hi Kati, I have a question: If you are diagnosed with any mental illness, can the diagnosis ever go away if the person has a major positive life change?
Depends on the illness. Generally, you can be in recovery, or have learned so much that you are coping so well that you almost forget you have it, but if you stop using your coping tools you'll know all about it
I have to do pie charts. Like when I start catastrophizing certain little situations I need to do a pie chart of all the possible explainations.
No graphics that show how it actually looks and is done.
I got diagnosed in my first session
o-o Wow that was fast I start therapy next week do you think they will do the same? I want medication but at the same time I don't.
Hello Kati,
My concern is not too much about the treatment plan but the theoretical approach and the appropriate intervention for the case in question. That is kind of confusing. Thanks
Hello. Have you ever considered offering a similar venue for MFTI's preparing for the SWE and/or CV?
Have a good day, *****! :)
Hi Kati, I recently learned about you from Shane. I am currently completing my second year of my MFT program and have been utilizing your videos to simplify some of the information I learn. I was wondering if you only make videos for the general population about therapy, or do you also assist future therapists by coming from a more clinical perspective when explaining the various topics in your videos? Like applying theories etc.
#katifaq I was released from the hospital about a month ago after a suicide attempt. Since I was asked quite a bit about previous history of hospitalization and medication, it really made me think about my experience when I was 11 and how abnormal it might have been. I'm just trying to process the whole thing since I haven't really thought about it. Two main things I have questions about; first, when I was put in the hospital it was decided that I was too young for the adolescent ward and put with the adults. Second, every session I had with my doctor was done with my mom in the room so I was never able to really tell him anything due to a controlling and abusive family dynamic. Looking back I can't help but wonder how normal or ethical this was. Either way it seems just wrong. Am I reading too much into this? Sorry this got so long. Thanks for all that you do!
Hey Kati I have a question. My therapist wants me to do group but I have no clue what to expect or what happens in group. Can u tell me?
Kati, super impressed by your videos. You are super lively and animated, love it! Great layman's term info for people. Sent you a message on LinkedIn. I am on the East Coast, LMFT as well and co-own a company helping mental health professionals fulfill their dreams through world-class personal and professional development. We reach out and connect with rockstar MHPs like yourself doing awesome things. We love to chat!
Happy Birthday kati xoxo have a wonderful Day :)
I'm starting my CASAC classes next month and making a treatment plan for my future clients feels like it's going to be extremely complicated.
How do you get rid of irrational fear? Like I took an HIV test and it was negative but I think the doctors infected me with hiv. I have pin and needle pain in my hands prickling feeling my doctor says it anxiety
Okay, so you talk about making a treatment plan for your clients. But what if your therapist wants to create a plan with you? I mean, I'm all for being involved in my plan but I don't even know where to begin. Knowing what my plan is would take out the element of surprise/anxiety of knowing that they have a plan and I don't which is why I think they are doing it this way. But what does it look like to work with a client on coming up with a plan? My end goal is to deal with and be able to talk about my traumas without all the negative feelings, as well as have less nightmares and less anxiety about generally everything. I know that is a lot of goals but I put off therapy for so long and they all kind of stem from the same thing. I think by focusing on the trauma stuff that the rest of the goals will fall easily in place or get addressed along the way. I don't know. I'm not a therapist. Help!
Some of these are just too good to even explain. Thanks
Hey kati, #katifaq so I have a question for you as you know my seizures are stress related and therapy is a trigger for them too any advice you could give to a) help keep stress levels down and b) to not feel so overwhelmed and anxious about going to therapy as it my induce a seizure later in the day
Hey Kati, I just have a quick question. Why do I shut down in therapy? I have seen several different therapists and each time I have went I had such a hard time opening up, and seems like everything I wanted to say completely flew out of my head. The last therapist I had actually told me that unless I start opening up more, she cannot help me anymore. I am going through some stuff right now and feel like I need to see a therapist again. However, I am scared that when I go, I will blank out and not be able to say anything or not be able to open up and just look stupid. It is so frustrating because I want to open up so badly and I want to say things but I simply can't!!!! Any advice on this..Thanks so much, you rock Kati. #KatiFAQ
Kate Coppola This might not work for you but I also struggled with this so I'll let you know what I do. I set aside a notebook specifically for therapy. Then I start it with the main issue. I write until I've gotten it out then I bring it in as a reminder or as a way of opening up. Then between sessions I write down things I want to bring up at the end of each day in a little list. Or I write out any really difficult to talk about topics. This helps me to open up and avoid blanking in the sessions.
Maybe doing something similar would be helpful for you too. 😀
Best of luck!
hey kati great video :) i have a quick question...can an asthma attack be similar to a panic attack??
No
You know what, I'm pretty sure it is somewhat similar. From an asthmatic, I know asthma attacks can be brought about by anxiety and stress. The similarity between the two can differ depending on who you are though because during a panic attack you may wheeze and have symptoms of a panic attack but feel like your having an asthma attack because of palpatations and feeling like your chest is collapsing.
About how long does the therapist assessment/diagnosis part last?
I do assessment first then treatment plan next Hmm
Hi Kati #katifaq .. I have a question, hope you can help me out. I was diagnosed with depression and anxiety about 7 months ago. I accepted medication and meeting with a therapist. With time, I started to feel better and cope, to the point where I didn't need to see my therapist anymore. You could say my progress was fast.. I am still taking my meds but within the last 2 months, I've hit extreme lows to the point where it disables me for days and I lose my appetite. Then there are days when I feel very energetic and able. Is it possible that my depression is worsening? Not sure what's going on. Thank you for your videos and support! :)
I love your videos!!!!! :)
#katifaq Hi Kati, I've struggled with depression and anxiety but after CBT i've been doing alot better. However I'm really struggling at the moment with 'Boom and Bust' (all or nothing) For the first few weeks of Uni I was doing great, doing all of the reading and feeling really productive at work and at volunteering. Now I feel like i've crashed and the last few weeks I've felt too tired and not motivated to do anything and i feel my depression creeping back in. Any suggestions on how to break this cycle?
If you're still interested, I had a similar situation last year, and exercise was emphasized to bring up endorphins and build an energy reserve. After riding a stationary bike I felt better. A small hike with friends helped too. But another element is self care...that is crucial to follow too, so a cocoa and cuddly blanket one day and a See's chocolate treat another day helped too. DBT has a workbook that emphasizes both self soothing and self compassion lists to keep handy. You can get the workbook online easily. Hope you feel better soon!
Do you have any videos on interventions??
Hey Kati! I had I question. I just changed therapist temporarily & the new therapist asked how long I had been in therapy. I told her maybe 11 months and she said that usually therapy doesn't last longer than 9 months, or at least they won't see you as frequently. It kind of made me upset and like I failed. Is this true??
Do you go to a mental health facility
I just had a first appointment with a potential private therapist who deals with CBT therapy and is a psychologist and...... I hated it. And didn't like him. Now I feel really bad. Cos it didnt work out I feel like I failed. He didnt "get" me he doesn't know my story and expected me to just come out and say what happened in my past like its nothing I said I don't want to go in to it and he said I should I was so uncomfortable and told him I didn't want to, when he asked why I said "cos your a stranger " and he didn't get that it's so hard for me & told me that's where my issues with S/H,ED,anxiety & depression stem from and unless I open up I won't get better. I completely shut off after that and when I left decided I'm never going back. Now I'm thinking fuck I'm never going to get better are they all like this in the UK??? I'm so f***ing angry it's so hard to get help it's just constant failures. I thought private works be better than NHS as I've been waiting over 8 months for NHS help on waiting lists even tho I'm suicudal and currently SH.i need help so bad but now I wanna give up.
Ask to change therapists until you get one you like x
They’re not all like that, I think it sounds like building rapport with your therapist is number one priority, when you’re ready you can talk about it but I guess just let them know initially it’s hard for you to open up straight away, totally normal thou, being vulnerable is so hard for so many people I understand
Hi kati, love your videos!
Okay so why is it that i dont like to eat around people? Literally all day through school i wont eat unless its something quick say like crackers or something. I wont eat lunch or any of that. I will do the same at restaurants... And lately i just feel fat. I feel like i gained so much weight after i stopped doing sports, but could my mind be telling me to "not eat"?
Please help!
(I also have depression)
I just love you to PIECES Kati! LOL
What do I do if I'm having challenges getting a therapist to create a treatment plan for me? I've gone through several therapists in this area both self-pay and through insurance and they refuse to do a treatment plan. Isn't this a standard of care? How to get the most out of my treatment if they won't do it? I feel like we're just having a nice chat without any direction and still not getting anywhere. Please advise.
what would I do without you! I'd be lost !
SOWK 544
I'm confused.. I didn't think therapists could make diagnosis..? This is just what I've been told..
I know this comment is from like 2 years ago, but they can. A therapist is where I got mine from.
Do people really do treatment plans without their client??
What a pretty eyes...
Useless!