Читать книгу The Adult Psychotherapy Progress Notes Planner - Berghuis David J., Arthur E. Jongsma Jr., David J. Berghuis - Страница 16

1 Excessive Worry (1)¹The client described symptoms of preoccupation with worry that something dire will happen.The client showed some recognition that his/her/their excessive worry is beyond the scope of rationality, but he/she/they feel unable to control it.The client described that he/she/they worry about issues related to family, personal safety, health, and employment, among other things.The client reported that his/her/their worry about life circumstances has diminished and he/she/they are living with more of a sense of peace and confidence.

2 Excessive Worry Response to Recent Stressor (2)The client described symptoms of preoccupation with worry that something dire will happen in response to a recent stressor.The client showed some recognition that his/her/their excessive worry is due to a recent stressor.The client reported that his/her worry about a certain stressor has diminished and he/she/they are living with more of a sense of peace and confidence.

3 Excessive or Unrealistic Worry (3)The client has described symptoms of excessive and/or unrealistic worry.The client's excessive and/or unrealistic worry has decreased.The client reported an average amount of worry that is realistic in nature.

4 Motor Tension (4)The client described a history of restlessness, tiredness, muscle tension, and shaking.The client moved about in his/her/their chair frequently and sat stiffly.The client said that he/she/they are unable to relax and are always restless and stressed.The client reported that he/she/they have been successful at reducing levels of tension and increasing levels of relaxation.

5 Autonomic Hyperactivity (5)The client reported the presence of symptoms such as heart palpitations, dry mouth, tightness in the throat, and some shortness of breath.The client reported periods of nausea and some diarrhea when anxiety levels escalate.The client stated that occasional tension headaches are also occurring along with other anxiety-related symptoms.Anxiety-related symptoms have diminished as the client has learned new coping mechanisms.

6 Hypervigilance (6)The client related that he/she/they are constantly feeling on edge, that sleep is interrupted, and that concentration is difficult.The client reported being irritable and snappy in interaction with others as his/her/their patience is thin and he/she/they are worrying about everything.The client's family members report that he/she/they are difficult to get along with as his/her/their irritability is high.The client's level of tension has decreased, sleep has improved, and irritability has diminished as new anxiety-coping skills have been implemented.