Читать книгу The Adult Psychotherapy Progress Notes Planner - Berghuis David J., Arthur E. Jongsma Jr., David J. Berghuis - Страница 31

1 Physical/Sexual/Emotional Abuse (1)¹The client reported that he/she/they had a history of physical, sexual, or emotional abuse.The client reported that painful memories of abusive childhood experiences are intrusive and unsettling.The client reported that nightmares and other disturbing thoughts related to childhood abuse interfere with his/her/their sleep.The client reported that his/her/their emotional reactions associated with the childhood abusive emotional experiences have been resolved.The client was able to discuss his/her/their childhood abusive experiences without being overwhelmed with negative emotions.

2 Neglect Experiences (2)The client reported a history of parents who were neglectful of his/her/their emotional and physical needs.The client's feelings of low self-esteem, lack of confidence, and vulnerability to depression are related to his/her/their childhood experiences of neglect.The client stated that his/her/their parents were involved with substance abuse and this led to neglect of their child-rearing responsibilities.The parents' involvement in work and their own self-centered experiences led to neglect of the children.The client reported that his/her/their parents had limited intellectual capacity and failed to comprehend the full responsibilities of parenting.The client was able to discuss his/her/their childhood experience of neglect without becoming overwhelmed with negative emotions.

3 Chaotic Childhood History (3)The client described his/her/their childhood history as chaotic, related to frequent moves, substitute caretakers, financial instability, multiple parental partners, and the in-and-out presence of stepsiblings.The client described growing up in an alcoholic household, which led to significant instability.The client described one of his/her/their parents as seriously mentally ill, resulting in multiple periods of hospitalization and instability at home.The client described his/her/their parents as irresponsible and antisocial, leading to many legal and interpersonal conflicts.The client identified that he/she/they have been able to move on from his/her/their experiences of chaos in his/her/their childhood.

4 Repressive Parents (4)The client described his/her/their parents as rigid, perfectionistic, and hypercritical, resulting in him/her/them consistently feeling inadequate.The client reported that his/her/their parents were threatening and demeaning, resulting in feelings of low self-esteem.The client reported that his/her/their parents were hyperreligious, resulting in rigid, high expectations of behavior and harsh discipline.The client described an emotionally repressive atmosphere at home during his/her/their childhood as a result of his/her/their parents' lack of nurturance, encouragement, and positive reinforcement.The client has been able to overcome the effects of his/her/their parents' repressive parenting style.

5 Irrational Fears (5)The client's early-life experiences have led to continuing irrational fears in the present.As the client has developed insight into conflicts related to his/her/their childhood, his/her/their irrational fears have begun to diminish.The client reported a greater sense of security and an absence of previously held irrational fears.

6 Suppressed Rage (5)The client reported that his/her/their early painful experiences have resulted in feelings of anger and unexpressed rage.The client has begun to express suppressed feelings of rage toward his/her/their parents for their treatment of him/her/them during childhood.The client's level of anger has diminished and he/she/they reported a greater sense of peace.

7 Depression and Low Self-Esteem (5)The client reported feelings of low self-esteem and depression related to painful experiences of childhood.As the client has shared his/her/their pain related to childhood experiences, the feelings of low self-esteem and depression have diminished.The client reported increased feelings of positive self-esteem and a lifting of depression.

8 Identity Conflicts/Anxious Insecurity (5)The client reported struggles with his/her/their identity and feelings of insecurity due to painful childhood experiences.The client reported a clearer sense of identity and more self-confidence as his/her/their painful childhood experiences were processed.

9 Dissociative Phenomena (6)The client reported the presence of dissociative phenomena during times of high stress as a result of childhood emotional pain.The client reported that his/her/their experiences of dissociative phenomena have terminated as he/she/they worked through the painful experiences of his/her/their childhood.