Information was obtained from the deployed parent. Encourage Support from Other “Stay-Behind” Parents A. The non-deployed parent was asked to talk with other “stay-behind” parents. The non-deployed parent was asked to get feedback from other parents about how deployment has affected their families. The non-deployed parent has sought out support and information from other families, and this information was processed. The non-deployed parent has not sought out contact with other stay behind parents and was redirected to do so.
The service member’s chain of command was advised about his/her suicide potential. The follow-through of significant others in providing supervision of the veteran/service member during this suicide crisis was monitored. Significant others were contacted to make sure that the veteran/service member was receiving adequate supervision. Identify Immediate Help A. The veteran/service member was asked to identify a clear plan for seeking help if he/she feels suicidal prior to the next appointment. The veteran/service member was directed to contact his/her immediate supervisor, relative, or friend if his/her suicide thoughts become overwhelming. The veteran/service member committed to specific options for seeking help if he/she feels suicidal prior to the next appointment, and this support was reinforced.
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The partners were assessed for their understanding of the gradations of anger and when they need to take steps to cool down. Feedback was provided to the partners regarding their use of cool-down techniques when becoming too angry. Identify “Hot Topic” Responses A. Each partner was asked to identify topics that seem to be “hot” and cause increased emotional responses. After identifying “hot topics,” the partners were directed to practice in-session cognitive rehearsal about how to cope with such topics adaptively. E. The service member has made a final decision as to his/her military status.
Assess for Affairs Each partner was asked about involvement in an affair. The partners were questioned about their suspicion of extramarital affairs. There is a strong suspicion about extramarital affairs, and this was brought out into the open.
The veteran/service member has not regularly used cognitive techniques learned in group, and was reminded to do so. The veteran/service member was reminded to use cognitive rehearsal in high-risk situations and to review throughout the day the top five reasons why it is important to quit. Instruct about Behavioral Practice A. Instructions were given to the veteran/service member about consistently practicing behavioral techniques learned in group. The veteran/service member was reminded to use delaying, fading, and aversion techniques. The veteran/service member has regularly used behavioral techniques and was reinforced for this progress.
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The veteran/service member has not coordinated to visit with someone else who knew his/her fallen comrade and was redirected to do so. Encourage Annual Memorial Service A. The veteran/service member was encouraged to plan an annual memorial service honoring the fellow comrade. The veteran/service member has followed through on developing and implementing an annual memorial/ritual to commemorate the memory of the lost comrade; this experience was processed.
The service member was able to identify how the me-first approach is contrary to military values and traditions. The service member was supported as he/she processed feelings about the difference between his/her me-first approach and military tradition. Teach the Value of Honesty A. The service member was asked to list the benefits of honesty and reliability for himself/herself and others.
The veteran/service member was supported as he/she has taken specific steps to grieve the loss of his/her comrade. The veteran/service member has not taken specific steps to grieve the loss of his/her comrade and was redirected to do so. B. The veteran/service member was encouraged to be forthright regarding the current strength of his/her suicidal feelings and the ability to control such suicidal urges. The veteran/service member was assessed as being at a high risk for committing suicide.
The parents were assigned “Parenting as a Team” from the Adult Psychotherapy Homework Planner, 2nd ed. The parents completed the homework assignment, and the content was processed within the session. The family has adjusted well to the return from deployment, and the parent’s teamwork was supported. The family has not adjusted well to the return from deployment, and the spouses are not parenting as a team; additional treatment is needed.
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The service member reports that he/she has begun to cope with the demands of family, social, and occupational responsibilities. The service member reports that he/she is very much enjoying fulfilling his/her family, social, and occupational responsibilities. Assess for Alternate Etiology The service member was assessed for other explanations for his/her reported symptoms. The service member was assessed for psychiatric illness. The service member was assessed for traumatic brain injury concerns. The service member was assessed for substance abuse problems.
The https://www.hookupranker.com/singles50-review described sexual behaviors are focused on self-gratification only and reflect no interest in the needs or welfare of the partner. The service member acknowledged that his/her sexual behavior has no basis in respect or expression of commitment to a long-term relationship. The service member reported that he/she would like to develop a relationship in which sexual intimacy was a reflection of commitment and caring rather than merely sexual release. Disciplinary Actions A. The service member has received multiple disciplinary actions for disruptive and disrespectful behavior. The service member is at risk for being discharged due to his/her disruptive and disrespectful behavior. As treatment has progressed, the service member has become more respectful in his/her behavior.