The veteran’s/service member’s successful passing of random urinalysis testing was reinforced and celebrated. The veteran/service member has not successfully passed his/her random urinalysis, and his/her treatment was refocused. D. The veteran/service member has become proficient in coping techniques for his/her panic attacks; he/she was reinforced for the regular use of these techniques. The veteran/service member has not regularly used coping techniques for panic attacks and was provided with additional training in this area. The veteran/service member has been successful at turning his/her focus away from internal anxiety states and toward behavioral responsibilities; he/she was reinforced for this progress.
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10. The veteran/service member did not display a clear understanding of the use of cognitive restructuring and exposure and was provided with remedial feedback in this area. Teach Anxiety Management Skills A. The veteran/service member was taught anxiety management skills. The veteran/service member was taught about staying focused on behavioral goals and riding the wave of anxiety. D. The service member was supported as he/she identified and rated his/her stressors.
Refer for Medication to Treat Headaches A. Referral to a physician was made for the purpose of evaluation for a prescription of medication to treat headaches. Medications to lessen headaches have been prescribed for the veteran/service member. Teach Headache Avoidance Strategies A. The veteran/service member was taught how to recognize and avoid headache triggers. Triggers such as caffeine, dehydration, and intense physical exercise were reviewed with the veteran/service member.
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The JerkMate has not adjusted well to the return from deployment, and the spouses are not parenting as a team; additional treatment is needed. The veteran/service member was urged to make further amends while working through Steps 8 and 9 of the 12-step program. Assess and Monitor Withdrawal A. During the veteran’s/service member’s period of withdrawal, he/she was consistently assessed and monitored using a standardized procedure. The Narcotic Withdrawal Scale was used to monitor the veteran’s/service member’s period of withdrawal.
The veteran/service member has not made significant progress in physical therapy, and the barriers to this progress were reviewed. The veteran/service member displayed a clear understanding of the manner in which cognitivebehavioral therapy can help in the management of chronic pain, and this was reinforced. The veteran/service member struggled to understand how cognitive-behavioral therapy can help in the management of chronic pain and was provided with remedial information in this area. Provide Rationale for Treatment A. The veteran/service member was taught how treatment can help him/her understand how thoughts, feelings, and behavior can affect pain. The veteran/service member was taught about how he/she can play a role in managing his/her own pain.
The veteran/service member has engaged in self-mutilating behavior on several occasions. The veteran/service member made a commitment to terminate suicidal gestures and threats. The veteran/service member agreed to stop the pattern of self-mutilating behavior. There have been no recent reports of occurrences of suicidal gestures, threats, or self-mutilating behavior. Encourage Continued Weapons Practice The service member was encouraged to participate in shooting range practice. The service member was encouraged to continue to spend time and cleaning his/her weapon.
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The veteran/service member was referred to a pain management program to learn alternatives to substance use for managing pain. As the veteran/service member has gained better control over his/her pain, it was noted that he/she has gained greater control over substance use. Recommend Prayer/Meditation The veteran/service member was encouraged to pray on a daily basis. The veteran/service member was recommended to meditate on a daily basis. The veteran/service member has engaged in daily devotional practices, and his/her experience was processed. The veteran/service member has not used prayer or meditation on a regular basis and was redirected to do so.
The veteran/service member reports a sense of guilt for his/her untruthfulness to family and friends regarding tobacco use. The veteran/service member has become more honest about his/her tobacco use. Tobacco Use Despite Losses A. The veteran/service member has continued to use tobacco despite having someone close die from tobacco-related cancer or pulmonary disease. The veteran/service member tends to minimize the contribution tobacco had on his/her loved one’s death. As the veteran/service member has become more accepting that his/her loved one died due to tobacco-related causes, his/her motivation for decreasing tobacco use increased.
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