Treatment Plan
Name
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First Name
Last Name
Therapeutic approach/ technique/ modality/ frequency:
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INTERVENTIONS: #1: individual therapy using Cognitive Behavior Therapy, as needed. #2: individual therapy using mindfulness, as needed. GOALS: #1: increase clt's awareness of self and others Plans for achievement: using CBT methods, clt will begin to become aware of situations and triggers for emotions. #2: increase empathy for self Plans for achievement: using mindfulness techniques, clt will begin to understand her own needs and advocate for herself
Has a discharge date from therapy been determined?
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Yes
No
If no...When is the next review date: _________________________ If yes...What is the anticipated discharge date: ______________
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**Standard review date is 1 year from date signed
If a date is anticipated, what services are recommended after discharge from In One Peace?
I have played an active part in the creation of this treatment plan and consent to fulfilling it as an agreement to myself and my therapist.
Signature
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Submit
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