CP-TP 1 Case Presentation Treatment Plan

CP-TP 1 Case Presentation Treatment Plan (CP-TP)

Problems 1. From Step 2 of your inverted pyramid (IPM) (the CP-CC assignment), write out your problems behaviorally by order of problem (1. GAD – anxiety, etc, etc. 2. Major depressive disorder – sadness, etc). See the CP-TP example of Penny. 2. You may have more than 1 problem to write out. For example, if you used the Descriptive-Diagnostic Approach (p. 91) with major depressive disorder, generalized anxiety disorder, and Z62.820 parent-child relational problem then write out these three problems (1, 2, 3).

Goals for Change 1. First problem here · Write up specific, measurable (e.g., reduce, eliminate, etc) outcome goals. 2. Second problem here · Write up the next set of specific, measurable outcome goals for this problem.

Therapeutic Interventions Offer your theory here and estimate treatment length based on the severity of the problems. For example, minor depression may be resolving in 5 to 10 weeks but personality disorder in 5 to 10 years. If the client was depressed and had a personality disorder you would treat the depression first and then the personality disorder. Also, within each problem you would tier the approach, e.g., you would not attempt to do cognitive restructuring without first offering education on the cognitive model, identifying the problematic situation, and conditional assumptions. Offer citations here that are used to support the interventions used (e.g., Jones, and Jones, 2020) and offer full citations in references below. 1. Offer the first problem here. · Write up theoretically based interventions that will walk through the clinical process. For example, you don’t want to start with ego analysis without first offering psychoeducation. 2. Second problem as needed · Write up the next step of tiered theoretically based interventions.

Outcome Measures of Change Offer what the changes would look like for the client (increased euphoric moods, attentiveness, prosocial behaviors) as measured by · Offer how you will measure when the outcomes have been met. References Offer any references here that are used. There need to be at least 2 citations for the assignment.

Paper For Above instruction

The development of an effective treatment plan is a cornerstone of clinical psychology, providing a structured approach to address clients' presenting problems and guide therapeutic interventions. This paper explores the process of creating a comprehensive treatment plan based on the guidelines provided in the assignment, emphasizing the importance of behavioral problem identification, measurable goals, tiered intervention strategies, outcome measurement, and supporting references.

Identification of Problems

The initial step involves a thorough problem identification process, often utilizing an inverted pyramid model (IPM) to organize issues from most to least pressing. For example, a client may present with generalized anxiety disorder (GAD) characterized by persistent worry and physical symptoms of anxiety, along with major depressive disorder marked by pervasive sadness and loss of interest. Additional issues such as parent-child relational problems might also be identified through diagnostic approaches such as the Descriptive-Diagnostic model (American Psychiatric Association, 2013). Accurate behavioral descriptions of problems enable targeted interventions and clearer measurement of progress.

Goals for Change

Establishing measurable goals is essential for tracking client progress. For GAD, goals might include reducing anxiety symptoms from a severe to mild level, as measured by standardized anxiety assessment tools like the GAD-7 (Spitzer et al., 2006). For depression, goals could involve decreasing depressive episodes or feelings of sadness, using instruments such as the PHQ-9 (Kroenke et al., 2001). Goals should specify the desired outcome, such as “client will reduce anxiety episodes by 50% within 8 weeks,” making them quantifiable and time-bound.

Therapeutic Interventions

The choice of interventions depends on the client’s problems, severity, and theoretical orientation. Cognitive-behavioral therapy (CBT) is often employed for both GAD and depression due to its evidence base and structured approach (Hofmann, Asnaani, Vonk, Sawyer, & Fang, 2012). Interventions are tiered; initial stages may include psychoeducation about the cognitive model, identifying problematic thoughts, and understanding conditional assumptions. Subsequent steps involve cognitive restructuring, behavioral activation, and skills training. For instance, with GAD, interventions might focus on exposure to anxiety-provoking situations and cognitive restructuring of catastrophic thoughts. For depression, behavioral activation may be prioritized to increase engagement in pleasurable activities (Jacobson et al., 1996). Treatment duration varies based on severity—mild depression might resolve in 5-10 weeks, whereas personality disorders could require years of intervention (Roth & Fonagy, 2005). If multiple issues coexist, treatment may prioritize depression to improve functioning before addressing anxiety or relational problems.

Outcome Measures of Change

Assessing progress involves both subjective reports and objective measures. For anxiety, reduction in GAD-7 scores reflects decreased worry and physical symptoms. For depression, PHQ-9 scores serve as indicators of symptom reduction. Behavioral changes such as increased prosocial behavior, attentiveness, or increased mood states (e.g., euphoric moods) can be observed clinically or via self-report scales (Beck, 2011). Meeting outcomes involves achieving the predefined measurable goals—such as a 50% reduction in symptom severity—and evaluating these through repeated assessments at regular intervals.

Conclusion

Creating a targeted and measurable treatment plan requires integrating diagnostic clarity, goal setting, tiered intervention strategies, and ongoing assessment. Grounded in evidence-based practices and supported by current research, these plans serve as vital tools for facilitating meaningful client change and ensuring accountability in therapy. Proper implementation enhances the likelihood of successful outcomes and ongoing client improvement.

References

• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
• Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond. Guilford Press.
• Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427-440.
• Jacobson, N. S., Martell, C. R., & Dimidjian, S. (1996). Behavioral activation treatment for depression: Returning to context. Clinical Psychology: Science and Practice, 3(4), 255-271.
• Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606-613.
• Roth, A., & Fonagy, P. (2005). What works for whom? Guilford Publications.
• Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092-1097.

Note:

The above paper integrates evidence-based practices in designing a comprehensive treatment plan addressing multiple client issues, emphasizing measurable outcomes, tiered interventions based on severity, and continuous assessment grounded in current clinical research.