Table of Contents

Table of Contents

Introduction

Chapter 1: Personal Preparation

  • Personal Vulnerability and Growth
  • Transference and Countertransference
  • Cultural Identities
  • Professional Boundaries
  • Summary
  • Case Example
  • The Next Step
  • References

Chapter 2: Professional Preparation

  • Technical and Procedural Questions
  • Supervision
  • Initial Contact With the Client
  • Summary
  • Case Example
  • The Next Step
  • References

Chapter 3: First Session

  • Greeting the Client
  • Establishing a Treatment Contract
  • Fostering a Therapeutic Alliance
  • Hearing the Client’s Concerns
  • Developing Questions for Assessment
  • Outcome of the First Session
  • Summary
  • Case Example
  • The Next Step
  • References

Chapter 4: Cultural Considerations

  • Aspects of Cultural Identity
  • The Impact of Discrimination
  • Views of Symptoms and Treatment
  • Cross-Cultural Dynamics in Treatment
  • Summary
  • Case Example
  • The Next Step
  • References

Chapter 5: Diagnosis

  • Assigning an Accurate Diagnosis
  • Using DSM-5 for Diagnostic Purposes
  • Developing a Comprehensive Diagnostic Description
  • Discussing the Diagnosis With the Client
  • Summary
  • Case Example
  • The Next Step
  • References

Chapter 6: Assessment

  • Assessment as Part of the Therapeutic Process
  • Goals of Assessment
  • Elements of an Assessment
  • Outcome of the Assessment Process
  • Sharing the Assessment Results With the Client
  • Summary
  • Case Example
  • The Next Step
  • References

Chapter 7: Assessment: Special Situations

  • Overview of Special Situations
  • Danger to Self or Others
  • Trauma
  • Substance Use and Addiction
  • Serious Mental Illness and Psychosis
  • Personality Disorders
  • Mandated Treatment
  • Families Involved in Separation and Divorce
  • Summary
  • References

Chapter 8: Case Formulation

  • Purpose of Case Formulation
  • Connecting Past History and Presenting Symptoms
  • Inclusion of Strengths
  • Model for a Case Formulation
  • Summary
  • Case Example
  • The Next Step
  • References

Chapter 9: Treatment Planning

  • Definition of Treatment Planning
  • Decisions Regarding Treatment Frame and Structure
  • Decisions Regarding Treatment Goals
  • Decisions Regarding Intervention Methods
  • Client’s Involvement in Treatment Planning
  • Summary
  • Case Example
  • The Next Step
  • References

Chapter 10: Clinical Documentation

  • Standard of Care
  • Access to Client Record
  • Assessment and Treatment Plan
  • Progress Notes and Psychotherapy Notes
  • Contacts Outside of Scheduled Sessions
  • Special Documentation Situations
  • Summary
  • Case Example
  • The Next Step
  • References

Chapter 11: Unfolding of the Therapeutic Relationship

  • Contribution of the Clinician’s Interpersonal Style
  • Developing and Maintaining a Treatment Alliance
  • Changes in Symptoms and Presenting Issues
  • Disclosure of New Information
  • Representation of Client’s Life Obstacles in Treatment
  • Maintaining Professional Boundaries
  • Summary
  • Case Example
  • The Next Step
  • References

Chapter 12: Case Management and Coordination of Care

  • General Guidelines
  • Legal and Ethical Issues Related to Sharing Information
  • Integrated Care in a Multi-Disciplinary Team
  • Psychiatric and Medical Care
  • Other Mental Health and Addiction Treatment
  • Education and Social Services
  • Records of Prior Treatment and Evaluations
  • Family Members
  • Summary
  • Case Example
  • The Next Step
  • References

Chapter 13: Termination—Planned and Unplanned

  • General Guidelines for Ending Treatment
  • Countertransference Reactions
  • Goal and Tasks of Termination
  • Different Circumstances of Termination
  • Sequential Treatment by Different Clinicians
  • Summary
  • References

Chapter 14: Development of Professional identity

  • Using Yourself as an Instrument of Hope, Change, and Healing
  • Becoming Confident in Your Authority and Professionalism
  • Developing Interpersonal Skills That Strengthen the Therapeutic Relationship
  • Concluding Remarks
  • References