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The veteran/service member has not used the gradual shift technique and was redirected to do so. The veteran/service member has regularly used wraparound sunglasses to decrease the impact of daylight on his/her circadian rhythm, and the benefits of this were monitored. The veteran/service member was encouraged to be evaluated by a medical health care provider in order to identify the usefulness or side effects of his/her substance use.
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It was emphasized to the veteran/service member that phobias are not a sign of weakness but cause unnecessary distress and disability. The veteran/service member was reinforced as he/she displayed a better understanding of the natural facets of phobias. The veteran/service member struggled to understand the natural aspects of phobias and was provided with remedial feedback in this area. The veteran/service member was taught about how treatment breaks the phobic cycle by encouraging positive, corrective experiences. The veteran/service member was taught information from Mastery of Your Specific Phobia—Therapist Guide regarding the phobic cycle.
The service member was encouraged to exercise, hit a punching bag, play cards with heatedaffairs com, etc. The service member was reinforced for his/her use of relaxing and stress-decreasing activities. B. The military was identified as a specific “culture” with its own expectations and patterns of grief reaction. The veteran/service member was assisted in identifying how the military culture differs from civilian culture in grief reaction. The veteran/service member was supported as he/she expressed many thoughts and feelings that had been suppressed while the comrade was present. Write a Letter to Lost Comrade A. The veteran/service member was instructed to write a letter detailing those things he/she wishes he/she could have said to the fellow service member.
The veteran/service member continues to deny and minimize his/her opioid abuse and the consequences of this abuse; he/she was encouraged to become more open in this area. List Reasons to Stay in Treatment A. The veteran/service member was assisted in developing a list of reasons why he/she should stay in chemical dependence treatment. The veteran/service member identified several of his/her own reasons for remaining in chemical dependence treatment. The veteran/service member struggled to identify reasons why he/she should remain in treatment, and this was processed within the session. 18. Explore Addiction as an Escape A. The veteran’s/service member’s use of opioid abuse as a way to escape stress, emotional pain, and/or boredom was explored.
The veteran/service member reported that he/she must use greater amounts of substances due to an increased pattern of tolerance of the mood-altering chemicals. The veteran/service member described that he/she experiences significant physical withdrawal symptoms when he/she goes without the substances for any long period of time. As the veteran/service member has worked on his/her recovery, his/her maladaptive pattern of substance use has been discontinued. The veteran/service member acknowledged that despite the negative consequences and a desire to reduce or terminate mood-altering drug abuse, he/she has been unable to do so. As the veteran/service member has participated in a total recovery program, he/she has been able to maintain abstinence from mood-altering drug use.
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ANTISOCIAL BEHAVIOR IN THE MILITARY SERVICE MEMBER PRESENTATION 1. Adolescent Antisocial History ∗ A. The service member confirmed that his/her history of rule breaking, lying, physical aggression, and/or disrespect for others and the law began when he/she was a teenager.
The veteran/service member was assisted in identifying triggers for his/her past suicidal ideation. The veteran/service member was open and forthcoming with his/her history of suicidal ideation and triggers, and this information was processed. The veteran/service member seemed reluctant to provide information about his/her past suicidal ideation and triggers, and additional assistance was provided. Highlight Past Successes in Overcoming Suicidal Ideation A. The veteran/service member was asked to identify previous situations in which he/she has overcome suicidal ideation.
The veteran/service member was encouraged to identify what is important to him/her in life. The veteran/service member was encouraged to honor his/her fallen comrade by making necessary changes in his/her life. The veteran/service member has reflected on his/her life, purpose, and values, and this was processed within the session.
Each partner was asked to identify the implications of divorce for the rest of the family . Each partner was asked to identify the religious implications of divorce. B. The assessment of the veteran’s/service member’s hyperarousal symptoms indicated that his/her symptoms are extreme and severely interfere with his/her life. The assessment of the veteran’s/service member’s hyperarousal symptoms indicates that these symptoms are moderate and occasionally interfere with his/her daily functioning. The results of the assessment of the veteran’s/service member’s hyperarousal symptoms indicate that these symptoms are mild and rarely interfere with his/her daily functioning.
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Build Relapse Prevention Skills A. The veteran/service member was assisted in building relapse prevention skills through the identification of early warning signs of relapse. The veteran/service member was directed to consistently review skills learned during therapy. The veteran/service member was assisted in developing an ongoing plan for managing his/her routine challenges.
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The service member was taught about defining end states or goals and establishing criteria for success. The service member was taught about developing possible solutions and analyzing and comparing possible solutions. The service member was taught about selecting and implementing a solution as well as analyzing the solution for effectiveness. The service member displayed a clear understanding of how to use the seven-step military problem-solving process to his/her current situation and was reinforced for this. The service member struggled about how to apply the seven-step military problem-solving process to his/her current situation and was provided with remedial assistance in this area.
