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Treatment Plan Exercise

Students Name


Client Name: _________Yang_________________________________ Date of Birth:


Gender: _Female___ Age: ___41 years__________ Race: _____Brown________ Client

Ethnicity: ______Chinese______________

Reason for referral for counseling: Yang presented symptoms of posttraumatic stress disorder

(PTSD) following the death of her son, Daiyang in the earthquake, as well as, the subsequent

pregnancy, months after her sons death. Other reasons may include;

She reported frequent flashbacks and disturbing memories of the scene of her sons death

that made her feel anxious and miserable

She was unwilling to talk about the earthquake

Yang reported significant sleep difficulties, memory difficulties, and anhedonia

After getting pregnant again, Yang reported nausea and loss of appetite

She reported problems in interacting along with her husband and neighbors

Concern 1: Disturbing memories as shown by the frequent flashbacks and nightmares related to

the scene of her sons death outside the building

Goal for improvement: Disturbing memories and symptoms of PTSD will be

significantly reduced and they will no longer interfere with Yangs functioning.

Objective 1: Yang will identify the issues that trigger the bad memories about her

sons death

Objective 2: She will be involved in an additional physical activity or sport


Objective 3: Yang will learn coping skills necessary for emotional regulations,

for example, training herself not to think much about her sons death

Concern 2: Avoidance to think about the earthquake as shown by Yangs tendency to avoid

news related to the Chinese earthquake (Leahy, Holland & McGinn, 2012)

Goal for improvement: Increasing contact with people, places and things that bring

back the memories of her sons death

Objective 1: Yang will list down the places, people or things that remind her

about the earthquake

Objective 2: She will avoid staying isolated in her house and try to maintain

contact with these places or people

Objective 3: Yang will be taught that turning to drugs or alcohol is a wrong way

of reducing the pain and she should avoid drugs entirely

Concern 3: Physical stress as indicated by difficulties in sleeping, anger, anxiety, and conflicts

with her husband (Leahy, Holland & McGinn, 2012)

Goal for improvement: Reestablishing a normal mood by becoming happy and

confident, as well as, having enough sleep

Objective 1: Yang will be sleeping for 7 hours in a day

Objective 2: Yang and her husband will establish a timetable of family activities

so that she can build a positive relationship with her spouse

Objective 3: She will start gaining mental strength by not dwelling much on the

past, but focusing on the future


Primary Diagnosis: Stressor: The person was exposed to a death scene (APA, 2013).

Secondary Diagnosis: Intrusion symptoms were evident as the client persistently re-

experienced the traumatic event (APA, 2013).

Additional Diagnosis: Avoidance: The patient showed persistent effort to avoid thinking about

the traumatic event (APA, 2013).

Reasons for choosing the goals and objectives

Concern 1

Goal: Yang needs to resolve the troublesome feelings that come with the memories of

her sons death in order to ease the depression

Objectives: I chose the objectives because Yang needs thought stopping and

switching skills, as well as, progressive muscle relaxation to gradually stop the

disturbing memories

Concern 2

Goal: When Yang increases contact with the things that trigger the memories, she will

learn how to switch thoughts about the earthquake whenever they come.

Objectives: A step-by-step plan is necessary to ensure Yang knows the triggers of

bad memories, avoids lonely places and keeps drugs away from herself

Concern 3

Goal: When Yang becomes happy, she will relieve the general anxiety that is caused by

frequent flashbacks. In this way, she can reduce the sleep disturbances at night.

Objectives: Setting a target of sleeping hours, as well as, developing a timetable

of family activities will keep Yang always committed to actions that will

eventually make her happy and less anxious.

Reasons for choosing the diagnoses

Primary Diagnosis: Yang saw the scene where her sons body was laid outside the building.

Secondary Diagnosis: Yang had nightmares, flashbacks and disturbing memories about the


Additional Diagnosis: Yang avoided news related to the earthquake and refused to talk about it



Leahy, R. L., Holland, S. J., & McGinn, L. K. (2012). Treatment plans and interventions for

depression and anxiety disorders. New York: Guilford Press. Obtained from:

http://www.cognitivetherapynyc.com/leahch06.pdf on June 17, 2017.

American Psychiatric Association (APA). (2013) Diagnostic and statistical manual of mental

disorders, Washington DC: APA. Retrieved from: http://creativityandmadness.com/wp-

content/uploads/2014/07/Wilson-Handout.pdf on June 17, 2017.