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PracticePlanners SeriesTreatment PlannersThe Complete Adult Psychotherapy Treatment Planner, Fourth EditionThe Child Psychotherapy Treatment Planner, Fourth EditionThe Adolescent Psychotherapy Treatment Planner, Fourth EditionThe Addiction Treatment Planner, Third EditionThe Continuum of Care Treatment PlannerThe Couples Psychotherapy Treatment PlannerThe Employee Assistance Treatment PlannerThe Pastoral Counseling Treatment PlannerThe Older Adult Psychotherapy Treatment PlannerThe Behavioral Medicine Treatment PlannerThe Group Therapy Treatment Planner, Second EditionThe Gay and Lesbian Psychotherapy Treatment PlannerThe Family Therapy Treatment PlannerThe Severe and Persistent Mental Illness Treatment PlannerThe Mental Retardation and Developmental Disability Treatment PlannerThe Social Work and Human Services Treatment PlannerThe Crisis Counseling and Traumatic Events Treatment PlannerThe Personality Disorders Treatment PlannerThe Rehabilitation Psychology Treatment PlannerThe Special Education Treatment PlannerThe Juvenile Justice and Residential Care Treatment PlannerThe School Counseling and School Social Work Treatment PlannerThe Sexual Abuse Victim and Sexual Offender Treatment PlannerThe Probation and Parole Treatment PlannerThe Psychopharmacology Treatment PlannerThe Speech-Language Pathology Treatment PlannerThe Suicide and Homicide Risk Assessment & Prevention Treatment PlannerThe College Student Counseling Treatment PlannerThe Parenting Skills Treatment PlannerThe Early Childhood Education Intervention Treatment PlannerThe Co-Occurring Disorders Treatment PlannerProgress Notes PlannersThe Child Psychotherapy Progress Notes Planner, Third EditionThe Adolescent Psychotherapy Progress Notes Planner, Third EditionThe Adult Psychotherapy Progress Notes Planner, Third EditionThe Addiction Progress Notes Planner, Second EditionThe Severe and Persistent Mental Illness Progress Notes PlannerThe Couples Psychotherapy Progress Notes PlannerThe Family Therapy Progress Notes PlannerHomework PlannersBrief Therapy Homework PlannerBrief Couples Therapy Homework PlannerBrief Employee Assistance Homework PlannerBrief Family Therapy Homework PlannerGrief Counseling Homework PlannerGroup Therapy Homework PlannerDivorce Counseling Homework PlannerSchool Counseling and School Social Work Homework PlannerChild Therapy Activity and Homework PlannerAddiction Treatment Homework Planner, Third EditionAdolescent Psychotherapy Homework Planner IIAdolescent Psychotherapy Homework Planner, Second EditionAdult Psychotherapy Homework Planner, Second EditionChild Psychotherapy Homework Planner, Second EditionParenting Skills Homework PlannerClient Education Handout PlannersAdult Client Education Handout PlannerChild and Adolescent Client Education Handout PlannerCouples and Family Client Education Handout PlannerComplete PlannersThe Complete Depression Treatment and Homework PlannerThe Complete Anxiety Treatment and Homework Planner

PracticePlanners Arthur E. Jongsma, Jr., Series EditorThe AdolescentPsychotherapy TreatmentPlanner, Fourth EditionArthur E. Jongsma, Jr.L. Mark PetersonWilliam P. McInnisTimothy J. Bruce, Contributing EditorJOHN WILEY & SONS, INC.

This book is printed on acid-free paper. oCopyright 2006 by Arthur E. Jongsma, Jr., L. Mark Peterson, and William P. McInnis. All rights reserved.Published by John Wiley & Sons, Inc., Hoboken, New Jersey.Published simultaneously in Canada.No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form orby any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permittedunder Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the CopyrightClearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400, fax (978) 646-8600, oron the web at www.copyright.com. Requests to the Publisher for permission should be addressed to thePermissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, (201) 748-6011,fax (201) 748-6008, or online at http://www.wiley.com/go/permissions.Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts inpreparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties of merchantability orfitness for a particular purpose. No warranty may be created or extended by sales representatives or written sales materials. The advice and strategies contained herein may not be suitable for your situation. Youshould consult with a professional where appropriate. Neither the publisher nor author shall be liable forany loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering professionalservices. If legal, accounting, medical, psychological or any other expert assistance is required, the servicesof a competent professional person should be sought.Designations used by companies to distinguish their products are often claimed as trademarks. In all instances where John Wiley & Sons, Inc. is aware of a claim, the product names appear in initial capital or allcapital letters. Readers, however, should contact the appropriate companies for more complete informationregarding trademarks and registration.All references to diagnostic codes are reprinted with permission from the Diagnostic and Statistical Manualof Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association.For general information on our other products and services please contact our Customer Care Departmentwithin the United States at (800) 762-2974, outside the United States at (317) 572-3993 or fax (317) 572-4002.Wiley also publishes its books in a variety of electronic formats. Some content that appears in print maynot be available in electronic books. For more information about Wiley products, visit our web site atwww.wiley.com.ISBN-13: 978-0471-78539-2ISBN-10: 0471-78539-3Printed in the United States of America.10 9 8 7 6 5 4 3 2 1

To our wives:Judy, Cherry, Lynn, and Lori.We reach our long-term goals only due to yourfaithful interventions of love and encouragement.

CONTENTSPracticePlanners Series PrefaceAcknowledgmentsIntroductionSample Treatment Planxiiixv17Academic UnderachievementAdoptionAnger ManagementAnxietyAttention-Deficit/Hyperactivity Disorder (ADHD)Autism/Pervasive Developmental DisorderBlended FamilyChemical DependenceConduct Disorder/DelinquencyDepressionDivorce ReactionEating DisorderGrief/Loss UnresolvedLow Self-EsteemMania/HypomaniaMedical ConditionMental RetardationNegative Peer InfluencesObsessive-Compulsive Disorder (OCD)Oppositional DefiantPanic/AgoraphobiaParentingPeer/Sibling EBTEBTindicates that selected Objective / Interventions are consistent with those found in evidencebased treatments.xi

xiiCONTENTSPhysical/Emotional Abuse VictimPosttraumatic Stress Disorder (PTSD)PsychoticismRunawaySchool ViolenceSexual Abuse PerpetratorSexual Abuse VictimSexual Acting OutSexual Identity ConfusionSocial Phobia/ShynessSpecific PhobiaSuicidal IdeationEBTEBTEBTAppendix A: Bibliotherapy SuggestionsAppendix B: Professional References forEvidence-Based ChaptersAppendix C: Index of Therapeutic Games, Workbooks,Tool Kits, Video Tapes, and Audio TapesAppendix D: Index of DSM-IV Codes Associated withPresenting 339341

PRACTICEPLANNERS SERIES PREFACEAccountability is an important dimension of the practice of psychotherapy.Treatment programs, public agencies, clinics, and practitioners must justifyand document their treatment plans to outside review entities in order to bereimbursed for services. The books and software in the PracticePlanners series are designed to help practitioners fulfill these documentation requirementsefficiently and professionally.The PracticePlanners series includes a wide array of treatment planningbooks including not only the original Complete Adult Psychotherapy TreatmentPlanner, Child Psychotherapy Treatment Planner, and Adolescent PsychotherapyTreatment Planner, all now in their fourth editions, but also Treatment Plannerstargeted to a wide range of specialty areas of practice, including: AddictionsBehavioral medicineCollege studentsCo-occurring disordersCouples therapyCrisis counselingEarly childhood educationEmployee assistanceFamily therapyGays and lesbiansGroup therapyJuvenile justice and residential careMental retardation and developmental disabilityNeuropsychologyOlder adultsParenting skillsPastoral counselingPersonality disordersProbation and parolePsychopharmacologyxiii

xivPRACTICEPLANNERS SERIES PREFACE School counselingSevere and persistent mental illnessSexual abuse victims and offendersSpecial educationSuicide and homicide risk assessmentIn addition, there are three branches of companion books that can be used inconjunction with the Treatment Planners, or on their own: Progress Notes Planners provide a menu of progress statements thatelaborate on the client’s symptom presentation and the provider’s therapeutic intervention. Each Progress Notes Planner statement is directlyintegrated with the behavioral definitions and therapeutic interventions from its companion Treatment Planner.Homework Planners include homework assignments designed aroundeach presenting problem (such as anxiety, depression, chemical dependence, anger management, eating disorders, or panic disorder) that isthe focus of a chapter in its corresponding Treatment Planner.Client Education Handout Planners provide brochures and handouts tohelp educate and inform clients on presenting problems and mental healthissues, as well as life skills techniques. The handouts are included on CDROMs for easy printing from your computer and are ideal for use in waiting rooms, at presentations, as newsletters, or as information for clientsstruggling with mental illness issues. The topics covered by these handoutscorrespond to the presenting problems in the Treatment Planners.The series also includes: TheraScribe , the #1 selling treatment planning and clinical recordkeeping software system for mental health professionals. TheraScribe allows the user to import the data from any of the Treatment Planner,Progress Notes Planner, or Homework Planner books into the software’sexpandable database to simply point and click to create a detailed, organized, individualized, and customized treatment plan along with optionalintegrated progress notes and homework assignments.Adjunctive books, such as The Psychotherapy Documentation Primer and TheClinical Documentation Sourcebook contain forms and resources to aid theclinician in mental health practice management.The goal of our series is to provide practitioners with the resources theyneed in order to provide high-quality care in the era of accountability. To putit simply: we seek to help you spend more time on patients, and less time onpaperwork.Arthur E. Jongsma, Jr.Grand Rapids, Michigan

ACKNOWLEDGMENTSI have learned that it is better to acknowledge your weaknesses and to seekout those who complement you with their strengths. I was fortunate enough tohave found the right person who brings his expertise in Evidence-Based Treatment to this project. He has contributed wisely and thoughtfully to greatlyimprove our Adolescent Psychotherapy Treatment Planner through his wellinformed edits and additions to our content, to bring it in line with the latestpsychotherapy research. He has been thoroughly professional in his approachwhile being a joy to work with, due to his wonderful sense of humor. I havesaid to many people since beginning this revision, “This guy really knows theliterature!” For a person like me, who has spent his career in the psychotherapytrenches, it is a pleasure to get back in touch with my science-based roots byworking with a Boulder Model clinician-scientist. I take my hat off to you,Dr. Tim Bruce. You have taken our product to a new level of contribution tothe clinicians who are looking for Evidence-Based Treatment guidance. Yourstudents are fortunate to have you for a mentor and we are fortunate to haveyou for a Contributing Editor. Thank you!I also want to acknowledge the steady and perceptive work of my manuscriptmanager, Sue Rhoda. She stays on top of a thousand details while bringingthe disjointed pieces of this work to a well organized finished product. Thankyou, Sue.A.E.J.I want to acknowledge how honored I am to have had this chance to workwith Art Jongsma, his colleague Sue Rhoda, and the staff at John Wiley andSons on these, their well-known and highly regarded, treatment planners.These planners are widely recognized as works of enormous value to practicing clinicians as well as great educational tools for students of our profession.I didn’t know Art when he asked me if I would join him on these editions, andthe task he had in mind, to help empirically inform objectives and intervenxv

xviACKNOWLEDGMENTStions, was daunting. I knew it would be a challenge to retain the rich breadthof options that Art has offered in past editions while simultaneously trying toidentify and describe the fundamental features of identified empirically supported treatments. Although I have trained in empirically supported treatmentapproaches, contributed to this literature, and used them throughout my professional career, I recognize that our product will be open to criticism. I cansay that we have done our best to offer a resource to our colleagues and theirclients that is practical, flexible, and appreciates the complexities of any of thetreatment approaches it conveys. And in the process of working with Art andSue toward these goals, I have found them not only to be consummate professionals, but also thoughtful, conscientious, and kind persons. It has been agreat pleasure working with you, Art and Sue, and a privilege to call you myfriends.T.J.B.

The AdolescentPsychotherapy TreatmentPlanner, Fourth Edition

INTRODUCTIONABOUT PRACTICEPLANNERS TREATMENT PLANNERSPressure from third-party payors, accrediting agencies, and other outside parties has increased the need for clinicians to quickly produce effective, highquality treatment plans. Treatment Planners provide all the elements necessaryto quickly and easily develop formal treatment plans that satisfy the needs ofmost third-party payors and state and federal review agencies.Each Treatment Planner: Saves you hours of time-consuming paperwork.Offers the freedom to develop customized treatment plans.Includes over 1,000 clear statements describing the behavioral manifestations of each relational problem, and includes long-term goals, short-termobjectives, and clinically tested treatment options.Has an easy-to-use reference format that helps locate treatment plan components by behavioral problem or DSM-IV diagnosis.As with the rest of the books in the PracticePlanners series, our aim is toclarify, simplify, and accelerate the treatment planning process, so you spendless time on paperwork, and more time with your clients.HOW TO USE THIS TREATMENT PLANNERUse this Treatment Planner to write treatment plans according to the followingprogression of six steps:1.Problem Selection. Although the client may discuss a variety of issues during the assessment, the clinician must determine the most significant problems on which to focus the treatment process. Usually a primary problemwill surface, and secondary problems may also be evident. Some otherproblems may have to be set aside as not urgent enough to require treat1

2 THE ADOLESCENT PSYCHOTHERAPY TREATMENT PLANNER2.3.4.5.ment at this time. An effective treatment plan can only deal with a fewselected problems or treatment will lose its di

The College Student Counseling Treatment Planner .0-471-46708-1 / 49.95 . The Pastoral Counseling Treatment Planner The Older Adult Psychotherapy Treatment Planner The Behavioral Medicine Treatment Planner The Group Therapy Treatment Planner, Second Edition The Gay and