[link url="https://www.soapnote.org" memo="Dx List"] Expected Length of tx: [textarea] 12 - 16 Sessions (Approx. 3 - 4 Months) 17 - 32 Sessions (Approx. 5 - 8 Months) 33 - 48 Sessions (Approx. 9 - 12 Months) More than 48 Sessions (12 months +) freq of tx Weekly Bi-weekly Other"[/textarea] -- tx PLAN [textarea]# Problem 1: ## Baseline -- ## GOAL -- # Problem 2: # Problem 3: ## GOAL -- # Interventions for Problem 1: # Interventions for Problem 2: # Interventions for Problem 3: Start: <date> freq weekly[/textarea] Tx Plan: Will [textarea] incr Improve Learn [/textarea] [textarea]Better Accept Manage Tolerate [/textarea] [textarea] Effective Parenting Skills Problem-Solving/Decision Making Techniques How I Come Across - Others Improve Friendships Relax [/textarea] [textarea] Loss/Death Health Pain Temper Time Mistakes Others’ Mistakes[/textarea] Control [textarea] Alcohol Use Eating / Weight Use Of Drugs[/textarea] [textarea] Not React So Emotionally Not Take Disappointment So Hard Express Self Assertively Be Optimistic Adopt Healthier Attitude Allow Self - Express Feelings[/textarea] [textarea] Adjust Better - Past Incident Recent Change / Incident[/textarea] Receive [textarea] med Help[/textarea] Discuss [textarea] Thoughts Of Harming Others Harming Self Talk Out Pending Decision[/textarea] incr. / Improve [textarea] Conversation Skills Communication w/ Spouse/Children/Friends/Coworkers/Others Self-Awareness Sexual Relationship Sleep Pleasurable Activities Think Positively Take Initiative[/textarea] Decr. [textarea] Feel Less Efforts - Be Perfect Procrastination Family Difficulties Fear(S) Job Difficulties Sensitivity - Criticism Uncomfortable Thoughts Worry Self-Confident Depressed Guilt Change Habit [/textarea] Evidenced By [textarea] Self Report Staff Observation tracking Tool Appointment Attendance[/textarea] Objectives Of Tx: [textarea]Reduce Depression bx Activation Assess For Unhealthy Thinking & Implement Cognitive Restructuring incr Social Support med Evaluation & Compliance [/textarea] Reduce Anxiety - Relaxation training [textarea] Pmr Cognitive Restructure Yoga Exercise incr Self Esteem - + Asset Search Perceived Vs Ideal Self Try New things incr Socialization Clarify & Strengthen Boundaries [/textarea] -Psychoeducation- [textarea] Recommend Boundaries By Henry Cloud & John Townsend Assertiveness training Improve Self Care-Self Care Assessment Daily Shower Sleep Hygiene Buy things For self [/textarea] elim Substance Abuse [textarea]- Motivational Interviewing Participate In Support Group [textarea] Aa Na [/textarea] elim Self Harm [textarea] Self Injury-stopping Pain Worksheets Harm Reduction DBT[/textarea] Mi [/textarea] [textarea] incr Self-Worth Improve Communication Skills–Psychoeducation—Gottman Materials Speaker-Listener Exercises Role Play In Session incr Assertiveness-incr Communication training [/textarea] Process Grief & Loss-Appointments w/ Grief [textarea] Journaling Share Pictures Memories Psychoeducational Materials Recommend Support Groups [/textarea] Reduce Traumatic Responses - [textarea] Raise Awareness Of Triggers Relaxation training Exposure Tx Emdr[/textarea] Evaluate Marital Status [textarea] (Relationship Status)-Sound Relationship House By Gottman Psychoeducation—Recommend Gottman Materials & Classes; Evaluate Pros & Cons Psychoeduction On Abusive Relationships Improve Relationship w/ Spouse–Psychoeducation--Gottman Materials Love Languages By Gary Chapman Date Nights Gottman Interventions Include Listene Exercises Recovery From Fight How - Compromise[/textarea] Improve Sleep Quality-Sleep Hygiene Habits Include [textarea] Hot Bath / Shower No Electronics Complete Sleep Study Utilize Cpap When Required med Compliance [/textarea]Relaxation Improve Parenting Skills-Love & Logic training [textarea] Handouts & Psychoeducation Love Languages For Children Education On Developmental Stages[/textarea]. By [textarea] Practicing Taking Using[/textarea] [textarea] Behavior Modification CBT Communication Skills Coping Skills Dbt Family/Couples Grief Work Mindfulness Motivational Interviewing Parenting Skills + Reinforcement Problem Solving Psychoeducation Reality test Reframing Stress Reduction Structural Family Tx Solution Focused Supportive Tx [/textarea] Status Of Problem/Focus Of Tx: [textarea] New Improved Deteriorated No Change Problem Resolved[/textarea] [textarea]Currently Endorses Following sx:[/textarea] [link url="[/textarea] [textarea] # Problem ## Baseline -- intrusive thoughts associated w/ traumatic event, daily. ## GOAL -- elim intrusive thoughts of traumatic event from daily - zero/per week. ## Baseline -- social withdrawal & isolation, daily. ## GOAL -- elim social isolation from daily - 5-6x/per night, evidenced by social interactions w/ peers from 0x/per week - 3-4x/per week. ## has not been able - come - terms emotionally w/ multiple traumatic events, evidenced by emotional blunting, intrusive thoughts, paranoia, interpersonal conflict, & emotional lability. ## GOAL -- assist in emotional processing through 1x weekly psychotherapy ## Baseline -- sleep impairment, such that sleeps 3-4 hours/per night; daily. ## GOAL -- improve sleep capacity, from 3-4 hours/per night on daily basis - 7-8 hours/per night, 5-6x/per night. [/textarea] GOALS & OBJECTIVES Goals: [textarea] Short Term Goals: Long Term Goals:[/textarea] sx MANAGEMENT [textarea] sx Reduction incr ability elim intrusive thoughts of traumatic event from daily - zero per week reduce [/textarea] OBJECTIVES: [textarea] will: what going - do w/freq): incr initiate elim independently decr sx of [/textarea] [textarea] utilize peer support Reduce Social Anxiety by initiating # social interactions per wk observed by daily 3-5x/wk - least independently identify will meet all goals by 80% / better - be discharged - community w/ referral if needed. [/textarea] [textarea]over next 6 months per week observed by TARGET DATE PLAN - BE REVIEWED: freq/# of Sessions: tx Plan Review Date: [/textarea] [textarea] Goals - be reviewed three months from today’s date, & needed. Date Achieved: Strengths: Blocks that Prevent Success: [/textarea] Presenting Problem Presenting Target sx (Include Duration) [textarea]ICD 10 dx Code(s): DSM IV TR Axis I -- Axis II -- Axis III -- Axis IV -- Problems w/ primary support group Economic problems Health related problems Housing problems Problems related - legal/criminal system Occupational problems Problems related - social environment/school Other psychosocial & environmental problems Psychosocial Factors: Axis V (GAF) -- current Past year [/textarea] DSM 5 ASSESSMENT OF NEEDS [textarea]Legal Issues: Cultural/Religious Needs: [ Identified Problem / Need: [ Long Term Goal: Other Agencies/Individuals Involved Agency/Individual: Contact Information: Guardian/Family Input Family Vision tx Needed After Discharge: decrease decrease sx of demonstrate eliminate eliminate intrusive thoughts of traumatic event from daily - zero/per week. elim social isolation from daily - 56x/per night, evidenced by social interactions w/ peers from 0x/per week - 34x/per week. Identify BarriersimplementimproveImprove ability toimprove functional capacity associated withimprove selfesteem that has been negatively impacted byimprove sleep capacity, from 34 hours/per night on daily basis - 78 hours/per night, 56x/per night.Improve Social Skillsincreaseincrease abilityIncrease Coping SkillsIncrease Sense Of Identity & SelfEfficacy, Resulting In Greater Independence.incr Commitment - Her Life Increase stress managment skillsindependentlyinitiaterebuild & feel healthier about reduceSymptom Management: Maintain Management Of Panic sx. sx Reduction Estimated termination date: After Care Plans: What expecting of services: support ideas place - process experiences Improve ability - appears motivated - initiate in therapeutic tx What willing - contribute (motivation) regular attendance participation homework assignments appears - be motivated - work towards therapeutic tx goals Stated Goal of : Improve Social Skills incr Coping Skills incr stress managment skills tx planning has met tx goals & level of functioning presents that can safely be discharged from therapy. has progressed in therapy goals - level that session freq will be reduced.level of functioning & incr risk - self has indicated that will be referred - higher level of tx.level of functioning has deteriorated & presents incr risk of self harm & / deterioration of daily living skills - justify incr in freq of therapy sessions.Continue Psychotherapy w/ Focus On Distress Tolerance & Improving Future CopingContinue Psychotherapy w/ Focus On Improving Communications Between Members Of FamilyContinue Psychotherapy w/ Focus On Improving Self-Image & Self-EfficacyContinue Psychotherapy w/ Focus On Social Skills & Relational FunctioningContinue w/ Adjunctive Couples TherapyContinue w/ Adjunctive Family TherapyContinue w/ Couples Therapy w/ Focus On Expressing EmotionsContinued Sessions Indicated Due - Risk & Thus Continued Sessions Needed - Prevent Deterioration In FunctioningReviewed developmental, family, psychosocial, psychiatric, medical, academic, & occupational hxReviewed sx & functioning in life domains.Interventions Focused On Labeling Maladaptive Defenses Understanding EtiologiesDischargeAs This Therapist ExploredBuildingBasedCollateral ParticipantsCollateral ConsultCollaborationReviewed DevelopmentalUnrealistic ExpectationsUpdateFamily Will Return For Family Therapy In Two WeeksCouple Will Return For Couples Therapy In Two Weeks Continued sessions indicated due - risk & thus continued sessions needed - prevent deterioration in functioning. has progressed in therapy goals - level that session freq will be reduced. has met tx goals & level of functioning presents that can safely be discharged from therapy. level of functioning has deteriorated & presents incr risk of self harm & / deterioration of daily living skills - justify & incr in freq of therapy sessions. level of functioning & incr risk - self has indicated that will be referred - higher level of tx. has made no progress. will return for individual psychotherapy in one week.Family will return for family therapy in two weeks.Couple will return for couples therapy in two weeks.Continue psychotherapy w/ focus on distress tolerance & improving future coping.Continue psychotherapy w/ focus on social skills & relational functioning.Continue psychotherapy w/ focus on improving communications between members of family.Continue psychotherapy w/ focus on improving self-image & self-efficacy.Continue w/ couples therapy w/ focus on expressing emotions.Continue w/ adjunctive couples therapy.Continue w/ adjunctive family therapy. Continue w/ couples therapy w/ focus on expressing emotions.Continue psychotherapy w/ focus on distress tolerance & improving future coping.Continue psychotherapy w/ focus on improving self-image & self-efficacy.Continue psychotherapy w/ focus on social skills & relational functioning.Continue psychotherapy w/ focus on improving communications between members of family. Partial Care DD Services Substance Abuse tx/Counseling Safe Housing/Domestic Violence smoking cessation *What motivation & readiness - engage in tx: (action-oriented, contemplative, etc.)* Precontemplation: Lack of insight/awareness re: self, needs, recovery, alternative environments/exposure - more adaptive living / lack of understanding re: rehabilitation process. CBRS: Functional areas - be addressed (i.e. Psychiatric, Medical, Social/Family, Legal, Educational, Financial, Housing): Contemplative: Aware, Motivated, & Open - Change Action: Taking direct action toward achieving goals Maintenance: Successfully avoiding former bx & keeping up new bx. Assured that will be able - continue - change. Termination: Members have zero temptation & 100% self-efficacy. sure will NOT return - old, unhealthy habits way of coping. What capacity - engage in services: (age specific, demonstrated cognitive capacity - benefit from services): What skills & knowledge needed for - achieve rehabilitation goals: CM: Specific social, bx, / medical services need assistc. in linking. Include narrative thinking medical necessity (Housing, medical care, coordinating transportation, legal matters, childcare, employment, bx healthcare, educational/continuing education, public assistc.): If determination has been made we unable - serve this , make appropriate referrals - other agencies - meet identified needs: CBRS: Functional areas - be addressed (i.e. Psychiatric, Medical, Social/Family, Legal, Educational, Financial, Housing) med Management – Quarterly / needed for 1 year CBRS – Recommended number of hours per week: CM – Recommended number of hours per week: Functional Deficits - Be Addressed in CBRS & // CM *LEVEL OF CARE RECOMMENDED* Psychotherapy (Individual, Family & // Group) – Weekly / needed tx Recommendations & Medical Necessity: * tx recommendations listed below medically necessary, represent least restrictive alternative & can reasonably be expected - improve / maintain condition / prevent further regression. Due - signs, sx & external factors tx needs :* High Moderate Low *Expected duration of service(s)* 1-3 months 4-6 months 7-9 months 10-12 months Other Promote [textarea] healthy behavior Effectively manage chronic illness[textarea] [textarea]elim barriers - tx incr service coordination & provider collaboration Contain health care costs[/textarea] Environmental Needs [textarea] physical bx psychosocial [/textarea] Proactive identification, outreach, & assessment - intervene early possible along wellness/ disease continuum. Beacon Emotional Problems List: [textarea] Feeling down, depressed / hopeless Trouble falling / staying asleep, / sleeping too much Feeling tired / having little energy Poor appetite / overeating Feeling bad about self —/ that failure / have letyourself / your family down Trouble concentrating on things, such reading newspaper orwatching television Moving / speaking so slowly that other people could have noticed;/ opposite—being so fidgety / restless that have beenmoving around lot more than usual Feeling nervous, anxious, on edge / worrying lot about differentthings Muscle tension, aches / soreness Becoming easily annoyed / irritable Having anxiety attack—suddenly feeling fear / panic Feeling that can’t control what / how much eat Making self vomit Using alcohol / drugs, / being high from alcohol / drugs, / hungover from alcohol / drugs while working, going - school, ortaking care of children / other responsibilities Missing / being late for work, school / other activities because youwere drinking / hung over Thinking that would be better off dead / hurting self insome way* [/textarea] If checked box should talk about your feelings w/ your healthcare provider soon possible There help available Physical Activity Checklist [textarea] day(s) How Long Moderate: Gardening Using manual wheelchair Yoga / stretching Slow biking Walking up stairs Dancing Brisk walking Water aerobics Vigorous: Aerobic dance Squats / sit ups Jump rope Lift weights Race walking/running Fast biking Soccer Swimming laps[/textarea] [textarea] decr elim intrusive thoughts of traumatic event from daily - zero/per week. elim social isolation from daily - 5-6x/per night, evidenced by social interactions w/ peers from 0x/per week - 3-4x/per week. improve sleep capacity, from 3-4 hours/per night on daily basis - 7-8 hours/per night, 5-6x/per night. incr Sense Of Identity & Self-Efficacy, Resulting In Greater Independence. incr Commitment - Life improve functional capacity associated w/ improve self-esteem that has been negatively impacted by rebuild & feel healthier about sx Management: Maintain Management Of Panic sx. [/textarea] LONG-TERM GOALS: [textarea] elim/reduce negative impact of trauma sx on social, occupational, & family functioning. Return - level of psych functioning prior - exposure - trauma. Extinction of intrusive recollections, avoidance, intense arousal, & disinterest in activities/relationships. Thinks about / openly discusses traumatic event w/ others without experiencing psychological / physiological distress. No longer avoids persons, places, activities, & objects that reminiscent of traumatic events. [/textarea] SHORT-TERM OBJECTIVES [textarea] Describe in much detail comfort allows nature & hx of PTSD sx. Acknowledge any substance use. Verbalize any sx of depression, including any suicidal thoughts. Recall traumatic event without becoming overwhelmed w/ negative emotions. Return - pretrauma level of functioning without avoiding people, places, thoughts, / feelings associated w/ traumatic event. Display full range of emotions without experiencing loss of control. Develop & demonstrate coping skills - reduce mood swings & control impulses. Develop & implement effective coping skills - carry out normal responsibilities, participate constructively in relationships, & bring addiction under control. Terminate dichotomous thinking, unmanaged anger, &// fear of abandonment. Reduce freq of self-damaging bx (e.g., substance abuse, reckless driving, sexual acting out, binge eating, / suicidal bx). Develop healthy & rewarding interpersonal relationships. Resolve emotional effects of past trauma, & terminate its negative impact on current behavior. Terminate destructive bx that serve - maintain escape & denial, while implementing bx that promote healing, acceptance of past events, & responsible living. Elevate self-esteem. Develop consistent, positive self-image. Establish inward sense of self-worth, confidence, & competence. Interact socially without undue distress / disability. Interact normally w/ friends & family without irrational fears / intrusive thoughts that control behavior.[/textarea] [textarea] in pre-contemplation phase related - ISSUE(S). Offer factual information about health & ISSUE(S). Explore events that brought - tx (impact of ISSUE(S) (i.e. BMI, diabetes, / substance use & health). Explore results of previous efforts - improve health & role of ISSUE(S). Explore pros & cons of improving health & ISSUE(S). [/textarea] Items wnl/Completed/Improved. [textarea] - be complete on date specified. Will review in 3 months of specified date, / PRN - ensure item does not need - be readdressed: - be wnl on date specified. Will review in 3 months of specified date, / PRN - ensure item does not need - be readdressed: [/textarea] [textarea] in contemplation phase related - ISSUE(S). Explore sense of self-efficacy - reduce health sx. Explore expectations about change - what role of ISSUE(S) (i.e. BMI, diabetes, / substance use & health) on health sx? Summarize self-motivational statements for change in ISSUE(S). Continue exploration of pros & cons of improving health & ISSUE(S). in determination phase related - ISSUE(S). Offer menu of options for addressing health sx & ISSUE(S) (i.e. BMI, diabetes, / substance use & health). Help identify pros & cons of various change options. Identify & lower barriers - change. Help enlist social/peer support. Encourage - publicly announce plans - change. in action phase related - ISSUE(S). Support realistic view of change through small steps. Identify high-risk situations for ISSUE(S) (i.e. BMI, diabetes, / substance use & health) & impact of use on health functioning. Develop coping strategies, Assist in finding new reinforcers of positive change including feeling better. Help access family/social/peer support. in maintenance phase related - ISSUE(S). Help identify & try supportive bx & activities - maintain goals. Maintain supportive contact & highlight progress in maintaining improved functioning - what was role of ISSUE(S) (i.e. BMI, diabetes, / substance use & health)? Set new short & long term goals for health & ISSUE(S). in recurrence phase related - ISSUE(S). Frame recurrence learning opportunity - what was impact on health? Explore possible psychological, bx, & social antecedents. Help - develop alternative coping strategies for strong emotions. Encourage - stay in process & maintain support. [/textarea] [textarea] Long Term Goals: Target Date: Short Term Goals: Interventions: Individual Therapy Sessions: Primary Therapist: Group Therapy: Psychiatric Appointments: Family Therapy: Family/Social Support Involvement: satisfied w/ these supports / would like - improve / makes changes - this area? Drug Screen Results: Need for IOP tx: Progress - Date: Collateral Contact: Clien'ts Self -Stated Goals: Self-Reported Progress: Additional Background Information Goals of Care [/textarea] [textarea] My GOALS OF CARE LIFE-SUSTAINING LIMITED tx COMFORT MEASURES in WHAT LOCATION. [/textarea] reports marital status [textarea] SINGLE MARRIED DIVORCED WIDOWED COHABITING. SPOUSE PARTNER SUPPORT PERSON NAME & DOES NOT live w/ . reports NO children. Potential opportunity for Medicaid: self-pay & has NO children on Medicaid. [/textarea] [textarea] reports following spiritual belief/support: reports following cultural practices/support: Disability DENIES REPORTS receiving disability benefits for Military Service DENIES REPORTS veteran status. NOT Gold Star Parent. DENIES REPORTS active w/ VA clinic. States DD214 NOT available. states this team MAY NOT contact VA clinic - inquire about assistc. / extra resources. [/textarea] Case Management Services [textarea] DENIES REPORTS active case management engagement. AGENCY case manager NAME (Phone#) working w/ for REASON. AGENCY case manager NAME (Phone #) working w/ for REASON. Self-Management Needs reports following self management needs: LIST NONE. [/textarea] Education [textarea] requests following education: NONE Specialists DENIES REPORTS engagement w/ specialists & // other providers. DETAIL NAME/REASON HERE. OBJECTIVE Observations related - completion of assessments. ASSESSMENT goal of LIFE SUSTAINING LIMITED tx MEASURES in WHAT LOCATION NOT consistent w/ tx plan. [/textarea] meds [textarea] med Reconciliation was completed. meds (prescribed, herbal, OTC) reported by /patients pharmacy NOT consistent w/ those noted by PCP. following meds inconsistent w/ PCP med list: High-Risk medsnoted - be taking following class of high-risk meds: INSERT / not noted - be taking high-risk meds. Poly-pharmacy (> 5 meds) NOT on more than 5 meds. [/textarea] DISEASE [textarea] NOT diabetic. last reported eye exam was performed by NAME OF DR on DATE. HAS NOT been 366 days since last reported eye exam. Low back pain DOES NOT HAVE low back pain & HAS NOT had imaging studies. Complex dx DOES NOT have complex dx of CHF Cerebrovascular Disease/CVA Advanced COPD DM End Stage Dementia End Stage Renal Disease CA HIV – AIDS Frailty / Failure - Thrive Palliative Care Needs has life-limiting condition likely - benefit from sx management (DETAIL) Advanced Health Care Directive (AHCD) DOES NOT HAVE AHCD & all providers/specialists/local hospital DO NOT have copy of document. There NO family / support dynamics relevant - implementation/completion of AHCD. [/textarea] Health Literacy [textarea] primary language NOT English. (Detail) DOES NOT have good understanding of current health state. (Describe) following self-management needs noted: No self-management needs noted this time. [/textarea] Education Needs [textarea] following educations needs noted: No education needs noted this time. [/textarea] PSYCHOLOGICAL SOCIOECONOMIC [textarea] DOES NOT HAVE adequate support (Describe). Hospitalizations / Unplanned Access In past year, has been hospitalized INSERT times. (DETAIL) [/textarea] HEALTH bx Tobacco use [textarea] has never used nicotine. has hx of using (TYPE OF NICOTINE) How many (PACKS, CANS, BAGS ETC). For how many yrs? [/textarea] BMI [textarea] PCP visit on DATE, VERBALIZED CONCERN OF incr RISK DUE - . FUNCTIONAL STATUS Fall Risk [/textarea] ADLs/iADLs [textarea] independent w/ all ADLs. independent w/ all iADLs. not independent w/ following ADLs: not independent w/ following iADLs: [/textarea] Stage of Change related - health & wellness risks [textarea] in pre-contemplation phase re: : ISSUE(S) in contemplation phase re: : ISSUE(S) in determination phase re: : ISSUE(S) in action phase re: : ISSUE(S) in maintenance phase re: : ISSUE(S) in recurrence phase re: : ISSUE(S) [/textarea] Progress Notes Chronic sx & dx Justification: [textarea] Indicate chronic/ongoing sx struggles w/ & justification for dx impression (I.E. Sleep, Appetite, Suicide/Homicidal Ideation, Mood Swings, Depression, Anxiety, Panic Attacks, OCD, Hallucinations, Delusions, Anger, Attention/Concentration) Indicate what these sx LOOK LIKE, (I.E. if Paranoia identified, explain what this looks like, how often, triggers - , how effects functioning, etc.) Functional areas - be addressed[/textarea] [textarea] Psychiatric Medical Social/Family Legal Educational Financial Housing Specific social, bx, / medical services need assistc. in linking. Include narrative thinking medical necessity (Housing, medical care, coordinating transportation, legal matters, childcare, employment, bx healthcare, educational/continuing education, public assistc.): If determination has been made we unable - serve this , make appropriate referrals - other agencies - meet identified needs: [/textarea] *OTHER RECOMMENDED ACTIONS* [textarea] . capacity - engage in services: (age specific, demonstrated cognitive capacity - benefit from services): What skills & knowledge needed for - achieve rehabilitation goals: Care coordination w/ . & // guardian / other representative & tx agreement was confirmed. guardian agreed - contact provider / office if problems / concerns. Discussed dx & tx options including meds (indication, potential side effects, & risks vs benefits) [/textarea] [textarea] sample text [/textarea] tx goals [textarea] reduce increase increase ability effectively manage sx of independently [/textarea] decrease [textarea] sx Mgmt decrease sx of eliminate initiate[/textarea] Common Goals [textarea] eliminate intrusive thoughts of traumatic event from daily to zero per week daily to 3-5x/wk at least over next 6 months method [/textarea] [textarea] initiating # social interactions per week as observed by utilize peer support independently identify tx goals [textarea] reduce increase improve effectively manage demonstrate increase ability effectively manage sx of effectively manage sx related identify barriers implement independently [/textarea] decrease [textarea] sx Mgmt decrease sx of eliminate initiate[/textarea] Common Goals [textarea] eliminate intrusive thoughts of traumatic event from daily to zero per week from daily to 3-5x/wk at least over next 6 months method [/textarea] [textarea] initiating # social interactions per week as observed by utilize peer support independently identify [/textarea]
There are 75 form elements.