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Develop a written plan to address all pending legal problems in a constructive manner. (26)
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Assist the client in addressing each legal problem honestly, taking responsibility for his/her/their behavior and relating substance use to legal problems (or supplement with “Accept Responsibility for Illegal Behavior” in the Adult Psychotherapy Homework Planner by Jongsma & Bruce or “What's Addiction Got to Do with My Problems” in the Addiction Treatment Homework Planner by Lenz, Finley, & Jongsma).
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Encourage at least one person in recovery each day. (27, 28)
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Teach the client why it is essential to attend recovery groups and to learn how to help others.
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Using modeling, role-playing, and behavior rehearsal, practice with the client how he/she/they can encourage others in recovery (or supplement with “Benefits of Helping Others” in the Addiction Treatment Homework Planner by Lenz, Finley, & Jongsma).
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Articulate the antisocial and addiction behaviors that have resulted in pain and disappointment to others and, therefore, a loss of their trust. (29, 30, 31)
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Assist the client in developing a list of reasons why the trust of others is important as a basis for any relationship.
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Help the client identify prosocial behaviors that will result in benefits that he/she/they sought from addictive behaviors (or assign “Alternatives to Addictive Behavior” in the Addiction Treatment Homework Planner by Lenz, Finley, & Jongsma).
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Confront any denial of responsibility for irresponsible, self-centered, and impulsive behaviors (or supplement with the “Letter of Apology” in the Adult Psychotherapy Homework Planner by Jongsma & Bruce).
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Verbalize a desire to keep commitments to others and list ways to prove oneself to be responsible, reliable, loyal, and faithful. (32)
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Discuss with the client the importance of keeping commitments and promises to others and ways to prove oneself as trustworthy in relationships.
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Write an aftercare plan that includes a sponsor, AA meetings, and counseling. (33, 34)
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Introduce the client to his/her/their AA/NA sponsor or encourage him/her/them to ask a stable recovery person to be a sponsor; teach him/her/them the many ways a sponsor can be used in recovery.
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Help the client develop an aftercare program that specifically outlines what AA meetings will be attended, the psychotherapist he/she/they will be working with, and how a daily inventory will be taken (or supplement with “Aftercare Plan Components” in the Adult Psychotherapy Homework Planner by Jongsma & Bruce or “Taking Daily Inventory” in the Addiction Treatment Homework Planner by Lenz, Finley, & Jongsma).
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Family members develop an aftercare plan that focuses on what they are expected to do to help the client recover. (35, 36, 37, 38)
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Teach the family members about criminal thinking and show them how to help the client correct his/her/their inaccurate thoughts (or supplement with “Crooked Thinking Leads to Crooked Behavior” in the Adult Psychotherapy Homework Planner by Jongsma & Bruce).
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Teach the family the need to overcome their denial of making excuses for reinforcing or being intimidated by the client's antisocial behavior.
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Use behavior rehearsal, modeling, and role-playing to teach the family members conflict resolution skills (or supplement with “Applying Problem Solving to Interpersonal Conflict” in the Adult Psychotherapy Homework Planner by Jongsma & Bruce).
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Assist each family member in identifying and listing how to encourage the client to recover from antisocial behavior and addiction.
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Develop a five-year written personal recovery plan to address addiction and antisocial traits. (39)
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Assist the client in developing a five-year personal recovery plan that outlines how the client will apply concepts learned in treatment going forward.
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Complete a survey to assess the degree of satisfaction with treatment. (40)
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Administer a survey to assess the client's degree of satisfaction with treatment.
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DIAGNOSTIC SUGGESTIONS
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ICD-10-CM
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DSM-5 Disorder, Condition, or Problem
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F91.x
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Conduct disorder
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F91.3
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Oppositional defiant disorder
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F43.24
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Adjustment disorder, With disturbance of conduct
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F63.81
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Intermittent explosive disorder
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Z72.811
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Adult antisocial behavior
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F60.2
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Antisocial personality disorder
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F60.3
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Borderline personality disorder
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F60.81
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Narcissistic personality disorder
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Note
1 Indicates that the Objective/Intervention is consistent with those found in evidence-based treatments.
ANXIETY
BEHAVIORAL DEFINITIONS
1 Excessive and/or unrealistic worry that is difficult to control occurring more days than not for at least six months about two or more events or activities.
2 Excessive and/or unrealistic worry that is difficult to control and in response to a recent stressor(s).
3 Excessive and/or unrealistic worry.
4 Motor tension (e.g. restlessness, tiredness, shakiness, muscle tension).
5 Autonomic hyperactivity (e.g. palpitations, shortness of breath, dry mouth, trouble swallowing, nausea, diarrhea).
6 Hypervigilance (e.g. feeling constantly on edge, experiencing concentration difficulties, having trouble falling or staying asleep, exhibiting a general state of irritability).
7 Demonstrates excessive worry regarding several life circumstances that is driven largely by cognitive biases.
8 Abuses
