Develop a written plan to address all pending legal problems in a constructive manner. (26)
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).
Encourage at least one person in recovery each day. (27, 28)
Teach the client why it is essential to attend recovery groups and to learn how to help others.
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).
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)
Assist the client in developing a list of reasons why the trust of others is important as a basis for any relationship.
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).
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).
Verbalize a desire to keep commitments to others and list ways to prove oneself to be responsible, reliable, loyal, and faithful. (32)
Discuss with the client the importance of keeping commitments and promises to others and ways to prove oneself as trustworthy in relationships.
Write an aftercare plan that includes a sponsor, AA meetings, and counseling. (33, 34)
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.
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).
Family members develop an aftercare plan that focuses on what they are expected to do to help the client recover. (35, 36, 37, 38)
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).
Teach the family the need to overcome their denial of making excuses for reinforcing or being intimidated by the client's antisocial behavior.
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).
Assist each family member in identifying and listing how to encourage the client to recover from antisocial behavior and addiction.
Develop a five-year written personal recovery plan to address addiction and antisocial traits. (39)
Assist the client in developing a five-year personal recovery plan that outlines how the client will apply concepts learned in treatment going forward.
Complete a survey to assess the degree of satisfaction with treatment. (40)
Administer a survey to assess the client's degree of satisfaction with treatment.
DIAGNOSTIC SUGGESTIONS
ICD-10-CM
DSM-5 Disorder, Condition, or Problem
F91.x
Conduct disorder
F91.3
Oppositional defiant disorder
F43.24
Adjustment disorder, With disturbance of conduct
F63.81
Intermittent explosive disorder
Z72.811
Adult antisocial behavior
F60.2
Antisocial personality disorder
F60.3
Borderline personality disorder
F60.81
Narcissistic personality disorder
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).
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.
