When the daughter describes her relationship with her father, she may be parroting the concerns of her mother, rather than her own dissatisfaction with the relationship. In some ways, the daughter has taken on the mother's frustration with the degradation of the relationship with her husband. In essence, the daughter has not had the opportunity to nurture her self subsystem.
The father, on the other hand, has become more rigid in his boundaries, perhaps overcompensating for the mother who has relinquished her parenting boundaries with her daughter. The boundaries between the father and daughter have become rigid because their need for nurturing continue to be unmet. The mother is not parenting, but over-nurturing the daughter.
The father becomes the sole authority figure who is perceived by the mother and daughter as cold and ruthless.
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He has become disengaged with his wife. The primary diagnosis for this family is a breakdown of the family structure.
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Rule out alchohol abuse in daughter. Strengthening each of the subsystems will help to re-establish clear boundaries. The short and long-term treatment plans are designed to strengthen each individual as well as their relationships within the family system. Vetere suggests for structural family therapy to be effective, the counselor must help the family design or re-establish a working system by changing the subsystems. For this reason, I have focused on the individual subsystems.
Their homework will be to have a date night once per week.
Additionally, they may benefit from couples counseling once per month until they have regained some of the structure to their partnership. Short-term plan 2: The father and daughter need to re-build their relationship, starting by spending one hour per week in an environment that will allow them to engage in interpersonal communication. Their homework for the first week is to write a letter to the other, telling them how they would like to re-create the relationship, not expressing what they do not like, but how they want to rebuild.
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How were they determined? In the next section, treatment priorities are transformed into treatment goals. These experiences will be used as resources for alleviating Sarah's symptoms long-term. Together, therapist and Sarah identified times when Sarah is motivated. She explained that she is most motivated when she is at work. Having concrete, actionable tasks helps Sarah feel useful.
Sarah chose to create daily tasks for herself at home, in order to improve her motivation. She is completing at least 3 tasks daily. She reports feeling proud and more hopeful at this stage of therapy from a 3 in hope to a 5. Answer the same questions as above, for interventions.
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Some tips for writing this section:. Remember, interventions need not be formal, complex activities. Ensure that each intervention and rationale is written with consistent theoretical language. However, she was able to describe, in detail, how her work brings her satisfaction.
Therapist used this connection to help Sarah transfer her motivation skills from work to home. She decided to begin listing the aspects of her work that bring her a sense of usefulness.
source url She says that seeing areas where she is already motivated has given her a "sense of self-worth and hope. If evaluation is included, it most often refers to formal evaluations, such as treatment plans and mental health assessments. Do clients complete an evaluation at the end of treatment?
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