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278 SEXUAL ABUSE5. As you recover from this trauma you will overcome your avoidance of this place, discussions of the incident, feeling ashamed, or being crippled in relationships. Rate your degree of desire for this type of recovery. 1 234 5 None Very Strong 6. Now rate your degree of conﬁ dence that you will achieve this recovery. 1 234 5 None Very Strong EXERCISE XXXV. B	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SEXUAL IDENTITY CONFUSION 279Therapist's Overview JOURNAL OF SEXUAL THOUGHTS, FANTASIES, CONFLICTS GOALS OF THE EXERCISE 1. Increase the awareness of sexual thoughts, feelings, and fantasies. 2. Clarify the direction of sexual attraction feelings. 3. Clarify causes for conﬂ ict regarding feelings of sexual attraction. ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL Female Sexual Dysfunction Intimate Relationship Conﬂ icts Male Sexual Dysfunction SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT The client must be given the opportunity to indicate the degree of his / her confusion or anxiety associated with feelings of sexual arousal and attraction. If homosexual feelings are dominant, the client will need to clarify any feelings of conﬂ ict over these urges. If heterosexual feelings are predominant, there may also be feelings of conﬂ ict over expe-riencing such sexual feelings. Process the client's feelings as they arise and encourage self-acceptance and positive regard. SECTION XXXVI: SEXUAL IDENTITY CONFUSION	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
280 SEXUAL IDENTITY CONFUSIONEXERCISE XXXVI. A JOURNAL OF SEXUAL THOUGHTS, FANTASIES, CONFLICTS This exercise helps you become more aware of your own sexual thoughts, feelings, fan-tasies, and desires. If we experience conﬂ ict over our sexual feelings, we tend to repress those feelings and try to deny their existence. Try to overcome a natural tendency toward inhibiting the expression of these thoughts and feelings. Remember, at this point you are only writing about what you think and feel, you are not acting on these impulses without thought or consideration of values. To clarify your own sexuality, you ﬁ rst need to identify the naturally occurring urges and desires within you. 1. Journal Task: Use the form to enter information on a daily basis regarding your sex-ual thoughts, any accompanying trigger situations that stimulate those thoughts or fantasies, the degree of arousal you experience associated with your sexual thoughts, and ﬁ nally, describe any internal moral conﬂ ict that may inhibit these thoughts or internal approval that may encourage these thoughts. Entry 1 Day / Dateand Time: Sexual Thoughts Trigger Situation Degree of 1 234 5 None Very Strong Arousal Internal Conﬂ ict or Approval	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SEXUAL IDENTITY CONFUSION 281Entry 2 Day / Dateand Time: Sexual Thoughts Trigger Situation Degree of 1 234 5 None Very Strong Arousal Internal Conﬂ ict or Approval Entry 3 Day / Dateand Time: Sexual Thoughts Trigger Situation Degree of 1 234 5 None Very Strong Arousal Internal Conﬂ ict or Approval EXERCISE XXXVI. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
282 SEXUAL IDENTITY CONFUSIONEntry 4 Day / Dateand Time: Sexual Thoughts Trigger Situation Degree of 1 234 5 None Very Strong Arousal Internal Conﬂ ict or Approval Entry 5 Day / Dateand Time: Sexual Thoughts Trigger Situation Degree of 1 234 5 None Very Strong Arousal Internal Conﬂ ict or Approval EXERCISE XXXVI. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SEXUAL IDENTITY CONFUSION 283Entry 6 Day / Dateand Time: Sexual Thoughts Trigger Situation Degree of 1 234 5 None Very Strong Arousal Internal Conﬂ ict or Approval Entry 7 Day / Dateand Time: Sexual Thoughts Trigger Situation Degree of 1 234 5 None Very Strong Arousal Internal Conﬂ ict or Approval EXERCISE XXXVI. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
284 SEXUAL IDENTITY CONFUSION2. Rate the average degree of sexual arousal felt toward same-sex individuals during the week. 1 234 5 No Attraction Strong Attraction 3. Rate the average degree of sexual arousal felt toward the opposite sex during the week. 1 234 5 No Attraction Strong Attraction 4. How sure are you that the ratings you gave in number 2 and number 3 above are accurate and reliable? 1 234 5 Not Sure Very Sure If you are not sure, what contributes to your confusion on this issue? 5. What type of person triggers your feelings of sexual attraction? 6. At what point in your life did you ﬁ rst become aware of your feelings of sexual attrac-tion that are described in number 2 or number 3 above? 7. How comfortable are you with your feelings of sexual attraction and arousal? 1 234 5 Very Uncomfortable Very Comfortable Explain: EXERCISE XXXVI. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SEXUAL IDENTITY CONFUSION 285Therapist's Overview TO WHOM AND HOW TO REVEAL MY HOMOSEXUALITY GOALS OF THE EXERCISE 1. Identify trusted people who could receive and accept information about the homo-sexual orientation. 2. Anticipate the thoughts and feelings of the recipient of the disclosure. 3. Carefully prepare a statement of disclosure and identify the most appropriate time for sharing it. ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL None SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT After clarifying his / her own homosexual identity, the client still has a major task in front of him / her. The client must think through the process of disclosure of his / her sexual orientation with signiﬁ cant people in his / her life. This exercise is designed to help the client through that process of deciding where, when, and to whom the information will be disclosed, as well as possible questions and reactions the recipients may have. Process the completed assignment with the client, allowing him / her to revise his / her statement of disclosure, as well as giving him / her the opportunity to work through the feelings of anxiety and fear of rejection that most often accompany this step. Help the client reach out to develop a support network to reduce feelings of isolation and alienation.	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
286 SEXUAL IDENTITY CONFUSIONEXERCISE XXXVI. B TO WHOM AND HOW TO REVEAL MY HOMOSEXUALITY If you are convinced of your homosexual orientation, you now must work through the feelings associated with that realization. When you are convinced that you are homosex-ual, and you have clariﬁ ed, expressed, and worked through the feelings associated with that fact, then you must formulate a plan for disclosure of this fact to signiﬁ cant people in your life. This exercise is designed to help you think through the process of disclosure or coming out. This is a difﬁ cult but important step in declaring who you are and seeking acceptance. 1. Who are all of the people you think should eventually be told of your homosexual orientation? 2. Who is the ﬁ rst person you are going to tell about your homosexual orientation who is not already aware of it? 3. When do you believe you should tell your parents of your homosexual orientation?	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SEXUAL IDENTITY CONFUSION 2874. Do you believe your parents already have some idea that you may be homosexual? Why or why not? 5. Who already knows about your homosexual orientation? 6. When you tell your parents about your homosexual orientation, what reaction do you expect from your mother regarding your disclosure? 7. What reaction do you expect from your father regarding your disclosure? 8. What reaction do you expect from other important family members like siblings, grandparents, cousins, and so on? (Name the person and his / her expected reac-tion. ) EXERCISE XXXVI. B	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
288 SEXUAL IDENTITY CONFUSION9. What reaction do you expect from your friends? (Name friend and his / her expected reaction. ) 10. On the following lines, write out a presentation you might make to your friends and / or family regarding your discovery and belief in your homosexual orientation. In your written statement, include telling them about when you ﬁ rst had feelings of homosexual arousal, your emotional struggle connected with this sexual identity discovery, your current degree of certainty regarding your homosexuality, your cur-rent feelings about your future life as a homosexual, and any fears you may have about their reaction to your disclosure. Use additional paper, if necessary. EXERCISE XXXVI. B	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SEXUAL IDENTITY CONFUSION 28911. What questions might the recipient of this information have after they hear your disclosure? 12. Describe an exact person, time, and setting when you would be most comfortable making such a disclosure. EXERCISE XXXVI. B	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
290 SLEEP DISTURBANCETherapist's Overview SLEEP PATTERN RECORD GOALS OF THE EXERCISE 1. Increase awareness of effective sleep induction routines. 2. Implement a sleep induction routine. 3. Keep a daily record of stress, sleep pattern, disturbing dreams, and sleep inductions used. 4. Increase the amount of time in restful sleep. ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL Anxiety Chemical Dependence Depression Mania or Hypomania SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT Establishing an effective sleep routine is essential to breaking through the pattern of sleep disturbance that plagues many clients. Help the client establish a routine that will be consistently implemented. You may want to review the suggestions in the ﬁ rst section of this assignment and you may want to add some techniques that are not listed. The client's journal may produce additional information about anxiety-producing events in his / her life that may need problem solving to increase restful sleep. SECTION XXXVII: SLEEP DISTURBANCE	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SLEEP DISTURBANCE 291EXERCISE XXXVII. A SLEEP PATTERN RECORD Insomnia is a widespread problem, especially in our fast-paced culture. Some people de-lude themselves into thinking they need only 4 or 5 hours of sleep when most adults need about 7 hours of sleep on a regular basis. Other people think they do not sleep at all, but people who observe them discover that they do sleep for several hours during the night even though they may awaken periodically. There are techniques that can help people develop a better sleep routine. The most important techniques involve establishing a consistent sleep and wake-up time every day, exercising regularly, and avoiding alcohol. The following list will give you ideas about other sleep induction ideas that have been successful for many people. Review each of these and place a checkmark next to those that you are willing to implement on a consistent daily basis to establish a sleep induc-tion routine. 1. Sleep Induction Procedures: Engage in daily vigorous exercise during the afternoon for 20 to 30 minutes. Avoid spicy foods at night. Take a warm bath / shower 30 minutes prior to bed. Drink milk 30 minutes prior to bed (or take a Melatonin tablet). Avoid conﬂ ict issues prior to bed. Read a book while in bed. Go to bed and get out of bed at the same time every day. Use deep muscle relaxation techniques to reduce tension. Imagine relaxing scenes while in bed rather than thinking about the next day. Avoid coffee, tea, colas, chocolate, and other foods or drinks containing caf-feine. Write down disturbing thoughts to get them off your mind. Focus on diaphragm breathing, counting each deep breath backward from 100. Avoid alcohol 4 to 5 hours prior to bed. Play soothing, quiet music or “white noise. ” 2. Keep a daily record of stressful events, sleep pattern, disturbing dreams, and sleep induction techniques used.	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
292 SLEEP DISTURBANCEDay / Date: Stressful Events Sleep Start time: Pattern End time: Number of times awakened: Total time awake: Total time sleeping: Disturbing Dreams Sleep Induction Techniques Used Day / Date: Stressful Events Sleep Start time: Pattern End time: Number of times awakened: Total time awake: Total time sleeping: Disturbing Dreams Sleep Induction Techniques Used EXERCISE XXXVII. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SLEEP DISTURBANCE 293Day / Date: Stressful Events Sleep Start time: Pattern End time: Number of times awakened: Total time awake: Total time sleeping: Disturbing Dreams Sleep Induction Techniques Used Day / Date: Stressful Events Sleep Start time: Pattern End time: Number of times awakened: Total time awake: Total time sleeping: Disturbing Dreams Sleep Induction Techniques Used EXERCISE XXXVII. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
294 SLEEP DISTURBANCEDay / Date: Stressful Events Sleep Start time: Pattern End time: Number of times awakened: Total time awake: Total time sleeping: Disturbing Dreams Sleep Induction Techniques Used Day / Date: Stressful Events Sleep Start time: Pattern End time: Number of times awakened: Total time awake: Total time sleeping: Disturbing Dreams Sleep Induction Techniques Used EXERCISE XXXVII. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SLEEP DISTURBANCE 295Day / Date: Stressful Events Sleep Start time: Pattern End time: Number of times awakened: Total time awake: Total time sleeping: Disturbing Dreams Sleep Induction Techniques Used 3. Describe the relationship between stress and sleep disturbance or bad dreams. 4. Rate the effectiveness of your sleep induction routines. 1 234 5 Not Effective Very Effective EXERCISE XXXVII. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
296 SOCIAL DISCOMFORTTherapist's Overview RESTORING SOCIALIZATION COMFORT GOALS OF THE EXERCISE 1. Identify distorted, negative automatic thoughts that lead to social anxiety. 2. Identify possible root causes for the pattern of negative thinking. 3. Develop and implement positive cognitions that build social conﬁ dence. ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL Low Self-Esteem Panic Sexual Abuse SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT This exercise is designed around cognitive therapy principles. The client must ﬁ rst iden-tify negative automatic thoughts that feed his / her social anxiety. Then the client must work to discover some past experiences that contribute to these negative thinking pat-terns. Finally, the client is challenged to begin to think positively as a means of overcom-ing fear and social withdrawal. You may want to review some of the examples of distorted automatic thoughts that feed fear and add some of your own to the list in Item 1. You may also have to help the client develop and write positive, realistic statements that build conﬁ dence and counteract fear. SECTION XXXVIII: SOCIAL DISCOMFORT	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SOCIAL DISCOMFORT 297EXERCISE XXXVIII. A RESTORING SOCIALIZATION COMFORT Fear of being around other people is based in the automatic interpretative thoughts that rise when one considers the social situation. The distorted thoughts lead to negative emo-tions that lead to maladaptive behavior. In the case of social discomfort, the unrealistic thoughts lead to fear which leads to social withdrawal and isolation behavior. This exer-cise is designed to help you identify your distorted thoughts and think about their origins as well as discover ways to replace them with more realistic thoughts. 1. View the common distorted, automatic thoughts that are listed and that lead to fear and social withdrawal. Check those thoughts that you have experienced. I never know what to say. I'll make a fool of myself if I speak up. These people are much brighter than I am. This person does not like me. I'm going to have a panic attack. People are mean and critical. I can't speak to people unless I have a few drinks ﬁ rst. Every time I'm in a group situation, people ignore me. I can tell by the way she is looking at me that she thinks I'm stupid. I've never been good with words. 2. What other negative thoughts go through your mind when you consider a social en-counter? 3. Why do you think so negatively about interacting with others? What experiences have taught you to lack conﬁ dence?	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
EXERCISE XXXVIII. A 298 SOCIAL DISCOMFORT4. Describe any childhood experiences with critical or rejecting parents, siblings, or peers that you believe still contribute to your current anxiety around people. 5. What is your greatest fear about social interaction? 6. Rate the strength of your desire to overcome your social fears. 1 234 5 No Desire Strong Desire 7. Recall a time when you felt good about and enjoyed your social interaction. What was different in that situation? What made you able to overcome your anxiety? 8. How could you apply the coping skill you used in the situation described in item 7 to new social encounters? 9. Write three positive statements that are the opposite of the distorted, automatic thoughts that commonly lead to your fear of social interaction. Use these thoughts to build conﬁ dence and counteract the negative thoughts that build fear. A. B. C.	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SOMATIZATION 299Therapist's Overview CONTROLLING THE FOCUS ON PHYSICAL PROBLEMS GOALS OF THE EXERCISE 1. Reduce focus on somatic complaints and increase attention to positive traits and activities. 2. Reduce the amount of time given to somatic complaints. 3. Identify emotional stresses that underlie the focus on physical complaints. ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL Chronic Pain Medical Issues SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT The client with somatization issues is choosing to make his / her bodily concerns the pri-mary or only focus of his / her attention. This can be very disconcerting to signiﬁ cant others around him / her and can also seriously reduce the client's ability to function effec-tively. This exercise focuses the client on his / her assets and enjoyable activities. It also limits the amount of time given to somatic complaints by structuring the “worry time” to 30 minutes per day. Reinforce the importance of this structured time to the client and encourage him / her to use the rest of the day to focus on other issues. The client may also need help in examining his / her emotional issues that may lie beneath the somatic complaints because these clients will attempt to strongly avoid focusing on underlying issues. Reinforce all of the client's time and attention given to productive activities that are unrelated to his / her somatic complaints. SECTION XXXIX: SOMATIZATION	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
300 SOMATIZATIONEXERCISE XXXIX. A CONTROLLING THE FOCUS ON PHYSICAL PROBLEMS It is important to establish a proper balance to your perspective on life. Although you have concerns about your physical well-being, there is much more to you and your life than those concerns. Your identity as a person is much greater than someone who is only focused on health and bodily worries. You must control the amount of time and energy given to your anxieties about somatic problems and refocus your life on constructive, productive, and enjoyable activities. This exercise attempts to help you regain your focus and broaden your perspective. 1. List ﬁ ve of your favorite interests—areas of life and activities that you enjoy. A. B. C. D. E. 2. List ﬁ ve abilities, talents, or skills that you have and enjoy. A. B. C. D. E. 3. Considering your interests and abilities, list ﬁ ve activities you could engage in within the next few weeks that would take your mind off your physical health and get you focused on more productive, constructive, stimulating, and enjoyable pursuits. A. B. C. D. E.	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SOMATIZATION 3014. To make sure your focus on physical problems is decreased while your constructive activity is increased, schedule a speciﬁ c 30 minutes each day that you will think about, talk about, and write down your physical problems. Even if you have written down your complaint one or more times, keep recording it if it is still on your mind. Do not talk or think about your physical problems at any occasion other than the scheduled time. Day 1 Date: Time (30 minutes) From : AM / PM to : AM / PM My physical complaints or problems: Day 2 Date: Time (30 minutes) From : AM / PM to : AM / PM My physical complaints or problems: Day 3 Date: Time (30 minutes) From : AM / PM to : AM / PM My physical complaints or problems: Day 4 Date: Time (30 minutes) From : AM / PM to : AM / PM My physical complaints or problems: EXERCISE XXXIX. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
302 SOMATIZATIONDay 5 Date: Time (30 minutes) From : AM / PM to : AM / PM My physical complaints or problems: Day 6 Date: Time (30 minutes) From : AM / PM to : AM / PM My physical complaints or problems: Day 7 Date: Time (30 minutes) From : AM / PM to : AM / PM My physical complaints or problems: 5. What concerns or conﬂ icts are you experiencing that are not related to your physical health (e. g., fears, worries, hurts, frustrations)? 6. Do you think that at times you focus on your physical complaints rather than face your emotional struggles listed in item 5? If so, why do you think you do this? 7. Ask your family and close friends what they think you should do to cope with your physical concerns. Record their responses. EXERCISE XXXIX. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SPIRITUAL CONFUSION 303Therapist's Overview MY HISTORY OF SPIRITUALITY GOALS OF THE EXERCISE 1. Describe the story of the spiritual quest / journey. 2. Examine how life experiences have inﬂ uenced beliefs about a higher power. 3. Take steps to deepen spiritual life. ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL Chemical Dependence Chemical Dependence—Relapse Depression Medical Issues Suicidal Ideation SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT Research has shown the positive impact that an active and meaningful spiritual life can have on physical and mental health. Explore the client's history of experiences with spiri-tual concepts and religious practices. Assist him / her in overcoming barriers to a deeper spiritual life if he / she shows an interest in pursuing this. Be respectful of the client's religious and spiritual preferences. SECTION XL: SPIRITUAL CONFUSION	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
304 SPIRITUAL CONFUSIONEXERCISE XL. A MY HISTORY OF SPIRITUALITY Begin to explore your spiritual life by writing a biography that focuses on your experi-ences with learning about and relating to God. Start with your recollection of your child-hood understanding of God and trace that understanding to the present. Include any meaningful times of closeness to God, distance from God, anger toward God, questions about God, and worship of God. Then answer some questions that explore experiences that may have inﬂ uenced your thoughts, beliefs, and feelings about spiritual matters. 1. My Spiritual Journey—A Focused Biography	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SPIRITUAL CONFUSION 305 2. Where Am I Now Spiritually and How Did I Get Here? A. What do I currently believe about a higher power or God? B. How are my thoughts about God as Father inﬂ uenced by my experiences with my own father or mother? C. How have my life experiences inﬂ uenced my beliefs and feelings toward God? D. What do I think prevents me from developing a more meaningful spiritual life? E. What is the difference between spirituality and religion? Are they related? EXERCISE XL. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
306 SPIRITUAL CONFUSION F. What positive and negative experiences have I had with religious people? G. Do I believe God is harsh and judgmental or loving and forgiving? How does my belief affect my spiritual relationship? H. What three things could I do to make my life of faith and spirituality more meaningful? EXERCISE XL. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SUICIDAL IDEATION 307Therapist's Overview JOURNAL OF DISTORTED, NEGATIVE THOUGHTS GOALS OF THE EXERCISE 1. Identify situations and distorted cognitions that lead to suicidal urges. 2. Identify positive aspects of your life and components of a positive social support net-work. ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL Borderline Personality Depression SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT After the client has completed a journal that identiﬁ es trigger situations and distorted cognitions that lead to suicidal urges, it is most important that he / she be provided with the challenge for the lack of accuracy to his / her thinking. Each of his / her dysfunctional thoughts must be replaced with one that is positive and self-enhancing. You need to pro-vide the structure for this replacement process. SECTION XLI: SUICIDAL IDEATION	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
308 SUICIDAL IDEATIONEXERCISE XLI. A JOURNAL OF DISTORTED, NEGATIVE THOUGHTS When you are caught in the web of depression and hopelessness, you need to identify those situations and thoughts that are pushing you to the edge of life. This exercise helps you discover those distorted, discouraging thoughts and the situations that seem to trig-ger them. It is also important that you attempt to put some perspective to your life by identifying the positive aspects of your situation and those people who support and care for you. 1. Keep a daily record of the trigger situations and your self-defeating, negative thoughts that lead to consideration of suicide. Incident One Day / Date: Trigger Situation Discouraging Thought Incident Two Day / Date: Trigger Situation Discouraging Thought	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SUICIDAL IDEATION 309Incident Three Day / Date: Trigger Situation Discouraging Thought Incident Four Day / Date: Trigger Situation Discouraging Thought Incident Five Day / Date: Trigger Situation Discouraging Thought EXERCISE XLI. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
310 SUICIDAL IDEATIONIncident Six Day / Date: Trigger Situation Discouraging Thought Incident Seven Day / Date: Trigger Situation Discouraging Thought 2. What are the most commonly occurring discouraging thoughts? 3. What situations are causing you the most conﬂ ict and hopelessness? 4. What are the positive and hopeful aspects of your present life? 5. Who are the people who are most concerned for you and want you to be happy? EXERCISE XLI. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SUICIDAL IDEATION 311Therapist's Overview THE AFTERMATH OF SUICIDE GOALS OF THE EXERCISE 1. Identify the devastating effects that suicide can have on family members and signiﬁ -cant others. 2. Identify unmet needs that lie beneath the suicidal urges and self-destructive be-havior. 3. Reestablish a sense of hope in life. 4. Identify a supportive network of people who can be turned to when experiencing suicidal thoughts or urges to harm self. ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL Depression SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT In this assignment, the client is asked to identify the effects that the decision to take his / her life would have on his / her family members and other key individuals. The re-sponses to the questions can help provide insight into the factors contributing to the emergence of the suicidal thoughts or urges. More speciﬁ cally, the responses may reveal the client's unmet needs, internal conﬂ icts, or fantasies that lie beneath the suicidal urges. It is strongly recommended that this assignment be completed within the therapy session. The therapist should be ready to refer the client for inpatient hospitalization if this step is believed necessary. If the client's suicide risk is not assessed to be high enough to warrant hospitalization, the therapist is encouraged to establish a suicide prevention contract, arrange for 24 hour supervision by a signiﬁ cant other, and / or provide him / her with phone numbers for agencies or individuals (e. g., crisis hot line) in the event that he / she may become suicidal in the future.	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
312 SUICIDAL IDEATIONEXERCISE XLI. B THE AFTERMATH OF SUICIDE It is not uncommon for people who have had thoughts of suicide to wonder what would happen if they were to take their own life. Sometimes, people daydream or fantasize about how other people would respond if they were to choose to end their life. This ex-ercise looks at the impact that the decision to take your own life would have on others. Please answer the following questions. 1. What problems would be created for others if you took your life? 2. What impact would your decision to take your life have on your: Partner? Children? Mother? Father? Siblings? Grandparents?	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
SUICIDAL IDEATION 313Other key family members (please provide names)? Friends? Enemies? (Who?) 3. What are your spiritual beliefs about what would happen to you should you choose to take your life? 4. What would people say about you at your funeral if you took your life? 5. What would you want people to say about you at your funeral? 6. What would you like to tell others about why you have wanted to die? 7. Who can you turn to for emotional support to deal with your problems and painful emotions? EXERCISE XLI. B	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
314 SUICIDAL IDEATION8. What can others say to you that would help you feel emotionally stronger and less depressed? 9. What could others do to help you feel emotionally stronger and less depressed? 10. What can you do to help yourself become more hopeful about the future? 11. Rate the strength of the urge to kill yourself. 1 234 5 No Urge Uncontrollable Urge EXERCISE XLI. B	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
TYPE A BEHAVIOR 315Therapist's Overview DEVELOPING NONCOMPETITIVE VALUES GOALS OF THE EXERCISE 1. Accept that life is out of balance with too great an emphasis on drive, achievement, and competition. 2. Reprioritize values resulting in being less oriented toward achievement and more toward relaxation and relationship building. 3. List and commit to engagement in noncompetitive activities. ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL Phase of Life Problems Spiritual Confusion SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT This exercise will help the client clarify values and focus on engagement in activities that lead to new priorities. The client will have to be held accountable for following through with implementing these planned activities because the inclination will be to not be able to ﬁ nd the time. Review the activity list the client produces and suggest additional ac-tivities that may be helpful in developing a more relaxed, spiritual, relational, and inner focus. SECTION XLII: TYPE A BEHAVIOR	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
316 TYPE A BEHAVIOREXERCISE XLII. A DEVELOPING NONCOMPETITIVE VALUES A person who is constantly driven and preoccupied with getting ahead, winning at all costs, and dominating all social or business situations has lost balance. This person is typically impatient with others and cannot sit quietly and relax. The need for balance calls for less self-focus, a greater orientation toward others, less competition and im-patience with others, and more nurturing of and valuing friendship. Use this exercise to reﬂ ect on ways that you can restore balance to your life and reduce the drive to only achieve more and more. 1. Relationships: List the relationships in your life that are important to you. Next to each name, write an activity you could engage in with that person that would nur-ture and strengthen the closeness of the relationship. Name Activity A. B. C. D.	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
TYPE A BEHAVIOR 3172. Recreation: List the recreational activities that would be relaxing, enjoyable, and serve to calm your spirit. Write a date that you could initiate such an activity. Activity Date A. B. C. 3. Spiritual Growth: List activities that you could engage in that would foster the spiritual aspect of your character. List a date to begin this activity. Activity Date A. B. C. 4. Reﬂ ection and Aesthetics: List activities that you could engage in that would de-velop your ability to reﬂ ect, relax, and enjoy the art of life. Write a date to begin. Activity Date A. B. C. 5. Giving to Others: List activities that you could participate in that would be a ser-vice to others. Write a date to begin. Activity Date A. B. C. EXERCISE XLII. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
318 VOCATIONAL STRESSTherapist's Overview A VOCATIONAL ACTION PLAN GOALS OF THE EXERCISE 1. Overcome immobilizing feelings of helplessness, anxiety, and resentment. 2. Identify and replace negative, distorted cognitive messages that foster stress. 3. List proactive steps to be taken to reduce the vocational stress. ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL Financial Stress SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT Clients who have experienced failure, rejection, confrontation, or conﬂ ict related to em-ployment can easily become immobilized with fear and helplessness. Whether the client is in job jeopardy, has been terminated, or is in conﬂ ict with personnel at work, he / she needs to accept responsibility for the choices he / she has to take constructive action to im-prove the situation. You may need to assist the client in identifying and replacing his / her self-defeating cognitions in Section 2. Hold the client accountable and reinforce action taken to implement the proactive steps of Section 3. SECTION XLIII: VOCATIONAL STRESS	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
VOCATIONAL STRESS 319EXERCISE XLIII. A A VOCATIONAL ACTION PLAN It is common for a person to feel overwhelmed by vocational stress and to then develop a feeling of hopelessness and helplessness. You may feel you are not in control of your situation and that others are pulling all of the strings. But you must recapture a sense of controlling those things that you can and should control. You must develop a plan of action to respond proactively to your circumstance rather than to be immobilized by the events around you. Other people may have made decisions and implemented actions that affect you directly, but you do not have to be passive in response. You have choices before you in terms of how to respond assertively and constructively to reduce conﬂ ict and / or open new avenues for exploration. 1. Resource People: List three people who you can rely on to help you through this stressful time by providing support and constructive suggestions for action. A. B. C. 2. Identify Self-Defeating Messages: First, list the negative, pessimistic, self- defeating, and distorted thoughts that cause you to feel hopeless, anxious, and help-less about your vocational situation (e. g., “Nothing I can do will help the situation,” “Everything I have tried has failed,” “I am only going to be rejected again”). A. B. C. D. E.	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
320 VOCATIONAL STRESS3. Replace Self-Defeating Messages: Now challenge these negative thoughts that ﬁ ll your mind and cause you to be angry, depressed, worried, or immobilized. Replace each thought with a more realistic, energizing thought that can move you into con-structive action to improve your circumstance (e. g., “I have choices regarding what I can do to try to improve the situation,” “I need to try again at implementing change,” “There are people that do believe in me so I can take risks to reach out”). A. B. C. D. E. 4. Proactive Steps: Write ﬁ ve actions you will take to improve your situation and reduce vocational stress. A. B. C. D. E. EXERCISE XLIII. A	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
Appendix ALTERNATE ASSIGNMENTS FOR PRESENTING PROBLEMS Anger Management Antisocial Behavior How I Have Hurt Others 14 Antisocial Behavior Letter of Apology 16Attention Deﬁ cit Disorder (ADD)— Adult Problem Solving: An Alternative to Impulsive Action28 Borderline Personality Plan Before Acting 43 Family Conﬂ ict Applying Problem-Solving to Interpersonal Conﬂ ict 144 Legal Conﬂ icts Accept Responsibility for Illegal Behavior 188 Legal Conﬂ icts Crooked Thinking Leads to Crooked Behavior 191 Parenting Using Reinforcement Principles in Parenting 246 Antisocial Behavior Anger Management Alternatives to Destructive Anger 2 Anger Management Anger Journal 8Dissociation Describe the Trauma 122Family Conﬂ ict Applying Problem-Solving to Interpersonal Conﬂ ict 144 Legal Conﬂ icts Accept Responsibility for Illegal Behavior 188 Legal Conﬂ icts Crooked Thinking Leads to Crooked Behavior 191 Anxiety Borderline Personality Journal and Replace Self-Defeating Thoughts 36 Depression Negative Thoughts Trigger Negative Feelings 114Depression Positive Self-Talk 119 Low Self-Esteem Replacing Fears with Positive Messages 197 Obsessive-Compulsive Disorder (OCD) Making Use of the Thought-Stopping Technique 228 Panic Monitoring My Panic Attack Experiences 236Phobia Four Ways to Reduce Fear 257Sleep Disturbance Sleep Pattern Record 291 321	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
322 APPENDIX Attention Deﬁ cit Disorder (ADD)—Adult Anger Management Alternatives to Destructive Anger 2 Borderline Personality Plan Before Acting 43Cognitive Deﬁ cits Memory Aid—Personal Information Organizer 93 Cognitive Deﬁ cits Memory Enhancement Techniques 98 Impulse Control Disorder Impulsive Behavior Journal 172Mania or Hypomania Recognizing the Negative Consequences of Impulsive Behavior210 Mania or Hypomania Why I Dislike Taking My Medication 218Borderline Personality Anger Management Alternatives to Destructive Anger 2 Anger Management Anger Journal 8Dependency Satisfying Unmet Emotional Needs 104Dissociation Describe the Trauma 122Impulse Control Disorder Impulsive Behavior Journal 172Mania or Hypomania Recognizing the Negative Consequences of Impulsive Behavior210 Suicidal Ideation Journal of Distorted, Negative Thoughts 308Chemical Dependence Antisocial Behavior How I Have Hurt Others 14 Antisocial Behavior Letter of Apology 16Chemical Dependence—Relapse Early Warning Signs of Relapse 61Chemical Dependence—Relapse Identifying Relapse Triggers and Cues 65Chemical Dependence—Relapse Relapse Prevention Planning 70Chemical Dependence—Relapse Relapse Symptom Line 74Educational Deﬁ cits The Advantages of Education 141 Impulse Control Disorder Impulsive Behavior Journal 172Mania or Hypomania Recognizing the Negative Consequences of Impulsive Behavior210 Mania or Hypomania What Are My Good Qualities? 214 Obsessive-Compulsive Disorder (OCD) Reducing the Strength of Compulsive Behaviors 232 Sleep Disturbance Sleep Pattern Record 291Spiritual Confusion My History of Spirituality 304 Chemical Dependence—Relapse Antisocial Behavior How I Have Hurt Others 14 Antisocial Behavior Letter of Apology 16Chemical Dependence Aftercare Plan Components 47Chemical Dependence Relapse Triggers 51Chemical Dependence Substance Abuse Negative Impact Versus Sobriety's Positive Impact55 Educational Deﬁ cits The Advantages of Education 141 Impulse Control Disorder Impulsive Behavior Journal 172Mania or Hypomania Recognizing the Negative Consequences of Impulsive Behavior210 Obsessive-Compulsive Disorder (OCD) Reducing the Strength of Compulsive Behaviors 232 Spiritual Confusion My History of Spirituality 304	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
APPENDIX 323 Childhood Trauma Dissociation Describe the Trauma 122 Phobia Gradually Reducing Your Phobic Fear 261Posttraumatic Stress Disorder (PTSD) How the Trauma Affects Me 265Posttraumatic Stress Disorder (PTSD) Share the Painful Memory 267 Chronic Pain Phase of Life Problems What's Good About Me and My Life? 254 Somatization Controlling the Focus on Physical Problems 300 Cognitive Deﬁ cits Dissociation Staying Focused on the Present Reality 126 Dependency Anxiety Analyze the Probability of a Feared Event 21 Intimate Relationship Conﬂ icts How Can We Meet Each Other's Needs and Desires?179 Low Self-Esteem Replacing Fears with Positive Messages 197 Phase of Life Problems What's Good About Me and My Life? 254 Depression Anxiety Analyze the Probability of a Feared Event 21 Borderline Personality Journal and Replace Self-Defeating Thoughts 36 Cognitive Deﬁ cits Memory Aid—Personal Information Organizer 93 Dependency Making Your Own Decisions 101Dependency Satisfying Unmet Emotional Needs 104Grief / Loss Unresolved Creating a Memorial Collage 165Grief / Loss Unresolved Dear ___________________: A Letter to a Lost Loved One168 Low Self-Esteem Acknowledging My Strengths 194 Low Self-Esteem Replacing Fears with Positive Messages 197 Mania or Hypomania What Are My Good Qualities? 214Mania or Hypomania Why I Dislike Taking My Medication 218Phase of Life Problems What Needs to be Changed in My Life? 251Phase of Life Problems What's Good About Me and My Life? 254Psychoticism What Do You Hear and See? 271Sleep Disturbance Sleep Pattern Record 291Spiritual Confusion My History of Spirituality 304Suicidal Ideation Journal of Distorted, Negative Thoughts 308Suicidal Ideation The Aftermath of Suicide 312 Dissociation Cognitive Deﬁ cits Memory Aid—Personal Information Organizer 93 Sexual Abuse A Blaming Letter and a Forgiving Letter to Perpetrator274 Sexual Abuse Picturing the Place of the Abuse 277	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
324 APPENDIX Eating Disorder Depression Negative Thoughts Trigger Negative Feelings 114 Female Sexual Dysfunction Study Your Body: Clothed and Unclothed 157Obsessive-Compulsive Disorder (OCD) Making Use of the Thought-Stopping Technique 228 Obsessive-Compulsive Disorder (OCD) Reducing the Strength of Compulsive Behaviors 232 Family Conﬂ ict Anger Management Alternatives to Destructive Anger 2 Anger Management Anger Journal 8Antisocial Behavior Letter of Apology 16Depression Identify and Schedule Pleasant Activities 111Financial Stress Plan a Budget 161Parenting Using Reinforcement Principles in Parenting 246 Female Sexual Dysfunction Intimate Relationship Conﬂ icts How Can We Meet Each Other's Needs and Desires?179 Intimate Relationship Conﬂ icts Positive and Negative Contributions to the Relationship: Mine and Yours184 Male Sexual Dysfunction Journaling the Response to Nondemand, Sexual Pleasuring (Sensate Focus)202 Sexual Identity Confusion Journal of Sexual Thoughts, Fantasies, Conﬂ icts 280 Financial Stress Educational Deﬁ cits My Academic and Vocational Strengths 138 Educational Deﬁ cits The Advantages of Education 141 Impulse Control Disorder Impulsive Behavior Journal 172Vocational Stress A Vocational Action Plan 319 Grief / Loss Unresolved Dependency Making Your Own Decisions 101 Dependency Satisfying Unmet Emotional Needs 104Depression Negative Thoughts Trigger Negative Feelings 114Depression Positive Self-Talk 119 Impulse Control Disorder Anxiety Past Successful Anxiety Coping 25 Attention Deﬁ cit Disorder (ADD)— Adult Problem Solving: An Alternative to Impulsive Action28 Legal Conﬂ icts Accept Responsibility for Illegal Behavior 188 Mania or Hypomania Recognizing the Negative Consequences of Impulsive Behavior210 Intimate Relationship Conﬂ icts Antisocial Behavior Letter of Apology 16 Dependency Satisfying Unmet Emotional Needs 104	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
APPENDIX 325 Depression Identify and Schedule Pleasant Activities 111 Depression Negative Thoughts Trigger Negative Feelings 114Family Conﬂ ict Applying Problem-Solving to Interpersonal Conﬂ ict 144 Female Sexual Dysfunction Factors Inﬂ uencing Negative Sexual Attitudes 153 Grief / Loss Unresolved Creating a Memorial Collage 165Grief / Loss Unresolved Dear ___________________: A Letter to a Lost Loved One168 Paranoid Ideation Check Suspicions Against Reality 239 Parenting Using Reinforcement Principles in Parenting 246Sexual Identity Confusion Journal of Sexual Thoughts, Fantasies, Conﬂ icts 280 Legal Conﬂ icts Antisocial Behavior How I Have Hurt Others 14 Antisocial Behavior Letter of Apology 16Impulse Control Disorder Impulsive Behavior Journal 172 Low Self-Esteem Anxiety Analyze the Probability of a Feared Event 21 Borderline Personality Journal and Replace Self-Defeating Thoughts 36 Childhood Trauma Feelings and Forgiveness Letter 82Dependency Making Your Own Decisions 101Dependency Satisfying Unmet Emotional Needs 104Dependency Taking Steps Toward Independence 108Depression Negative Thoughts Trigger Negative Feelings 114Depression Positive Self-Talk 119 Female Sexual Dysfunction Study Your Body: Clothed and Unclothed 157Mania or Hypomania What Are My Good Qualities? 214Sexual Abuse A Blaming Letter and a Forgiving Letter to Perpetrator274 Social Discomfort Restoring Socialization Comfort 297Male Sexual Dysfunction Female Sexual Dysfunction Factors Inﬂ uencing Negative Sexual Attitudes 153 Intimate Relationship Conﬂ icts How Can We Meet Each Other's Needs and Desires?179 Intimate Relationship Conﬂ icts Positive and Negative Contributions to the Relationship: Mine and Yours184 Sexual Identity Confusion Journal of Sexual Thoughts, Fantasies, Conﬂ icts 280 Mania or Hypomania Attention Deﬁ cit Disorder (ADD)— Adult Problem Solving: An Alternative to Impulsive Action28 Borderline Personality Plan Before Acting 43 Impulse Control Disorder Impulsive Behavior Journal 172Low Self-Esteem Acknowledging My Strengths 194 Medical Issues The Impact of My Illness 224Psychoticism What Do You Hear and See? 271Sleep Disturbance Sleep Pattern Record 291	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
326 APPENDIX Medical Issues Chronic Pain Pain and Stress Journal 86 Somatization Controlling the Focus on Physical Problems 300Spiritual Confusion My History of Spirituality 304 Obsessive-Compulsive Disorder (OCD) Anxiety Analyze the Probability of a Feared Event 21 Anxiety Past Successful Anxiety Coping 25 Panic Anxiety Past Successful Anxiety Coping 25 Social Discomfort Restoring Socialization Comfort 297 Paranoid Ideation Depression Negative Thoughts Trigger Negative Feelings 114 Mania or Hypomania Why I Dislike Taking My Medication 218Psychoticism What Do You Hear and See? 271 Parenting Family Conﬂ ict A Structured Parenting Plan 148 Phase of Life Problems Anxiety Past Successful Anxiety Coping 25 Chronic Pain Pain and Stress Journal 86Cognitive Deﬁ cits Memory Aid—Personal Information Organizer 93 Educational Deﬁ cits My Academic and Vocational Strengths 138 Family Conﬂ ict Applying Problem-Solving to Interpersonal Conﬂ ict 144 Financial Stress Plan a Budget 161Grief / Loss Unresolved Dear ___________________: A Letter to a Lost Loved One168 Type A Behavior Developing Noncompetitive Values 316 Phobia Depression Negative Thoughts Trigger Negative Feelings 114 Posttraumatic Stress Disorder (PTSD) Anger Management Alternatives to Destructive Anger 2 Anger Management Anger Journal 8Childhood Trauma Changing from Victim to Survivor 78Childhood Trauma Feelings and Forgiveness Letter 82Dissociation Describe the Trauma 122Dissociation Staying Focused on the Present Reality 126Phobia Gradually Reducing Your Phobic Fear 261	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
APPENDIX 327 Psychoticism Cognitive Deﬁ cits Memory Aid—Personal Information Organizer 93 Dissociation Staying Focused on the Present Reality 126Mania or Hypomania Why I Dislike Taking My Medication 218Medical Issues How I Feel About My Medical Treatment 221Medical Issues The Impact of My Illness 224Paranoid Ideation Check Suspicions Against Reality 239 Sexual Abuse Childhood Trauma Changing from Victim to Survivor 78 Childhood Trauma Feelings and Forgiveness Letter 82Dissociation Describe the Trauma 122Dissociation Staying Focused on the Present Reality 126Low Self-Esteem Replacing Fears with Positive Messages 197 Mania or Hypomania What Are My Good Qualities? 214Posttraumatic Stress Disorder (PTSD) How the Trauma Affects Me 265Posttraumatic Stress Disorder (PTSD) Share the Painful Memory 267Social Discomfort Restoring Socialization Comfort 297 Sexual Identity Confusion Female Sexual Dysfunction Factors Inﬂ uencing Negative Sexual Attitudes 153 Female Sexual Dysfunction Study Your Body: Clothed and Unclothed 157 Sleep Disturbance Paranoid Ideation Check Suspicions Against Reality 239 Social Discomfort Anxiety Analyze the Probability of a Feared Event 21 Anxiety Past Successful Anxiety Coping 25Borderline Personality Journal and Replace Self-Defeating Thoughts 36 Dependency Satisfying Unmet Emotional Needs 104Depression Negative Thoughts Trigger Negative Feelings 114Low Self-Esteem Acknowledging My Strengths 194 Low Self-Esteem Replacing Fears with Positive Messages 197 Mania or Hypomania What Are My Good Qualities? 214Paranoid Ideation Check Suspicions Against Reality 239Panic Monitoring My Panic Attack Experiences 257Phobia Four Ways to Reduce Fear 261Phobia Gradually Reducing Your Phobic Fear 236 Somatization Chronic Pain Pain and Stress Journal 86 Spiritual Confusion Type A Behavior Developing Noncompetitive Values 316	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
328 APPENDIX Suicidal Ideation Anxiety Analyze the Probability of a Feared Event 21 Anxiety Past Successful Anxiety Coping 25Borderline Personality Journal and Replace Self-Defeating Thoughts 36 Dependency Satisfying Unmet Emotional Needs 104Depression Negative Thoughts Trigger Negative Feelings 114Depression Positive Self-Talk 119 Low Self-Esteem Acknowledging My Strengths 194 Low Self-Esteem Replacing Fears with Positive Messages 197 Phase of Life Problems What Needs to be Changed in My Life? 251Phase of Life Problems What's Good About Me and My Life? 254Spiritual Confusion My History of Spirituality 304 Type A Behavior Borderline Personality Plan Before Acting 43 Depression Identify and Schedule Pleasant Activities 111Impulse Control Disorder Impulsive Behavior Journal 172 Vocational Stress Educational Deﬁ cits My Academic and Vocational Strengths 138 Educational Deﬁ cits The Advantages of Education 141 Family Conﬂ ict Applying Problem-Solving to Interpersonal Conﬂ ict 144 Grief / Loss Unresolved Dear ___________________: A Letter to a Lost Loved One168	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
ABOUT THE CD-ROM INTRODUCTION This appendix provides you with information on the contents of the CD that accompanies this book. For the latest and greatest information, please refer to the Read Me ﬁ le located at the root of the CD. SYSTEM REQUIREMENTS A computer with a processor running at 120 Mhz or faster At least 32 MB of total RAM installed on your computer; for best performance, we recommend at least 64 MB A CD-ROM drive Note: Many popular word processing programs are capable of reading Microsoft Word ﬁ les. However, users should be aware that a slight amount of formatting might be lost when using a program other than Microsoft Word. USING THE CD WITH WINDOWS To install the items from the CD to your hard drive, follow these steps: 1. Insert the CD into your computer's CD-ROM drive. 2. The CD-ROM interface will appear. The interface provides a simple point-and-click way to explore the contents of the CD. If the opening screen of the CD-ROM does not appear automatically, follow these steps to access the CD: 1. Click the Start button on the left end of the taskbar and then choose Run from the menu that pops up. 2. In the dialog box that appears, type d:\setup. exe. (If your CD-ROM drive is not drive d, ﬁ ll in the appropriate letter in place of d. ) This brings up the CD interface described in the preceding set of steps. 329	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
330 ABOUT THE CD-ROM USING THE CD WITH A MAC 1. Insert the CD into your computer's CD-ROM drive. 2. The CD-ROM icon appears on your desktop, double-click the icon. 3. Double-click the Start icon. 4. The CD-ROM interface will appear. The interface provides a simple point-and-click way to explore the contents of the CD. WHAT'S ON THE CD The following sections provide a summary of the software and other materials you'll ﬁ nd on the CD. Content Includes all 79 homework assignments from the book in Word format. Homework assign-ments can be customized, printed out, and distributed to parent and child clients in an ef-fort to extend the therapeutic process outside of the ofﬁ ce. All documentation is included in the folder named “Content. ” Applications The following applications are on the CD: Microsoft Word Viewer Windows only. Microsoft Word Viewer is a freeware viewer that allows you to view, but not edit, most Microsoft Word ﬁ les. Certain features of Microsoft Word documents may not display as expected from within Word Viewer. USER ASSISTANCE If you have trouble with the CD-ROM, please call the Wiley Product Technical Support phone number at (800) 762-2974. Outside the United States, call 1(317) 572-3994. You can also contact Wiley Product Technical Support at http://support. wiley. com. John Wiley & Sons will provide technical support only for installation and other general qual-ity control items. For technical support of the applications themselves, consult the pro-gram's vendor or author. To place additional orders or to request information about other Wiley products, please call (800) 225-5945.	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf
CUSTOMER NOTE: IF THIS BOOK IS ACCOMPANIED BY SOFTWARE, PLEASE READ THE FOLLOWING BEFORE OPENING THE PACKAGE. This software contains ﬁ les to help you utilize the models described in the accompa-nying book. By opening the package, you are agreeing to be bound by the following agreement: This software product is protected by copyright and all rights are reserved by the au-thor, John Wiley & Sons, Inc., or their licensors. You are licensed to use this software on a single computer. Copying the software to another medium or format for use on a single computer does not violate the U. S. Copyright Law. Copying the software for any other purpose is a violation of the U. S. Copyright Law. This software product is sold as is without warranty of any kind, either express or implied, including but not limited to the implied warranty of merchantability and ﬁ tness for a particular purpose. Neither Wiley nor its dealers or distributors as-sumes any liability for any alleged or actual damages arising from the use of or the inability to use this software. (Some states do not allow the exclusion of implied war-ranties, so the exclusion may not apply to you. ) For information about the CD-ROM, see the About the CD-ROM section on pages 329-330.	Arthur E. Jr. Jongsma - Adult Psychotherapy Homework Planner 2nd Edition Practice Planners-Wiley 2006.pdf