Adolescent Psychotherapy Homework Planner
Description
In the newly updated sixth edition of The Adolescent Psychotherapy Homework Planner, a team of distinguished practitioners delivers a time-saving and hands-on practice tool designed to offer clients valuable homework assignments that will further their treatment goals for a wide variety of presenting problems. The Homework Planner addresses common and less-common disorders--including anxiety, depression, substance use, eating, and panic--allowing the client to work between sessions on issues that are the focus of therapy.
This book provides evidence-based homework assignments that track the psychotherapeutic interventions suggested by the fifth edition of The Adolescent Psychotherapy Treatment Planner. They are easily photocopied, and a digital version is provided online for the therapist who would prefer to access them with a word processor. The Homework Planner also offers:
* Cross-referenced lists of suggested presenting problems for which each assignment may be appropriate (beyond its primary designation)
* Several brand-new assignments, as well as adapted assignments that have been shortened or modified to make them more adolescent-client-friendly
* Homework assignments for the parents of adolescents in treatment, assignments for the adolescents themselves, and assignments for parents and adolescents to complete together
An essential and practical tool for therapists and practitioners treating adolescents, The Adolescent Psychotherapy Homework Planner, Sixth Edition will benefit social workers, psychologists, psychiatrists, and other clinicians seeking efficient and effective homework tools for their clients.
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Persons
ARTHUR E. JONGSMA, JR., PHD, is Series Editor of the bestselling PracticePlanners®. He has over five decades experience providing mental health services to inpatient and outpatient clients. He has authored or co-authored over fifty books.
L. MARK PETERSON, ACSW, retired Program Manager for Bethany Christian Services Residential Treatment and Family Counseling programs in Grand Rapids, Michigan.
WILLIAM P. MCINNIS, PSYD, is a private practitioner with Aspen Psychological Services in Grand Rapids, Michigan. He is co-author of the Adolescent Psychotherapy Treatment Planner.
TIMOTHY J. BRUCE, PHD, is Professor Emeritus in the Department of Psychiatry and Behavioral Medicine at the University of Illinois College of Medicine.
Content
About the Downloadable Assignments xv
PracticePlanners ® Series Preface xvi
Acknowledgments xviii
Introduction 1
Section 1: Academic Underachievement 4
Exercise 1.A Attitudes About Homework 5
Exercise 1.B Break It Down into Small Steps 11
Exercise 1.C Good Grade/Bad Grade Incident Reports 15
Section 2: Adoption 18
Exercise 2.A Beginning a Search for Birth Parents 19
Exercise 2.B Considering a Search for Birth Parents 22
Exercise 2.C My Child's Search for Birth Parents 26
Exercise 2.D Questions and Concerns Around Being Adopted 29
Exercise 2.E Some Things I'd Like You to Know 31
Section 3: Anger Control Problems 34
Exercise 3.A Anger Checklist 35
Exercise 3.B Anger Control 39
Exercise 3.C Stop Yelling 45
Exercise 3.D Thought Stopping 48
Section 4: Anxiety 50
Exercise 4.A Finding and Losing Your Anxiety 51
Exercise 4.B Progressive Muscle Relaxation 54
Exercise 4.C Tools for Anxiety 58
Exercise 4.D What Makes Me Anxious 61
Exercise 4.E Worry Time 65
Section 5: Attention-Deficit/Hyperactivity Disorder (ADHD) 67
Exercise 5.A Channel Your Energy in a Positive Direction 68
Exercise 5.B Evaluating Medication Effects 72
Exercise 5.C Getting It Done 77
Exercise 5.D Problem- Solving Exercise 82
Exercise 5.E Social Skills Exercise 86
Section 6: Autism Spectrum Disorder 90
Exercise 6.A Managing the Meltdowns 91
Exercise 6.B Moving Toward Independence 94
Exercise 6.C Progress: Past, Present, and Future 97
Exercise 6.D Progress Survey 100
Section 7: Bipolar Disorder 103
Exercise 7.A Action Minus Thought Equals Painful Consequences 104
Exercise 7.B Clear Rules, Positive Reinforcement, Appropriate Consequences 107
Exercise 7.C Medication Resistance 110
Exercise 7.D Mood Disorders Symptom List 113
Section 8: Blended Family 115
Exercise 8.A A Few Things About Me 116
Exercise 8.B Assessing the Family- Present and Future 118
Exercise 8.C Interaction as a Family 121
Exercise 8.D Stepparent and Sibling Questionnaire 124
Section 9: Bullying/Aggression Perpetrator 127
Exercise 9.A Apology Letter for Bullying 128
Exercise 9.B Bullying Incident Report 131
Exercise 9.C Factors Contributing to Bullying 135
Exercise 9.D Reasons for Rage 138
Section 10: Bullying/Aggression Victim 141
Exercise 10.A Calm Response to Verbal Bullying 142
Exercise 10.B Effective Ways to Manage Cyberbullying 146
Exercise 10.C Identify Impact of Bullying 150
Section 11: Conduct Disorder/Delinquency 152
Exercise 11.A Catch Your Teen Being Responsible 153
Exercise 11.B Headed in the Right Direction 156
Exercise 11.C How My Behavior Hurts Others 160
Exercise 11.D Letter to Absent or Uninvolved Parent 163
Exercise 11.E Patterns of Stealing 166
Section 12: Depression-Unipolar 168
Exercise 12.A Bad Thoughts Lead to Depressed Feelings 169
Exercise 12.B Becoming Assertive 173
Exercise 12.C Home, School, and Community Activities I Enjoyed 177
Exercise 12.D Overcoming Helplessness and Hopelessness 181
Exercise 12.E Surface Behavior/Inner Feelings 185
Exercise 12.F Three Ways to Change the World 189
Exercise 12.G Unmet Emotional Needs- Identification and Satisfaction 192
Section 13: Divorce Reaction 195
Exercise 13.A Impact of Parents' Separation/Divorce 196
Exercise 13.B Initial Reaction to Parents' Separation 199
Exercise 13.C My Thoughts, Feelings, and Beliefs About Divorce 203
Exercise 13.D Stop the Fighting 206
Section 14: Eating Disorder 208
Exercise 14.A Body Image 209
Exercise 14.B Fears Beneath the Eating Disorder 212
Exercise 14.C Plan and Eat a Meal 216
Exercise 14.D Reality: Food Intake, Weight, Thoughts, and Feelings 219
Section 15: Gender Dysphoria 224
Exercise 15.A Exploring Development of Gender Identity 226
Exercise 15.B Current Experience of Gender Identity 232
Exercise 15.C Gender Identity: Future Me 236
Section 16: Grief/Loss Unresolved 238
Exercise 16.A Create a Memory Album 239
Exercise 16.B Grief Letter 241
Exercise 16.C Honoring the Anniversary of the Loss 245
Exercise 16.D Memorial Collage 247
Exercise 16.E Moving Closer to Resolution 249
Section 17: Intellectual Disability 252
Exercise 17.A Activities of Daily Living Program 253
Exercise 17.B A Sense of Belonging 259
Exercise 17.C Hopes and Dreams for Your Child 263
Exercise 17.D Supportive Services for Your Child 266
Section 18: Loneliness 269
Exercise 18.A What Do I Value? 270
Exercise 18.B Practice Being Mindful 276
Exercise 18.C Fusing and Defusing: What? 281
Section 19: Low Self-Esteem 284
Exercise 19.A Maintaining Your Self- Esteem 285
Exercise 19.B Recognizing Your Abilities, Traits, and Accomplishments 289
Exercise 19.C Three Ways to Change Yourself 293
Exercise 19.D Three Wishes Game 296
Section 20: Medical Condition 297
Exercise 20.A Attitudes About Medication or Medical Treatment 298
Exercise 20.B Coping with a Sibling's Health Problems 301
Exercise 20.C Coping with Your Illness 305
Section 21: Negative Peer Influences 307
Exercise 21.A Choice of Friends Survey 308
Exercise 21.B I Want to Be Like 313
Exercise 21.C Reasons for Negative Peer Group Involvement 316
Section 22: Obsessive-Compulsive Disorder (OCD) 318
Exercise 22.A Decreasing What You Save and Collect 319
Exercise 22.B Refocus Attention Away from Obsessions and Compulsions 322
Section 23: Opioid Use 326
Exercise 23.A How My Thoughts and Feelings Link 328
Exercise 23.B Am I Ready for a Change? 333
Exercise 23.C How Do I Live with Chronic Pain? 336
Section 24: Oppositional Defiant Disorder 338
Exercise 24.A Changing School Rules 339
Exercise 24.B Cooperative Activity 343
Exercise 24.C Filing a Complaint 346
Exercise 24.D If I Could Run My Family 351
Exercise 24.E Switching from Defense to Offense 354
Section 25: Overweight/Obesity 357
Exercise 25.A Developing and Implementing a Healthier Diet 358
Exercise 25.B Increasing My Physical Activity 363
Exercise 25.C My Eating and Exercise Journal 367
Section 26: Panic/Agoraphobia 370
Exercise 26.A Panic Attack Rating Form 371
Exercise 26.B Panic Survey 374
Section 27: Parenting 376
Exercise 27.A Evaluating the Strength of Your Parenting Team 377
Exercise 27.B One- On- One 380
Exercise 27.C Parenting Report Card 384
Exercise 27.D Parents Understand the Roots of Their Parenting Methods 387
Exercise 27.E Plan and Evaluate a Family Activity 391
Exercise 27.F Transitioning from Parenting a Child to Parenting a Teen 394
Section 28: Peer/Sibling Conflict 397
Exercise 28.A Cloning the Perfect Sibling 398
Exercise 28.B How Parents Respond to Sibling Rivalry 401
Exercise 28.C Negotiating a Peace Treaty 404
Exercise 28.D Why I Fight with My Peers 407
Section 29: Physical/Emotional Abuse Victim 411
Exercise 29.A Identify the Nature of the Abuse 412
Exercise 29.B Letter of Empowerment 416
Exercise 29.C My Thoughts and Feelings 420
Exercise 29.D Self- Esteem Before, During, and After Abuse 423
Exercise 29.E Take the First Step 426
Section 30: Posttraumatic Stress Disorder (PTSD) 431
Exercise 30.A Describe the Trauma and Your Feelings 432
Exercise 30.B Describe Your PTSD Symptoms 435
Exercise 30.C Effects of Chronic or Long- Term Trauma/Stress 438
Exercise 30.D Impact of Frightening or Dangerous Event 441
Section 31: Runaway 443
Exercise 31.A Airing Your Grievances 444
Exercise 31.B Another Place to Live 447
Exercise 31.C Describe Life on the Run 450
Exercise 31.D Home by Another Name 453
Exercise 31.E Undercover Assignment 456
Section 32: Schizophrenia Spectrum 458
Exercise 32.A Describe Your Hallucinations 459
Exercise 32.B My Irrational Thoughts 463
Exercise 32.C Recognizing Early Warning Signs 466
Section 33: Sexual Abuse Perpetrator 468
Exercise 33.A Celebrity- Style Interview 469
Exercise 33.B Evaluating My Treatment Progress 473
Exercise 33.C Getting Started 477
Exercise 33.D Negative Effects of the Abuse 481
Exercise 33.E Your Feelings and Beyond 485
Section 34: Sexual Abuse Victim 489
Exercise 34.A Denial Within the Family 490
Exercise 34.B Letter of Forgiveness 493
Exercise 34.C My Story 497
Exercise 34.D Perpetrator Apology to the Victim 500
Exercise 34.E You Are Not Alone 505
Section 35: Sexual Orientation Confusion 509
Exercise 35.A Disclosing Same-Sex Orientation 510
Exercise 35.B Parents' Thoughts and Feelings About Their Teen's Sexual Orientation 514
Exercise 35.C Unsure 518
Section 36: Sexual Promiscuity 521
Exercise 36.A Connecting Sexual Behavior with Needs 522
Exercise 36.B Looking Closer at My Sexual Behavior 526
Exercise 36.C Pros and Cons of Having Sex 529
Section 37: Sleep Disturbance 531
Exercise 37.A Sleep Assessment 533
Exercise 37.B My Plan for Better Sleep 537
Section 38: Social Anxiety 540
Exercise 38.A Developing Conversational Skills 541
Exercise 38.B Greeting Peers 544
Exercise 38.C Observe Positive Social Behaviors 548
Exercise 38.D Show Your Strengths 552
Section 39: Specific Phobia 554
Exercise 39.A Finding a Strategy to Minimize My Fear 555
Exercise 39.B Gradual Exposure to Fear 558
Exercise 39.C School Fear Reduction 562
Section 40: Substance Use 565
Exercise 40.A Keeping Straight 566
Exercise 40.B Maintaining My Therapeutic Gains 571
Exercise 40.C Saying Goodbye to My Drug 575
Exercise 40.D Taking Your First Step 579
Exercise 40.E The Many Changes Necessary for Recovery 584
Exercise 40.F Welcome to Recovery 587
Section 41: Suicidal Ideation 590
Exercise 41.A No Self- Harm Contract 591
Exercise 41.B Painful Effects of Suicide 596
Exercise 41.C Past and Present Hurt- Hope for the Future 600
Exercise 41.D Symbols of Self- Worth 604
Appendix A: Alternate Assignments for Presenting Problems 607
Appendix B: Alphabetical Index of Exercises 631
SECTION 1: ACADEMIC UNDERACHIEVEMENT
Therapist's Overview
ATTITUDES ABOUT HOMEWORK
GOALS OF THE EXERCISE
- Assess the family dynamics or stressors that contribute to the client's resistance to completing homework assignments.
- Parents decrease the frequency and intensity of arguments with the client over issues related to school performance and homework.
- Assist in developing a plan to increase the frequency of completion of homework assignments.
- Complete homework assignments on a regular, consistent basis.
ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE MOST USEFUL
- Attention-Deficit/Hyperactivity Disorder (ADHD)
- Oppositional Defiant
SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH THE CLIENT
This exercise is designed for adolescent clients who have frequent arguments with their parents and/or have difficulty completing their homework. The purpose of the exercise is to assess family dynamics surrounding the issue of homework. The parents and client are both required to read three vignettes and respond to their respective questionnaires. The therapist reviews their responses in the follow-up therapy sessions to formulate a plan that will help the client to complete their homework more often, as well as reduce the degree of emotional intensity surrounding this issue. Beware: The client who has difficulty completing their school homework may very well have difficulty completing this therapy homework assignment. The client's resistance to completing the homework assignment may be processed either before or after the homework assignment is given.
EXERCISE 1.A
ATTITUDES ABOUT HOMEWORK
Families differ widely over how they deal with the issue of homework. In some homes, homework is an issue that precipitates heated arguments between parents and teenagers. In other homes, teenagers experience very few problems with their parents about homework. The following three case studies describe different family scenes focusing on the issue of homework. As you read the case studies, consider how your family may be similar to or different from the families described in dealing with homework issues. After you finish reading the three case studies, please complete the appropriate questionnaire.
FAMILY SCENE I
"I don't have any homework," Jimmy Keller angrily told his father, "and I'm tired of you always nagging me about it!"
Irritated, Mr. Keller replied, "Well, I wouldn't always have to check up on your schoolwork if you would just be responsible and do it. I got a call from Mr. Smith, your math teacher, and he says you have four incomplete assignments. What's up with that?"
"Nothing's up with that," Jimmy responded in exasperation. "I've already turned them in. I did them in-"
Mr. Keller cut his son off, "You told me that when I got a call from your science teacher. Then I went to conferences and found out that you hadn't turned several assignments in. How can I trust you?" The argument continued for a few more minutes before Mr. Keller threw up his arms in frustration and said, "I give up!"
Jimmy stormed to his room, too angry to even try to do his homework. He called a friend instead.
FAMILY SCENE II
"Mom, it's just a rough draft. It's not the final copy. I just wanted to know whether you thought my ideas sounded good," Kimberly expressed in frustration. "You don't have to be so critical about the spelling and punctuation errors. I'll correct those later on the computer."
Pat, Kimberly's mother, said, "You don't have to be so defensive. I'm just trying to help save you time by pointing out the mistakes now. Besides, you don't always recheck your essays for spelling errors."
Kimberly rolled her eyes and thought to herself, "Why did I even bring the essay to her? She's always so picky about the smallest mistakes."
Sensing her daughter's irritation, Pat told her, "Don't roll your eyes at me. I wouldn't have to be so picky if you would just learn to recheck your work."
"Fine," Kimberly said, gritting her teeth. "Just give me the paper and I'll make the corrections." Kimberly snatched the paper from her mother's hand and walked out of the room.
FAMILY SCENE III
Eric's mother came into the kitchen carrying two bags of groceries. She said, "Oh, hi, Eric. I see you've already gotten a jump on your homework. Good for you."
Eric smiled and said, "Yeah, I wanted to get it done before the basketball game tonight. Michael called and asked if I wanted to go to the game with him. Is that okay?"
Eric's mother said, "Sure, if you get your homework done, you can go. And I want you to know that I appreciate it so much that you are taking responsibility for getting your homework done without me having to hassle you constantly. You're a neat kid." Eric completed his homework and called his friend Michael to get a ride to the game.
CLIENT QUESTIONNAIRE
- How would you describe a common scene in your home over the issue of homework? How is your family situation either similar to or different from the family scenes described?
-
Similar:
Different:
- Describe your typical attitude about doing homework.
- How would your parents describe your attitude about getting your homework done?
- What role have your parents taken with your homework?
- If you were free to say anything to your parents about their attitude about your doing homework, what would it be?
- If there is tension in your home about this issue, what can you do to help decrease the tension?
- What self-defeating behaviors can you stop doing to help complete your homework?
- What do you think your parents can do to help decrease the tension?
- What changes can you make to complete your homework regularly? __________
- What things can your parents do to help you regularly complete your homework?
Be sure to bring this homework to your next session with your therapist, and be prepared to talk about your thoughts and feelings about this exercise.
PARENT QUESTIONNAIRE
- How would you describe a common scene in your home over the issue of homework? How is your family situation either similar to or different from the family scenes described?
Similar:
Different:
- How would you describe your adolescent's attitude about doing homework?
- Describe your attitude regarding your adolescent's completing homework.
- How would your adolescent describe your attitude about their doing homework?
- What role have you taken in regard to your adolescent's doing homework?
- If you were free to say anything to your adolescent about their attitude toward completing homework, what would it be?
- What changes can your adolescent make to complete their homework regularly?
- What self-defeating behaviors can you stop doing to help decrease the tension with your adolescent over the issue of homework?
- What changes can you make to help your adolescent complete homework regularly?
Be sure to bring this homework to your next session with your therapist, and be prepared to talk about your thoughts and feelings about this exercise.
Therapist's Overview
BREAK IT DOWN INTO SMALL STEPS
GOALS OF THE EXERCISE
- Complete large...
