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Ineffective coping r/t antisocial behavior and narcissistic personality disorder
AEB poor judgment r/t impulsive behavior, manipulation of others, assaultive behavior,
and a distorted view of the world.
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Long Term Goal
Client will remain free of destructive
behavior to self and others by [date]
Short Term Goal
Client will begin to implement
at least two new coping techniques whenever he has feelings of impulsive, aggressive
behavior by [date].
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Long Term Interventions:
1.)
Role play alternative behaviors with clients that they can use in stressful and
overwhelming situations (Ackley, & Ladwig, 2008).
Rationale: Role playing allows client to rehearse alternative ways of handling
stressful and angry feelings in a safe environment.
2.) Teach the client to problem solve. Have the client define the problem and cause,
and list the advantages and disadvantages of the options (Collins, & Cutcliffe,
2003).
Rationale: Cognitive behavioral therapy is a useful intervention when working on
issues of hope.
3.) Upon discharge, refer for psychiatric home healthcare services for client reassurance
and implementation of a therapeutic regimen (Ackley, & Ladwig, 2008).
Rationale: An intervention study of a peer-based and regular case management for
community-dwelling adults with mental illness demonstrated that improved positive
regard at 6 months predicted and sustained treatment motivation for psychiatric
problems.
Short Term Interventions:
1.) Assist clients to identify possible courses of action and their social/interpersonal
consequences (Foley, 2010).
Rationale: Such identification helps clients assume a beginning level of responsibility
for thoughts, feelings, behaviors, and possible outcomes.
2.) Determine usual methods of problem solving. Help identify maladaptive strategies
and suggest appropriate replacements (Foley, 2010).
Rationale: These interventions help clients determine the most beneficial strategies
and substitute them for maladaptive ones.
3.) Work closely with the client to develop appropriate educational tools that address
individualized needs (Ackley, & Ladwig, 2008).
Rationale: Educational level may affect the client’s level of concern and ability
to process information. Caregiver and client coping patterns may vary.
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Long Term:
The evaluation of this goal is set for
[date].
The client has demonstrated progress toward this goal by remaining free of harm
to self and others and demonstrating alternative ways of handling situations.
Short Term:
The evaluation of this goal is set for
[date].
The client has demonstrated progress toward this goal by using alternate behaviors
to use self-control during situations that get out of hand.
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1.) The client has used other behaviors to deescalate stressful situations with
peer, staff, and teachers.
He has discussed that he looks at the outcomes of his anger more rationally now
which has caused him to talk about his feelings more or back away from situations
that pose a threat.
2.) The client has stated that he wants to continue therapy after he is discharged
to keep him on the right tract and learn more coping techniques.
3.) The client goes to his room to work out when he is feeling aggressive, impulsive,
or in a bad mood. He said it has helped him release some built up stress and helps
him calm down.
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