reality during stressful situations.the ability to perceive stimuli correctly and maintain a sense of Client will verbalize adaptive ways of coping with stress.Long-term GoalBy time of discharge from treatment, client will demonstrate Goals/ObjectivesShort-term GoalInterventions with 1. Provide support and encouragement during times of deper- 3. Explain the relationship between severe anxiety and deper- 2. Explain the depersonalization behaviors and the pur- 4. Help client relate these behaviors to times of severe psy-sonalization behaviors. occurrence of depersonalization behaviors is related to severe sonalization. The client manifesting these symptoms may express fear and anxiety at experiencing such behaviors. They do not understand the response and may express a fear of “going insane.” occurrence.trusted individual provide a feeling of security when fears and anxieties are manifested.anxiety.pose they usually serve for the client. help to minimize fears and anxieties associated with their Selected RationalesSupport and encouragement from a The client may be unaware that the Dissociative Disorders This knowledge may ●^199
2 2506_Ch10_191-200.indd 0199 506 Ch 10 191 - 200 .indd 5. Explore past experiences and possibly repressed painful 7. Discuss ways the client may more adaptively respond to stress 6. Discuss these painful experiences with the client and en- 0 199 matic experiences predispose individuals to dissociative and role-play with him or her to practice using these new methods. disorders.pare client to face stressful situations by using these new behaviors when they occur in real life.of behavioral change.Knowledge of this relationship is the ficourage him or her to deal with the feelings associated with these situations. Work to resolve the conflsituations such as trauma or abuse. repressed feelings have nurtured. chological stress that he or she has experienced personally. serve to decrease the need for the dissociative response to anxiety. Having practiced through role-play helps to pre-It is thought that trau- rst step in the process These interventions icts these^ 10/1/10 9:35:32 AM 10 / 1 / 10 9 : 35 : 32 AM