adequate choices of practiced responses, and/or inability to use DefiGoals/Objectives[Somatic complaints in response to occurrence or anticipation Outcome Criteria 1. Client and parents are able to discuss their fears regarding Defi^ 2. Client experiences no somatic symptoms from fear of [Inadequate coping skills] 3. Client maintains anxiety at moderate level when separation [Unresolved separation confl●Possible Etiologies (“related to”)available resources Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence Short-term Goal^ of separation from attachment fiINEFFECTIVE COPINGseparation.occurs or is anticipated. separation. ning Characteristics (“evidenced by”) nition: Inability to form a valid appraisal of the stressors, in- icts] gure] ●^51
2506_Ch02_014-053.indd Sec1:51 2506 Ch 02 014 - 053 .indd Long-term GoalClient will demonstrate use of more adaptive coping strategies separation.(than physical symptoms) in response to stressful situations.Interventions with SClient will verbalize correlation of somatic symptoms to fear of 1. Encourage child or adolescent to discuss specifi 2. Help child or adolescent who is perfectionistic to recognize 3. Encourage parents and child to identify more adaptive cop-ec 1 response to these situations. Include parents in the discus-of unmet self-expectations to the exacerbation of physical that self-expectations may be unrealistic. Connect times symptoms.between stressful situations and the exacerbation of physical ing strategies that child could use in the face of anxiety that sion. symptoms. in life that produce the most distress and describe his or her step in the change process.: 51 Client and family may be unaware of the correlation Recognition of maladaptive patterns is the fi Selected Rationales c situations rst 10/1/10 9:33:27 AM 10 / 1 / 10 9 : 33 : 27 AM