POSTTRAUMATIC STRESS DISORDER (PTSD) 259 INTERVENTIONS IMP LEMENTED 1. Develop Trust (1) * A. Today's clinical contact focused on building the level of trust with the client through consistent eye contact, active listening, unconditional positive regard, and warm acceptance. B. Empathy and support were provided for the client's expression of thoughts and feelings during today's clinical contact. C. The client was provided with support and feedback as he/she described his/her maladaptive pattern of anxiety. D. As the client has remained mistrustful and reluctant to share his/her underlying thoughts and feelings, he/she was provided with additional reassurance. E. The client verbally recognized that he/she has difficulty establishing trust because he/she has often felt let down by others in the past, and he/she w as accepted for this insight. 2. Assess Nature of PTSD Symptoms (2) A. The client was asked about the frequency, intensity, duration, and history of his/her PTSD symptoms, fear, and avoidance. B. The Anxiety Disorder's Interview Schedule for DSM-IV (Di N ardo, Brown, and Barlow) was used to assess the client's PTSD symptoms. C. The assessment of the client's PTSD symptoms indicated that his/her symptoms are extreme and severely interfere with his/her life. D. The assessment of the client's PTSD symptoms indicate that these symptoms are moderate and occasionally interfere with his/her functioning. E. The results of the assessment of the client's PTSD symptoms indicate that these symptoms are mild and rarely interfere with his/her daily functioning. F. The results of the assessment of the client's PTSD symptoms were reviewed with the client. 3. Refer/Conduct Psychological Testing (3) A. Psychological testing was administered to assess for the presence and strength of the PTSD symptoms. B. The psychologi cal testing confirmed the presence of significant PTSD symptoms. C. The psychological testing confirmed mild PTSD symptoms. D. The psychological testing revealed that there are no significant PTSD symptoms present. E. The results of the psychological te sting were presented to the client. 4. Assess Stimuli (4) A. Specific stimuli that may precipitate the client's fears and avoidance were reviewed. B. Specific thoughts and possible delusions were reviewed as to how they contribute to the client's fears and avoidance. C. Specific situations that have precipitated the client's fears and avoidance were reviewed. * The numbers in parentheses correlate to the number of the Therapeutic Intervention sta tement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 