POSTTRAUMATIC STRESS DISORDER (PTSD) 267 39. Encourage Use of Therapy Strategies (39) A. The client was encouraged to routinely use strategies used in therapy. B. The client was urged to use cognitive restructuring, social skill, and exposure techniques while building social inte ractions and relationships. C. The client was reinforced for his/her regular use of therapy techniques within social interactions and relationships. D. The client was unable to identify many situations in which he/she has used therapy techniques to help build social interactions and social relationships and was redirected to seek these situations out. 40. Develop a Coping Card (40) A. The client was provided with a coping card on which specific coping strategies were listed. B. The client was assisted i n developing his/her coping card in order to list his/her helpful coping strategies. C. The client was encouraged to use his/her coping card when struggling with anxiety producing situations. 41. Conduct Family/Conjoint Session (41) A. A conjoint session was held to facilitate healing the hurt that the client's PTSD symptoms have caused to others. B. The client was supported while apologizing to significant others for the irritability, withdrawal, and angry outbursts that are part of his/her PTSD symptom pattern. C. Support was provided as the client's significant others verbalized the negative impact that the client's PTSD symptoms have had on their lives. D. Significant others indicated support for the client and accepted apologies for previous hurts that his/her behavior caused; the benefits of this progress were highlighted. 42. Refer for Group Therapy (42) A. The client was referred for group therapy to help him/her share and work through his/her feelings about the trauma with other individuals wh o have experienced traumatic incidents. B. The client was given the directive to self-disclose at least once during the group therapy session about his/her traumatic experience. C. It was emphasized to the client that his/her involvement in group therapy has helped him/her realize that he/she is not alone in experiencing painful emotions surrounding a traumatic event. D. It was reflected to the client that his/her active participation in group therapy has helped him/her share and work through many of his /her emotions pertaining to the traumatic event. E. The client has not made productive use of the group therapy sessions and has been reluctant to share his/her feelings about the traumatic event; he/she was encouraged to use this helpful technique. 43. Reinforce Reality-Based Cognitions (43) A. The client was taught positive, reality-based self-talk to replace his/her distorted cognitive messages. B. The client was reinforced for implementing positive, reality-based cognitive messages that enhance self-confidence and increase adaptive action. C. The client has begun to verbalize hopeful and positive statements regarding the future and was reinforced for doing so. 