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The veteran/service member was educated about the common nature of symptoms developed during grief reactions. The veteran/service member noted that his/her symptoms fit the pattern described as the normal and common pattern, and was reinforced for this insight. The veteran/service member does not see his/her symptoms as being the typical pattern of grief reaction, and this was processed. Identify Explore Intentions Regarding Military A. The service member’s intentions regarding remaining in the military were exploited. The service member was supported as he/she indicated that he/she intends to remain in the military. The service member was supported as he/she indicates that he/she does not intend to remain in this military.

B. The veteran/service member was assigned “Analyze the Probability of a Feared Event” from the Adult Psychotherapy Homework Planner, 2nd ed. The veteran’s/service member’s ability to control the outcome of circumstances was examined, and the effectiveness of his/her worry on that outcome was also examined. Cognitive therapy techniques have been effective at helping the veteran/service member understand his/her beliefs and distorted messages that produce worry and anxiety.

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55. Assign Step Three Exercise A. Today’s session focused on teaching the veteran/service member about the 12-step recovery program’s concept of “turning it over.” B. The veteran/service member was assigned the task of turning problems over to a higher power each day and recording the experiences in a journal. The veteran’s/service member’s experience of turning problems over to his/her higher power was processed within the session.

The service member has reversed his/her thinking and has made a clear decision to remain in the military. Homesickness and Isolation A. The service member reports strong feelings of homesickness. The service member reports strong feelings of isolation and difficulty connecting with any other service members. The service member reports a better connection to others within the military. The service member’s feelings of homesickness have significantly decreased.

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Conduct Trauma Work A. As the veteran’s/service member’s adaptive behavior patterns have been evident, work on remembering and accepting the facts of previous trauma was initiated. The veteran/service member was assisted in tolerating the distress of remembering and accepting the facts of previous trauma and in reducing self-blame. The veteran/service member has been noted to be successful in using his/her adaptive behavioral patterns and emotional regulation skills in managing the effects of previous trauma. The veteran/service member has become more emotionally disregulated due to the trauma work and was redirected to use behavioral and emotional regulation skills.

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The non-deployed parent has displayed hostile feelings toward the child. As treatment has progressed, the non-deployed parent reports increased patience and more positive interactions with the child. Guilt over Deployment The deployed parent reports excessive guilt for having to leave his/her child. The deployed parent’s excessive guilt has led to a sense of estrangement from his/her family. The service member has identified that his/her guilt for leaving to be deployed is excessive.

Completing the Cost-Benefit Analysis exercise has been noted to be beneficial to the veteran/service member as he/she developed more insight into the impact of anxiety on his/her daily life. The veteran/service member has not followed through on completing the Cost-Benefit Analysis of his/her anxiety and was encouraged to do so. Identify Unresolved Conflicts A. The veteran/service member was assisted in becoming aware of unresolved life conflicts that contribute to his/her persistent fears. The veteran/service member was assisted in clarifying his/her feelings of anxiety as they relate to unresolved life conflicts. The veteran/service member was assisted in identifying steps that could be taken to begin resolving issues in his/her life that contribute to persistent fear and worry. As the veteran/service member has been helped to resolve life conflicts, his/her feelings of anxiety have diminished.

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The veteran/service member was assessed for the presence of clinically significant anxiety symptoms. The veteran’s/service member’s level of depression and anxiety was reflected to him/her. Clinically significant depression symptoms were identified, and the focus of treatment was turned toward these symptoms. Clinically significant anxiety symptoms were identified, and the focus of treatment was turned toward these symptoms. The veteran/service member was assessed for depression and anxiety symptoms, but none was noted.

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