The veteran/service member was provided with corrective feedback toward improvement of his/her use of self-talk techniques. Assign Thought-Stopping Techniques A. The veteran/service member was assigned to implement thought-stopping techniques on a daily basis in between sessions. The veteran/service member was assigned “Making Use of the Thought-Stopping Technique” in the Adult Psychotherapy Homework Planner, 2nd ed. The veteran’s/service member’s use of thought-stopping techniques was reviewed, and his/her failures in this area were redirected. The veteran’s/service member’s use of the gradual shift technique for his/her approaching shift change was reviewed and processed. The veteran/service member has regularly used the gradual shift technique; the benefits of this technique were reviewed.

C. The veteran/service member reports the emergence of psychotic symptoms. As treatment has progressed, the veteran’s/service member’s anxiety, depression, and psychotic symptoms have reduced as well. PARENTING PROBLEMS RELATED TO DEPLOYMENT VETERAN/SERVICE MEMBER PRESENTATION 1. Single Parenting ∗ A. The non-deployed parent reports difficulties with parenting alone while the partner is deployed. The non-deployed parent reports feeling stressed and overwhelmed with the continued difficulties of parenting alone.

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The service member did not accept the role-play technique very well and continues to see his/her feelings as abnormal. The therapist reviewed with the service member how homesickness and loneliness feelings were coped with and overcome. Altercations with Dissimilar People The veteran/service member has engaged in verbal altercations with dissimilar people. The veteran/service member has engaged in physical altercations with dissimilar people. The veteran/service member blames the other person’s dissimilarity from him/her as the reason for his/her altercations.

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The problems that reverting back and forth between sleep shifts can cause were reviewed with the veteran/service member. Create a Light-Free Sleeping Environment A. The veteran/service member was instructed to create a light-free sleeping environment. The veteran/service member was given ideas about blacking out windows and ceiling door cracks, and wearing a night mask. The veteran/service member has worked to create a light-free sleeping environment, and the benefits of these changes were reviewed.

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The veteran’s/service member’s hopeless attitude about life has diminished and he/she has begun to make more hopeful statements about the future. The veteran/service member no longer has a hopeless attitude about life and has demonstrated a normal attitude of hope and planning for the future. The veteran/service member described a history of suicide gestures without any specific intent of actually killing himself/herself. The veteran/service member minimized his/her history of suicide attempts and treated the experience lightly. The veteran/service member acknowledged the history of suicide attempts with appropriate affect and explained the depth of his/her depression at the time of the attempt. The veteran/service member indicated no current interest in or thoughts about suicidal behavior.

The service member was reinforced for implementation of a regular physical exercise program. The benefits of a regular physical exercise program were reviewed with the service member. The service member has not implemented a regular physical exercise program and was redirected to do so.

The partner’s coparenting agreement was formulated to include a pledge that neither parent will belittle the other parent or that parent’s family members in front of the children. The partner’s coparenting agreement was formulated to include promises that the parents will avoid placing the children in loyalty conflicts. The coparenting agreement that was facilitated included an agreement regarding the terms of financial support for the children.

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The service member’s first-line supervisor indicated mild concerns in regard to the service member’s job performance. The service member’s first-line supervisor indicated moderate concerns in regard to the service member’s job performance. The service member’s first-line supervisor indicated severe concerns in regard to the service member’s job performance. C. The veteran/service member denied any role for secondary gain that results from his/her modification of life to accommodate panic; he/she was provided with tentative examples. Care was taken not to minimize real potential future threats. Support Continued Duties and Activities A. The service member was supported for following through with military duties.

The impact of the sexual assault on the service member’s social, occupational, and interpersonal function was noted to be moderate, and this was reflected to the service member. The impact of the sexual assault on the service member’s social, occupational, and interpersonal function was noted to be severe, and this was reflected to the service member. Refer for Medication Evaluation A. The service member was referred for a medication evaluation to assist with sleep onset and maintenance. The service member was referred for a medication evaluation to assist with depression or anxiety symptoms. The service member was reinforced as he/she agreed to follow through on the medication evaluation. The service member was strongly opposed to being placed on medication to help stabilize his/her moods and emotional distress; his/her objections were processed.

The service member has been unable to juggle the variety of preparations necessary for deployment. As treatment has progressed, the service member feels more capable of preparing for his/her deployment. Emotional Withdrawal A. The service member reports uncharacteristic emotional withdrawal from his/her loved ones prior to deployment. The service member has struggled to express his/her emotions to his/her loved ones.