Treating Anxiety From an Integrated Approach

Treating Anxiety From an Integrated Approach

Treating Anxiety From an Integrated Approach A Collaborative Approach to Care April 6, 2019 * Tex-CHIP Training Series Role of Case Management in Treating Anxiety Understanding Provider Role in Treating Anxiety Supportive role Education for client and support system Diagnosis education Enabling coping skills vs positive coping skills

Real-time applications of the skills learned in therapy Symptoms tracking and reporting Encouraging self-reporting Effective documentation from case manager to team Considerations when Interacting with Clients Similarities across Anxiety Disorder diagnoses Fear, Anxiety, &/or Avoidance Current coping skills and patterns of learned behaviors Separating appropriate coping skills may be difficult depending on

how the skills effect anxiety symptoms Case Manager as a potential primary enabler? Potential difficulties of comorbidity with other diagnoses Maintaining compassionate curiosity with difficult symptoms and potential for slow/selective progress Our Treatment Plan Healthcare Domain: Behavioral Health Provider: Case Manager Objective: Decrease in symptoms as indicated by

client report of: (a) Reduction always on edge feeling (b) Reduction in exposed and vulnerable feelings (c) Increase outings (d) Improve reports of worry Goals: Interventions: a) Resume daytime activities

a) Deep breathing techniques b) Purchase food/groceries in person at a brick & mortar location b) Desensitization of anxiety symptoms c) Resume enjoyable activities outside her home c) Normalization of anxiety symptoms across scenarios

Measuring Outcomes/Success Increased positive/desired behaviors Engaging in the (formerly) anxiety provoking situation without using current enabling coping skills Decreased negative/unwanted behaviors Engaging in the (formerly) anxiety provoking situation without or with decreased anxiety symptoms Communication Needed from Counselors Specifics of the needs as related to the presenting symptomology

Identification of successes and challenges reported in session(s) Concrete identification of skills to build or strengths to utilize in case management planning Any positive or negative influence from primary support group or natural supports Risk factors, or triggers for increased risk Include related safety plan and emergency procedures

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