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View Poll Results: Did you receive a treatment plan when you started therapy? | ||||||
Yes |
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6 | 10.53% | |||
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No |
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39 | 68.42% | |||
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Kinda/sorta/maybe/I dunno |
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11 | 19.30% | |||
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Other |
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1 | 1.75% | |||
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Voters: 57. You may not vote on this poll |
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Child of a lesser god
Member Since Jun 2015
Location: Tartarus
Posts: 19,255
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#1
Neither of mine has ever really given me a treatment plan, though it's mentioned in their contracts. They did each give me a vague outline of how they hoped things would go at the beginning. This was OK with me at the time because it sort of fit my circumstances as a client (difficulty talking, nature of issues that brought me to therapy, medication not involved, etc.).
The lack of a plan is starting to get on my nerves, though, as it feels things become less and less focussed in therapy. I'm planning to press the issue (not necessarily to get a plan, but at least to deal with the lack of focus) with each of them next week, but to help me figure out how to approach the subject, I wonder about treatment plans: did you receive one or not? if you did, did you and your therapist adhere to it? discuss it whenever change might be warranted? if you didn't get a plan, why not? and do you prefer therapy with or without a plan? |
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underdog is here
Member Since Sep 2011
Location: blank
Posts: 34,956
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#2
Neither of the ones I see has ever mentioned such a thing. The first denied having any sort of structure or plan at all.
__________________ Please NO @ Selfishness is not living as one wishes to live, it is asking others to live as one wishes to live. Oscar Wilde Well Behaved Women Seldom Make History - Laurel Thatcher Ulrich Pain is inevitable. Suffering is optional. |
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Guest
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#3
I have no plan. I would not want a plan, I'm happy doing open ended therapy like this.
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![]() atisketatasket, Ellahmae
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Guest
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#4
Never heard of treatment plans outside of treatment centres. They don't work. They're someone else vision of what will work. If you then 'fail' it's all down to you. It's a trap. Set to fail to keep the - whatever it's is - going. Revolving door.
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![]() atisketatasket, Nammu
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Crone
Member Since May 2010
Location: Some where between my inner mind and the solar system.
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#5
Treatment plan
Get better( very vague, open ended and subjective) Stay out of hospital ( goal oriented) __________________ Nammu …Beyond a wholesome discipline, be gentle with yourself. You are a child of the universe no less than the trees and the stars; you have a right to be here. …... Desiderata Max Ehrmann |
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Grand Member
Member Since Jan 2011
Posts: 799
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#6
With my current therapist there is a treatment plan which I get to look over and sign. I think they are mostly done for insurance because we never seem to have a plan for anything. It is just me sharing what is going on that week. I wish it was more working toward goals but it isn't.
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Veteran Member
Member Since Jul 2014
Location: Currently traveling the world
Posts: 534
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#7
I think he might like to have a treatment plan, but other more important things get in the way.
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Aranel
Member Since Dec 2014
Location: my dark reality
Posts: 4,148
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#8
My T has a plan for me but it's not concrete and it's always changing.
__________________ **the curiosity can kill the soul but leave the pain and every ounce of innocence is left inside her brain**
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Grand Magnate
Member Since Jan 2014
Location: n/a
Posts: 4,819
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#9
We have never discussed it. Although I suspect she has one for my insurance company.
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Legendary
Member Since Apr 2012
Location: Earth
Posts: 15,008
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#10
I have a treatment plan although it's vague.
__________________ Dx: Me- SzA Husband- Bipolar 1 Daughter- mood disorder+ Comfortable broken and happy "So I don't know why I'm tongue tied At the wrong time when I need this."- P!nk My blog |
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Guest
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#11
I think this also depends on the approach they are using. For example, therapists who provide more short-term, goal-oriented treatment (eg. CBT) are more likely to make a plan and then evaluate the progress. Mine is psychoanalytical and while we did talk about my primary reasons for coming to therapy and goals in the beginning, it's much more a gigantic free drifting through time and space -- what they call free association and I find it comes the most naturally for me. I do bring up the original goals every now and then and what I am trying to do to work towards them in everyday life, and then we discuss that.
Generally, I very much enjoy this freedom, but do get a bit concerned sometimes that we just keep adding more topics and angles and perhaps the main goals may get lost and I get too distracted. However, with more time I'm now finding that things tend to pull together especially with repetitions (coming back to the same issues) and I feel it's an effective way to actually find other points of focus and areas that may need work but I was not aware of that initially. I think this allows a much greater depth and breadth of work than something where a few goals are sharply defined, the process is planned, and is followed through according to a plan. It will inevitably take more time and money, but I feel that especially for a person like myself (who loves to dig deeply into things and understand thoroughly) it's probably the most suitable format. I tend to be a good planner and a strategical person in my life and quite independent, so I don't mind that there aren't strict plans and expectations imposed on me externally and I'm also free to create how I use my therapy experience. |
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Elder Harridan x-hankster
Member Since Jun 2011
Location: Milan/Michigan
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#12
I think the lightbulb has to want to change. Otherwise the plan is moot.
Eta - just occurred to me - the new mercury lightbulbs go a verrrrrry long time before changing ![]() Last edited by unaluna; Oct 01, 2015 at 11:02 AM.. |
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![]() AncientMelody, atisketatasket, Nammu
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Child of a lesser god
Member Since Jun 2015
Location: Tartarus
Posts: 19,255
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#13
Neither of mine take insurance, yet they state there will be a plan...so that is not the reason for the lack of a plan. Therapists in my state can be disciplined for not having a treatment plan, perhaps it's also in the APA regulations.
I am a light bulb that wants to change, believe me, but if I could have done it without therapy, I would have. But I'm also not in good enough shape physically or emotionally these days to correct the increasing lack of focus (which is much as Xynesthesia describes, just adding topics and angles that are distracting) on my own; they're going to need to help me out. |
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Child of a lesser god
Member Since Jun 2015
Location: Tartarus
Posts: 19,255
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#14
Oh, and this whole conversation just reminded me of a line from "Ninotchka" (Greta Garbo as a humorless loyal Soviet who visits Paris and attracts a decadent Parisian):
Besmitten Parisian: Oh, a Russian! I love Russians! Comrade...I've been fascinated by your five-year plan for the last fifteen years! ![]() |
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![]() Nammu, PinkFlamingo99, unaluna
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Poohbah
Member Since Mar 2014
Location: PNW
Posts: 1,394
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#15
No plan that I know of. I'd hate it if there were one.
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Guest
Posts: n/a
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#16
The only official treatment plan I was ever aware of was in the hospital with my pdoc which was an insurance requirement.
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Elder
Member Since Mar 2011
Location: Nowhere noteworthy.
Posts: 7,145
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#17
With my current therapist yes a treatment plan was made at the start. Though naturally said treatment plan has had to be modified as my therapist and myself have gotten to know each other better, and to fit my life circumstances now which were rather different when I started my work with her back in March.
However, most of the therapists I've seen before with the exception of one did not create a treatment plan, or do any goal setting, or anything. I am the type of person who likes having a plan in place even though it'll inevitably need modifying later on, I require the structure as a person with Schizophrenia. I think I just had a bad run of therapists. Finding my current therapist has been a huge gift that I am quite grateful for. |
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Veteran Member
Chat Leader
Member Since Apr 2013
Location: USA
Posts: 565
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#18
Never had a plan with any of my therapists. I was required to sign a plan when in PHP but it was so vague it was useless really.
Sent from my iPad using Tapatalk __________________ Join me for the weekly Psych Central Depression Support Chat! Thursdays 9 PM Eastern Depression Support Chat Topics Thread ![]() |
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Poohbah
Member Since Dec 2014
Location: Here and Now
Posts: 1,158
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#19
Our couples counselor suggested she had an 'outline' in the first session. I'm not sure what's happened to that. We've had some big issues pop up since then and maybe we all realized it was going to be a lot more work than we first thought.
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Crone
Member Since May 2010
Location: Some where between my inner mind and the solar system.
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#20
Treatment plans in hospitals are pretty worthless. At least they are where I live now. The practically kick you out the door before the inks dry. They certainly don't keep people long enough to see if the meds are working or what averse side effects might happen. Years ago they had treatment plans like; you will go to one group today. You will get dressed everyday, you will take a shower at least once in 48 hours, you will go to bed and try to sleep,,,,, etc....
Now days they never know if a group will happen or not, they don't have the staff to care if someone showers unless it's really bad. They just hold their noises and avoid anyone they don't want to interact with. Unless of course they decide to handle it with a take down , which they seem to get a lot of pleasure and excitement from! Yeah I don't much care for hospitals. __________________ Nammu …Beyond a wholesome discipline, be gentle with yourself. You are a child of the universe no less than the trees and the stars; you have a right to be here. …... Desiderata Max Ehrmann |
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