MSCP
SEMESTER 1
SUBJECT: THERAPEUTIC INTERVENTION
SUBMITTED BY; SEC A
SUBMITTED TO: MA’AM SAMIA KHALID
THERAPEUTIC INTERVETION KIT
RIPHAH INSTITUTE OF CLINICAL AND
PROFESSIONAL PSYCHOLOGY, LAHORE
DATE: JULY. 25. 2023
TABLE OF CONTENT
SR NO DISORDER SUBTYPES
1. PANIC DISORDER -
2. POST TRAUMATIC -
STRESS DISORDER
3. SOMATIC SYMPTOM AND Somatic Symptom Disorder
RELATED DISORDERS Factitious Disorder
Illness Anxiety Disorder
Conversion Disorder
4. ANXIETY DISORDER Generalized anxiety disorder
Agoraphobia
Separation anxiety disorder
Specific phobia
5. AUTISM DISORDER -
6. OBSESSIVE COMPULSIVE OCD
DISORDER Trichotillomania
Skin Picking Disorder
Body Dismorphic Disorder
INTERVENTION KIT
FOR
PANIC DISORDER
Amna Sadaqat 46731
Sehrish Arshad 44062
Muqaddas Sarwar
Amina Khan
Zubia Munir
Content
Short term goals Techniques for Long term goals Techniques for
Short term goals Long term goals
Identifying negative Psycho educate focusing attention Mindfulness
thoughts, educate onto the present. training
client about biblotherapy
symptoms, tracking thoughts
developing coping Cognitive restricting and behaviors over
strategies time and Journaling
Rapport building discovering patterns
Establish a in cognitive
therapeutic distortions.
relationship
Learning relaxation Relaxation exposing someone Exposure therapy
techniques techniques such as to the trigger that’s
PMR causing them stress.
With prolonged
exposure, the
anxiety related to
the trigger begins to
decrease
relaxation and
mindfulness Grounding
technique that gets technique
someone to focus on
their five senses as a
way to ground
themselves in the
present.
make positive life
changes despite the
Acceptance and
hardships they may
commitment
be experiencing
therapy
Cognitive Restructuring
Grounding
Grounding is a relaxation and mindfulness technique that gets someone to focus on their
five senses as a way to ground themselves in the present.
Here’s an example of a grounding exercise that might be helpful if you feel a panic attack
coming on:
Find five things you can see
Find four things you can touch
Find three things you can hear
Find two things you can smell
Find one thing you can taste
Dysfunctional Thought Record
Post-traumatic Stress Disorder (PTSD)
Definition
“PTSD is a mental health problem you develop after experiencing traumatic events.’’
Short Term Goals
1- Increase Awareness
2- Self-Regulation
3- Diversion Technique
4- Establish a Therapeutic Alliance
5- Deep Breathing
6- Improve Coping skills
Long term goals
1- Free Association
2- Cognitive Behavior Therapy (CBT)
CBT Techniques for PTSD
1-Exposure Therapy
2- Prolonged Exposure Therapy (PET)
3- Stress Inoculation Training (SIT)
4- Cognitive Processing Therapy (CPT)
5- Eye Movement Desensitization and Reprocessing (EMDR)
6- SMART Goal Setting
7- Cognitive Restructuring
8- Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
9- Group Therapy
Emotional Freedom Technique (EFT)
EFT Tapping
EFT Tapping Points
Medications
Complementary Therapies
(SANIA ABDULLAH, ZAINAB KHAN, MOBEEM ZAHRA, & SHAHIDA MUSTAFA)
Somatic symptom disorder
Names of Short term goals Techniques Long term Techniques for
disorders for short goals long term goals
term goals
Somatic Identifying Relaxation changing Exposure therapy,
symptom negative thought techniques, the way mindfulness, and
Disorder patterns, cognitive one stress
developing restructuring, thinks management.
coping strategies, and about
and reducing behavioral their
anxiety. activation. symptoms
and
reducing
the
frequency
and
severity
of
symptoms
Deep breathing exercises
Triple column technique
Progressive muscle relaxation
DTRs
Meditation
Pie chart
Take home message
Cognitive restructuring
Grounding therapy for mindfulness
Triple 8 rule for sleep management
Conversion Disorder
Shahida Mustafa
Sap ID 52332
Dysfunctional Thought Record Sheet (DTRs)
Date Situatio Emotion Automatic Alternative thought Outcome
n thought (10%-100%) (10%-100%)
(10%-100%)
Diaphragmatic breathing
Step 1: Breathe in through the nose for a count of 4.
Step 2: Hold breath for a count of 4.
Step 3: Breath out for a count of 4.
Step 4: Hold breath for a count of 4.
Repeat
Note: The length of the steps can be adjusted to accommodate the individual (e.g., 2
seconds instead of 4 seconds for each step)
Guided Imagery
Step 1: Sit or lie down comfortably. Ideally, the space will have minimal distractions.
Step 2: Visualize a relaxing environment by either recalling one from memory or created
one through imagination (e.g., a day at the beach). Elicit elements of the environment
using each of the five senses using the following prompts:
What do you see? (e.g., deep, blue color of the water)
What do you hear? (e.g., waves crashing along the shore)
What do you smell? (e.g., fruity aromas from sunscreen)
What do you taste? (e.g., salty sea air)
What do you feel? (e.g., warmth of the sun)
Step 3: Sustain the visualization as long as needed or able, focusing on taking slow, deep
breaths throughout the exercise. Focus on the feelings of calm associated with being in a
relaxing environment.
3. Progressive Muscle Relaxation
Step 1: Sit or lie down comfortably. Ideally, the space will have minimal distractions.
Step 2: Starting at the feet, curl the toes under and tense the muscles in the foot. Hold for 5
seconds, then slowly release for 10 seconds. During the release, focus attention on the alleviation
of tension and the experience of relaxation.
Step 3: Tense the muscles in the lower legs. Hold for 5 seconds, then slowly release for 10
seconds. During the release, focus attention on the alleviation of tension and the experience of
relaxation.
Step 4: Tense the muscles in the hips and buttocks. Hold for 5 seconds, then slowly release for
10 seconds. During the release, focus attention on the alleviation of tension and the experience of
relaxation.
Step 5: Tense the muscles in the stomach and chest. Hold for 5 seconds, then slowly release for
10 seconds. During the release, focus attention on the alleviation of tension and the experience of
relaxation.
Step 6: Tense the muscles in the shoulders. Hold for 5 seconds, then slowly release for 10
seconds. During the release, focus attention on the alleviation of tension and the experience of
relaxation.
Step 7: Tense the muscles in the face (e.g., squeezing eyes shut). Hold for 5 seconds, then slowly
release for 10 seconds. During the release, focus attention on the alleviation of tension and the
experience of relaxation.
Step 8: Tense the muscles in the hand, creating a fist. Hold for 5 seconds, then slowly
release for 10 seconds. During the release, focus attention on the alleviation of tension and
the experience of relaxation.
Note: Be careful not to tense to the point of physical pain, and be mindful to take slow, deep
breaths throughout the exercise .
Understanding the development of difficulties and strengths
Early experiences
Core beliefs
Assumptions/Rules
Coping strategies/ behaviors
Understanding the possible triggers
Event/ Possible trigger Did this happen to me? If so, when?
Moving house Yes/No
Starting a new job Yes/No
Important changes at work Yes/No
Redundancy/ Retirement Yes/No
Financial problems Yes/No
Illness/ Accident Yes/No
Death of/injury to a loved Yes/No
ones
Relationship problems Yes/No
Sexual difficulties Yes/No
Being a victim of crime Yes/No
Taking tests/ exams Yes/No
Other Yes/No
Other Yes/No
Which were the most
upsetting situations?
How did they affect me?
Testing out the problems
What is the automatic thought i am
testing out?
How much do i believe this
What alternative thoughts might there be
and how much do I believe them
How will I test out my thought
(s) ?
What will I do ?
Where?
When?
With whom?
What will I look out for?
What problems might there be and how
will i cope with them?
Distracting Myself
Activities Level of distraction
(0–10)
Reading, for example, newspaper, magazine, book
Crosswords and puzzles
Counting, for example, number of red tops people are wearing
Focusing on what’s happening around you, for example, conversations
Remembering something in a lot of detail
Being creative, for example, painting, drawing
Writing, for example, a letter, email, diary
Cooking, for example, with a recipe to follow
Sports, for example, football, tennis, badminton, squash, table tennis
Others
Others
Notice your attention
Date Situation Attention on Attention on Attention on Emotions (0–
myself (0%– task (0%– environmnent 10)
100%) 100%) (0%–100%)
A diary of behavioral Experiments
Date Experiment What happend How much I How much I
believe my believe my
original alternative thought
thought (s) (s)
(0%-100%) (0%-100%)
How helpful are my coping Stratergies?
Situation Mood Coping what I Consequences Mood after
(1-10) did (0-10)
Set SMART Goal
Specific Measurable Attainable Realistic Time-based
Therapeutic Interventions for fictitious
disorder
Zainab khan
Sap ID 10231
Diaphragmatic breathing
Step 1: Breathe in through the nose for a count of 4.
Step 2: Hold breath for a count of 4.
Step 3: Breath out for a count of 4.
Step 4: Hold breath for a count of 4.
Repeat
Note: The length of the steps can be adjusted to accommodate the individual (e.g., 2
seconds instead of 4 seconds for each step)
Guided Imagery
Step 1: Sit or lie down comfortably. Ideally, the space will have minimal distractions.
Step 2: Visualize a relaxing environment by either recalling one from memory or
created one through imagination (e.g., a day at the beach). Elicit elements of the
environment using each of the five senses using the following prompts:
What do you see? (e.g., deep, blue color of the water)
What do you hear? (e.g., waves crashing along the shore)
What do you smell? (e.g., fruity aromas from sunscreen)
What do you taste? (e.g., salty sea air)
What do you feel? (e.g., warmth of the sun)
Step 3: Sustain the visualization as long as needed or able, focusing on taking slow,
deep breaths throughout the exercise. Focus on the feelings of calm associated with
being in a relaxing environment.
3. Progressive Muscle Relaxation
Step 1: Sit or lie down comfortably. Ideally, the space will have minimal distractions.
Step 2: Starting at the feet, curl the toes under and tense the muscles in the foot. Hold for 5
seconds, then slowly release for 10 seconds. During the release, focus attention on the
alleviation of tension and the experience of relaxation.
Step 3: Tense the muscles in the lower legs. Hold for 5 seconds, then slowly release for 10
seconds. During the release, focus attention on the alleviation of tension and the
experience of relaxation.
Step 4: Tense the muscles in the hips and buttocks. Hold for 5 seconds, then slowly release for
10 seconds. During the release, focus attention on the alleviation of tension and the
experience of relaxation.
Step 5: Tense the muscles in the stomach and chest. Hold for 5 seconds, then slowly release for
10 seconds. During the release, focus attention on the alleviation of tension and the
experience of relaxation.
Step 6: Tense the muscles in the shoulders. Hold for 5 seconds, then slowly release for 10
seconds. During the release, focus attention on the alleviation of tension and the
experience of relaxation.
Step 7: Tense the muscles in the face (e.g., squeezing eyes shut). Hold for 5 seconds, then slowly
release for 10 seconds. During the release, focus attention on the alleviation of
tension and the experience of relaxation.
Step 8: Tense the muscles in the hand, creating a fist. Hold for 5 seconds, then slowly
release for 10 seconds. During the release, focus attention on the alleviation of
tension and the experience of relaxation.
Note: Be careful not to tense to the point of physical pain, and be mindful to take slow, deep
breaths throughout the exercise.
Understanding the development of difficulties and strengths
Early experiences
Core beliefs
Assumptions/Rules
Coping strategies/ behaviors
Understanding the possibele triggers
Event/ Possible trigger Did this happen to me? If so, when?
Moving house Yes/No
Starting a new job Yes/No
Important changes at work Yes/No
Redundancy/ Retirement Yes/No
Financial problems Yes/No
Illness/ Accident Yes/No
Death of/injury to a loved ones Yes/No
Relationship problems Yes/No
Sexual difficulties Yes/No
Being a victim of crime Yes/No
Taking tests/ exams Yes/No
Other Yes/No
Other Yes/No
Which were the most upsetting
situations?
How did they affect me?
Distracting Myself
Activities Level of distraction
(0–10)
Reading, for example, newspaper, magazine, book
Crosswords and puzzles
Counting, for example, number of red tops people are wearing
Focusing on what’s happening around you, for example, conversations
Remembering something in a lot of detail
Being creative, for example, painting, drawing
Writing, for example, a letter, email, diary
Cooking, for example, with a recipe to follow
Sports, for example, football, tennis, badminton, squash, table tennis
Others
Others
Notice your attention
Date Situation Attention on myself Attention on Attention on Emotions
(0%–100%) task environment (0–10)
(0%–100%) (0%–100%)
A diary of behavioral Experiments
Date Experiment What How much I believe my original How much I
happened thought (s) believe my
(0%-100%) alternative
thought (s)
(0%-100%)
How helpful are my coping Stratergies?
Situation Mood Coping what I Consequences Mood after
(1-10) did (0-10)
Set SMART Goal
Specific Measurable Attainable Realistic Time-based
Anxiety disorders
Presented By SAP ID’s
Saba Zeeshan 51623
Shazma Atiq 51748
Maria Zain 52268
Maham Salahuddin 51746
Tayyaba Shams 51747
Table of Content
Sr.No. Types of Short term goals Long term goals Techniques
Disorder
1. Generalized Rapport Family therapy, Relaxation techniques(calm
anxiety buiding,psycho- CBT,follow-up breathing and PMR),
disorder education, reduce sessions behavior modification,
client’s worry, exposure therapy, cognitive
supportive work restructuring
2. Agoraphobia reduce intensity Psychotherapy, Breathing strategies,safety
and duration, medication, behaviors, exposure therapy,
reduce fear, sleep lifestyle changes, cognitive restructuring,
hygiene tips, follow-up sessions systematic desensitization
coping strategies
3. Separation Create quick good CBT, follow-up Play therapy, family therapy
anxiety bye rituals, sessions
disorder attention, practice
being apart
4. Specific Rapport building, CBT, follow-up Relaxation techniques(deep
phobia supportive work, sessions breathing and
psycho- PMR),distraction
education,coping techniques, activity
statement schedule, coping statements,
exposure therapy
5. Social anxiety Rapport building, CBT, medication, Exposure therapy, group
disorder psycho-education, follow-sessions, therapy, ACT, mindfulness
reduce client’s lifestyle changes and relaxation techniques,
anxiety self care, maintenance and
relapse prevention
Generalized anxiety disorder
Intervention plan:
1. Short term goals:
Rapport building
Psycho education
Supportive work
Reduce client’s worry
Resolve the conflict that is the source of worry or anxiety
Enhance ability to effectively cope with a full variety of life’s situations
Short term medications
2. Long term goals:
Family therapy for providing supportive environment
CBT
Proper follow-up sessions
How to do exposure therapy?
Agoraphobia
Treatment plan
Short term Goal
Reduce the intensity and duration of panic attacks.
Reduce the fear that panic symptoms will recur without the ability to manage them.
Sleep hygiene tips was given to the client. Coping statements was taught to enhance self-
control against negative thoughts
Coping statements was taught to enhance self-control against negative thoughts.
Long term Goal
Understanding more about anxiety and panic.
Learning breathing strategies that help to keep panic at bay.
Learning how to challenge your unhelpful thoughts and see things in a more realistic light.
Removing the use of avoidance and safety behaviors and gradually confronting your fears.
Agoraphobia treatment usually involves a combination of treatment methods
Psychotherapy (talk therapy).
Medication.
Lifestyle changes.
Separation Anxiety Disorder
Table of Content for Treatment Plan
First and Then Technique
Token Economy
Reward Chart
Feelings/Need Expression Chart
Toilet Training Sheet
Visual Aid Timetables
(Hadiqa Rahman, Touqeer Fatima,
Imran
Areej Fatima)
Sr. no. Type of disorder Short term goals and Long term gals and
techniques techniques
1- Trichotillo- Work out your CBT
mania triggers 1. Cognitive therapy
Replace hair pulling Identify thinking
with another disorder patterns
Be patient with Identify triggers
yourself Awareness
Notice, interrupt and Self-monitoring
choose what next 2. Behavior therapy
Emotional tolerance
Emotional release
Habit reversal
training
ACT therapy
Goal Technique
Short-term Goal
Reduce 1. Deep Breathing: Practice controlled, slow breaths to calm the nervous
immediate anxiety system and reduce anxiety in the moment.
2. Grounding Techniques: Use sensory-focused exercises, like 5-4-3-2-1
method, to stay present and distract from obsessive thoughts.
3. Progressive Muscle Relaxation: Tense and relax different muscle groups
to release tension and anxiety.
4. Mindfulness Meditation: Practice focusing on the present moment non-
judgmentally to reduce anxiety.
5. Exposure and Response Prevention (ERP): Gradually face triggering
situations without engaging in compulsions to desensitize anxiety.
Long-term Goal Technique
1. Cognitive Behavioral Therapy (CBT): Work with a therapist to
Manage Obsessions identify and challenge negative thought patterns related to obsessions.
2. Acceptance and Commitment Therapy (ACT): Learn to accept
intrusive thoughts without trying to suppress or control them, and
and Compulsions commit to values-based actions.
3. Medication: Consult a psychiatrist to discuss medication options that
can help reduce OCD symptoms.
4. Support groups: Join a support group to share experiences and coping
strategies with others facing similar challenges.
5. Lifestyle Changes: Develop a balanced routine with regular exercise,
sufficient sleep, and healthy eating habits to support overall well-being.
Improve Emotional 1. Mindfulness-Based Stress Reduction (MBSR): Participate in MBSR
Regulation courses to enhance emotional awareness and regulation.
2. Emotional Exposure: Gradually expose yourself to feared emotions to
build tolerance and resilience.
3. Journaling: Write about your emotions and experiences to process and
understand them better.
4. Emotion-Focused Therapy (EFT): Engage in therapy focused on
exploring and processing emotions related to OCD.
5. Self-Compassion Practice: Learn to be kind to yourself and practice
self-compassion during difficult emotional moments.
Short term goals
Work out your triggers
Replace hair pulling with another
disorder
Be patient with yourself
Notice, interrupt and choose what next
Long term goals
Cognitive Behavior therapy
1.Cognitive therapy
Identify negative thinking patterns
Identify triggers
Awareness
Self-monitoring
2.Behavioral therapy
Emotional tolerance
Emotional release
(Catharsis)
Habit reversal training
Acceptance and commitment
therapy (ACT)
Deep breathing
Grounding Technique
ACT
CBT
EFT
Skin picking disorder techniques
Muhammad imran 51749
Names of Short term goals Techniques Long term Techniques for
disorders for short goals long term goals
term goals
Skin picking Identifying Relaxation changing CBT
disorder negative techniques, the way
Psycho
thought cognitive one
education
patterns, restructuring, thinks
developing and about Habit reversal
coping behavioral their training
strategies, and activation. symptoms
reducing and
anxiety. reducing
the
frequency
and
severity
of
symptoms
Techniques
1.
Habit reversal training
Description
It's a training or behavioral therapy that helps people reverse or unlearn a bad habit by following certain
habit reversal training steps. Habit reversal training is typically used for children with certain disabilities,
such as those with Tourette's or obsessive-compulsive disorder. The original Habit Reversal treatment
consists of several procedures organized in four phases:
(1) awareness training,
(2) competing response practice,
(3) habit control motivation, and
(4) generalization training
].How Does Habit Reversal Training Work?
1. Recognize and identify signs of when a tic is about to start.
2. Become mindful regarding situations and settings where tics are more common.
3. Prevent tics from occurring.
4. Replace tics with other behaviors (e.g. avoiding repetitive eye blinking by closing the eyes for
several seconds.
research shows that HRT is an effective treatment for the kinds of repetitive behaviors described
above which are associated with tic and habit disorders (1). HRT is one of the more well researched
and effective types of psychological therapy for Tourette's syndrome.
Change Maintenance
Body Dimorphic Disorder
Goal Technique
Short-term Goal
Reduce
immediate 1. Increase Awareness: Help the individual develop a better understanding of their
anxiety distorted body image and the impact it has on their thoughts, emotions, and behaviors
2. Deep Breathing: Practice controlled, slow breaths to calm the nervous system and
reduce anxiety in the moment.
3. Progressive Muscle Relaxation: Tense and relax different muscle groups to release
tension and anxiety.
4. Mindfulness Meditation: Practice focusing on the present moment non-judgmentally
to reduce anxiety.
Long-term
Goal Technique
1. Lifestyle Changes: Develop a balanced routine with regular exercise, sufficient sleep, and
healthy eating habits to support overall well-being.
2. Emotional Exposure: Gradually expose yourself to feared emotions to build tolerance and
resilience.
3 Emotion-Focused Therapy (EFT): Engage in therapy focused on exploring and processing
emotions related to OCD.
Deep Breathing
PMR
Mindfulness Meditation
1: Lifestyle Changes
2. Emotional Exposure
Emotion-Focused Therapy (EFT)
