DIAGNOSTIC SUGGESTIONS
ICD-10-CM | DSM-5 Disorder, Condition, or Problem |
---|---|
F43.21 | Adjustment disorder, With depressed mood |
F43.23 | Adjustment disorder, With mixed anxiety and depressed mood |
F34.1 | Persistent depressive disorder |
F34.0 | Cyclothymic disorder |
F63.81 | Intermittent explosive disorder |
F31.xx | Bipolar I disorder |
F31.81 | Bipolar II disorder |
F91.x | Conduct disorder |
F43.10 | Posttraumatic stress disorder |
Z69.12 | Encounter for mental health services for perpetrator of spouse or partner violence, physical |
Z69.82 | Encounter for mental health services for perpetrator of nonspousal adult abuse |
F60.3 | Borderline personality disorder |
F60.2 | Antisocial personality disorder |
F60.0 | Paranoid personality disorder |
F60.81 | Narcissistic personality disorder |
Note
1 Indicates that the Objective/Intervention is consistent with those found in evidence-based treatments.
ANTISOCIAL BEHAVIOR
BEHAVIORAL DEFINITIONS
1 Has a history of breaking the rules or the law (often under the influence of drugs or alcohol) to get his/her/their own way.
2 Exhibits a pervasive pattern of disregard for and violation of the rights of others.
3 Substance use exacerbates antisocial behavior patterns such as criminal activity, aggression and intimidation, thrill seeking, impulsivity, and self-centeredness.
4 Consistently blames other people for his/her/their own problems and behaviors.
5 Uses aggressive behavior to manipulate, intimidate, or control others.
6 Demonstrates a chronic pattern of dishonesty.
7 Lives a hedonistic, self-centered lifestyle, with little regard for the needs and welfare of others.
8 Verbalizes a lack of empathy for the feelings of others, even if they are friends or family.
9 Presents a pattern of criminal activity and addiction, going back to the client's adolescent years.
10 Engages in dangerous, thrill-seeking behavior, without regard for the safety of self or others.
11 Makes decisions impulsively, without giving thought to the consequences for others.
LONG-TERM GOALS
1 Develop a program of recovery that is free from addiction and the negative influences of antisocial behavior.
2 Learn the importance of helping others in recovery.
3 Learn how antisocial behavior and substance use are related and self-defeating.
4 Understand criminal thinking and develop self-talk that respects the welfare and rights of others.
5 Understand the importance of a program of recovery that demands rigorous honesty.
6 Take responsibility for one's own behavior.
SHORT-TERM OBJECTIVES | THERAPEUTIC INTERVENTIONS |
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Work cooperatively with the therapist toward agreed-upon therapeutic goals while being as open and honest as comfort and trust allow. (1, 2) | Establish rapport with the client toward building a strong therapeutic alliance; convey caring, support, warmth, and empathy; provide nonjudgmental support and develop a level of trust with the client toward his/her/their feeling safe to discuss his/her/their antisocial behavior issues and their impact on his/her/their life. |
Strengthen powerful relationship factors within the therapy process and foster the therapy alliance through paying special attention to thsese empirically supported factors: work collaboratively with the client in the treatment process; reach agreement on the goals and expectations of therapy; demonstrate consistent empathy toward the client's feelings and struggles; verbalize positive regard toward and affirmation of the client; and collect and deliver client feedback as to the client's perception of his/her/their progress in therapy (see Psychotherapy Relationships That Work: Vol. 1 by Norcross & Lambert and Psychotherapy Relationships That Work: Vol. 2 by Norcross & Wampold). |