{"id":1211,"date":"2015-05-15T00:35:42","date_gmt":"2015-05-15T00:35:42","guid":{"rendered":"https:\/\/treatmentmaps.net\/?page_id=1211"},"modified":"2015-08-08T11:12:59","modified_gmt":"2015-08-08T11:12:59","slug":"new-patient-section-1","status":"publish","type":"page","link":"https:\/\/treatmentmaps.net\/?page_id=1211","title":{"rendered":"New Patient Section 1"},"content":{"rendered":"<div style=\"overflow: auto; width: 482px; height: 680px; float: left;\">\n<div style=\"height:680px;\">\n<a id=\"newpatientmap1\"><\/a><strong>NEW PATIENT MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=133\" title=\"New Patient Map 1\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=135\" title=\"New Patient Map 2\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=137\" title=\"New Patient Map 3\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=139\" title=\"New Patient Map 4\">4<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt1a.jpg\" alt=\"newpt1a\" width=\"450\" height=\"482\" class=\"alignleft size-full wp-image-1223\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt1a.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt1a-280x300.jpg 280w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1211\/#newpatientmap1\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1241\/#newpatientmap1\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1243\/#newpatientmap1\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1245\/#newpatientmap1\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1247\/#newpatientmap1\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1249\/#newpatientmap1\">6<\/a>\n<\/div>\n<div style=\"height:680px;\">\n<a id=\"newpatientmap2\"><\/a><strong>NEW PATIENT MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=133\" title=\"New Patient Map 1\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=135\" title=\"New Patient Map 2\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=137\" title=\"New Patient Map 3\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=139\" title=\"New Patient Map 4\">4<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt2b.jpg\" alt=\"newpt2b\" width=\"450\" height=\"619\" class=\"alignleft size-full wp-image-1229\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt2b.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt2b-218x300.jpg 218w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1251\/#newpatientmap2\">7<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1253\/#newpatientmap2\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1255\/#newpatientmap2\">9<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1257\/#newpatientmap2\">10<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1259\/#newpatientmap2\">11<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1261\/#newpatientmap2\">12<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1263\/#newpatientmap2\">13<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1265\/#newpatientmap2\">14<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1267\/#newpatientmap2\">15<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1269\/#newpatientmap2\">16<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1271\/#newpatientmap2\">17<\/a>\n<\/div>\n<div style=\"height:680px;\">\n<a id=\"newpatientmap3\"><\/a><strong>NEW PATIENT MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=133\" title=\"New Patient Map 1\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=135\" title=\"New Patient Map 2\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=137\" title=\"New Patient Map 3\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=139\" title=\"New Patient Map 4\">4<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt3a.jpg\" alt=\"newpt3a\" width=\"450\" height=\"613\" class=\"alignleft size-full wp-image-1234\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt3a.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt3a-220x300.jpg 220w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1255\/#newpatientmap3\">9<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1259\/#newpatientmap3\">11<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1273\/#newpatientmap3\">18<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1275\/#newpatientmap3\">19<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1277\/#newpatientmap3\">20<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1277\/#newpatientmap3\">21<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1281\/#newpatientmap3\">22<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1283\/#newpatientmap3\">23<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1285\/#newpatientmap3\">24<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1287\/#newpatientmap3\">25<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1289\/#newpatientmap3\">26<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1291\/#newpatientmap3\">27<\/a>\n<\/div>\n<div style=\"height:680px;\">\n<a id=\"newpatientmap4\"><\/a><strong>NEW PATIENT MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=133\" title=\"New Patient Map 1\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=135\" title=\"New Patient Map 2\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=137\" title=\"New Patient Map 3\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=139\" title=\"New Patient Map 4\">4<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt4a.jpg\" alt=\"newpt4a\" width=\"450\" height=\"539\" class=\"alignleft size-full wp-image-1235\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt4a.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt4a-250x300.jpg 250w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1255\/#newpatientmap4\">9<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1259\/#newpatientmap4\">11<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1293\/#newpatientmap4\">28<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1295\/#newpatientmap4\">29<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1297\/#newpatientmap4\">30<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1299\/#newpatientmap4\">31<\/a>\n<\/div>\n<\/div>\n<div style=\"overflow: auto;width: 458px; height: 680px; float: right;\">\n<strong>1. GETTING READY<\/strong><\/p>\n<ul>\n<em>Comes from Map 1<br \/>\n<\/em><\/ul>\n<p><strong>1a. Preparatory Decisions<\/strong><br \/>\nYou should already have decided<\/p>\n<ul>\n<li>\nLength of first session for individual adults, couples, families, children<\/li>\n<li>\nTypical length of subsequent sessions, for adults, couples, families, children<\/li>\n<li>\nFee [if any] for first session<\/li>\n<li>\nYour usual fee for adults, couples, families, children. How to deal with inability to pay, and how much you are prepared to reduce fees for hardship.<\/li>\n<li>\nType of payment you will accept: cash, check, indemnity insurance, managed care, etc.<\/li>\n<li>\nIf managed care, which plans you will accept and what each one needs in order to open a case. Have data forms ready.<\/li>\n<li>\nWhether you intend to take notes or not, audiotape or not.<\/li>\n<li>\nWhether you will take telephone calls during sessions<\/li>\n<\/ul>\n<p><strong>1b. Therapist Theoretical Orientation<\/strong><br \/>\nThe material covered on this entire site includes issues that need to be considered in treating patients. Which of this you consider important to gather and when you decide to gather it will depend in part on your theoretical orientation.<\/p>\n<ul>\n<li>\nCognitive and behavioral therapists may choose to be direct in gathering information about a person&#8217;s history, family, medical issues, use of alcohol or recreational drugs, etc.<\/li>\n<li>\nPsychodynamically oriented therapists may be more likely to wait for some of the information to emerge.<\/li>\n<li>\nMost therapists seem to prefer to call themselves eclectic, implying that they will vary their approach in response to the patient&#8217;s apparent need or the predicted effectiveness of the approach chosen.<\/li>\n<\/ul>\n<p>The suggestions on this site are intended to be compatible with different orientations. If at times they are not, please suggest ways to expand or alter the presentation to make them more compatible with the way you work.<\/p>\n<p><strong>1c. Patient Expectations of Improvement<\/strong><br \/>\nPeople come for treatment in hope of change for the better. Some expect that they will have to change and some even want to change. Many only want help in changing the circumstances in which they find themselves or the people around them.<\/p>\n<p>There are two things you should be committed to accomplishing immediately<\/p>\n<ol>\n<li>\ndetermining whether you can be helpful in some way<\/li>\n<li>\nif so, then keeping the patient in treatment<\/li>\n<\/ol>\n<p>However you work, it should encourage people to believe that their lives can improve. If you have difficulty keeping patients, you may need to re-evaluate the way you work to be more encouraging and immediately helpful to them.<\/p>\n<p><strong>1d. Therapist Personal Style<\/strong><\/p>\n<p>The success or failure of therapy depends on many things, including-<\/p>\n<ul>\n<li>\nwhether the at least some of the person&#8217;s symptoms can be relieved<\/li>\n<li>\nhow clear you are about the process<\/li>\n<li>\nhow comfortable the person feels<\/li>\n<li>\nhow seriously you take the person<\/li>\n<li>\nhow seriously the person takes you and the work<\/li>\n<li>\nhow much the person trusts you<\/li>\n<li>\nhow much the person is able to reveal<\/li>\n<li>\nwhether you understand the person well enough to be helpful<\/li>\n<\/ul>\n<p>Some of this will be conveyed to your patients through your personal style: the extent to which you are<\/p>\n<ul>\n<li>\nformal or casual<\/li>\n<li>\nrigid or loose<\/li>\n<li>\nable to adapt to the patient&#8217;s style and needs<\/li>\n<li>\nself-revealing, or a blank slate<\/li>\n<li>\ndirective or not<\/li>\n<\/ul>\n<p>Some will also be inferred by patients through things you do. Whether you<\/p>\n<ul>\n<li>\ntake notes during the sessions<\/li>\n<li>\nanswer the telephone in session<\/li>\n<li>\nanswer patient questions directly or deflect them<\/li>\n<li>\ndress casually or formally<\/li>\n<li>\nsit in a special chair or behind a desk or in a chair similar to the patient&#8217;s<\/li>\n<\/ul>\n<p>Patients will actually make inferences about you from anything you do or don&#8217;t do, and different people may make different inferences. The psychoanalytic concept of transference relates to those inferences. If you are prepared to explore the ways in which a person interprets your appearance or behavior, it may help you understand how he\/she interprets other people&#8217;s appearance or behavior as well. That, in turn, can have a bearing on the issues that he\/she is having difficulty with.<\/p>\n<p><strong>1e. How You Work<\/strong><\/p>\n<p>This will follow from your theoretical orientation and personal style. You may<\/p>\n<ul>\n<li>\nStart where your patient is, and let the information come as it will. In this case, the treatment maps can guide your reactions to your patient, help you notice missing information, etc.<\/li>\n<li>\nStart where your patient is, and follow the thread of information actively. Then you can use the maps to develop directions to pursue.<\/li>\n<li>\nDo a broad-band data collection, under the assumption that a lot more could be happening than your patient is telling you.<\/li>\n<li>\nPick a symptom and begin work on it immediately.<\/li>\n<li>\nMake a quick diagnosis and start from that perspective.<\/li>\n<\/ul>\n<p>An overall treatment approach, minimum effective interventions, has been emphasized by modern insurance demands. However, effective depends on treatment goals, which can be more or less extensive. A patient&#8217;s treatment goals could be-<\/p>\n<ul>\n<li>\njust get over this issue, mostly.<\/li>\n<li>\nchange the circumstances that precipitated this problem.<\/li>\n<li>\nchange other people in the patient&#8217;s life so he\/she doesn&#8217;t have to change.<\/li>\n<li>\nchange the person&#8217;s attitudes that led to this problem.<\/li>\n<li>\nchange the way the person reacts to others.<\/li>\n<\/ul>\n<p>Your goals for a patient may differ from his\/hers. But whatever goals you pursue, you may not know initially what kinds of interventions will be effective. A period of diagnostic work is generally advisable, to understand the patient &lsquo;s issues clearly and fully in the broader contexts of his\/her life, perspective, personality structure, etc.<\/p>\n<p>Treatment can take many forms, depending on the person&#8217;s symptoms and issues, physical and medical status, work situation, interpersonal and family relationships, personality structure, etc. You may need to-<\/p>\n<ul>\n<li>\narrange to treat possible medical causes for the patient&#8217;s symptoms<\/li>\n<li>\nadvise the patient on environmental changes that could be producing the symptoms<\/li>\n<li>\nhelp the patient change his\/her behavior or responses in specific situations<\/li>\n<li>\nteach coping skills<\/li>\n<li>\nexamine the patient&#8217;s conscious attitudes and expectations about self and others<\/li>\n<li>\nhelp the person change interpersonal relationships<\/li>\n<li>\nlook at unconscious motives, meanings and expectations<\/li>\n<\/ul>\n<p>Your treatment choices will depend on many things, some of which you bring to the work, and some of which are brought by the patient. Our purpose here is to consider those things openly.<\/p>\n<p>Your own personal style and training will help determine the points at which you are able to work most effectively. If it appears that the most effective intervention is outside your range, you may need to refer a patient on to someone who is familiar with that approach.\n<\/p><\/div>\n<div style=\"overflow: auto; width: 458px; float: right;\">\n<div class=\"divider\" style=\"margin-bottom:10px;border-bottom-width:1px\"><\/div>\n<a href=\"http:\/\/www.treatmentmaps.com\/topics\/new-patient\/\" target=\"_blank\"><strong>CLICK HERE TO MAKE COMMENTS OR SUGGESTIONS<\/strong><\/a>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>NEW PATIENT MAPS: 1 | 2 | 3 | 4 SECTIONS: 1 | 2 | 3 | 4 | 5 | 6 NEW PATIENT MAPS: 1 | 2 | 3 | 4 SECTIONS: 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 NEW &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":633,"menu_order":1,"comment_status":"open","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1211","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1211","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1211"}],"version-history":[{"count":34,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1211\/revisions"}],"predecessor-version":[{"id":2313,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1211\/revisions\/2313"}],"up":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/633"}],"wp:attachment":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1211"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}