Julie goals and treatment hierarchy
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Julie has long term goals of having an intimate relationship, a career in the holiday trade, living independently, improving family relationships, and parenting children. Her treatment hierarchy prioritizes eliminating life-threatening behaviors like self-harm and suicide attempts, followed by therapy-interfering behaviors on her part like unrealistic expectations and confrontational behavior, and finally quality of life-interfering behaviors such as dangerous sexual behavior and abusive relationships.
Julie goals and treatment hierarchy
- 1. JULIE- Long Term Goals To be able to have a long term intimate relationship with a significant other To have a career in the holiday trade To live independently To have improved relationships with family members To be able to parent children Treatment Hierarchy Life-threatening behaviour stepping under trains jumping from bridges Stabbing self with screw driver Cutting with razor blades Overdosing self-strangulation Hitting and punching carers/members of the public Therapy-interfering behaviour Julie Having unrealistically high expectations of therapy Having unrealistically high expectations of self Walking out of sessions Turning up/telephoning drunk Not noticing successes Being either a star or a failure Being verbally confrontational/critical with therapist Therapist Working too hard in sessions/on phone Not standing firm when Julie is confrontational Asking for too much too soon Trusting too much in progress Not cheerleading enough Quality of life-interfering behaviour Not thinking about long-term goals Unprotected dangerous sexual behaviour Not saying no Cutting short promising relationships Continuing unpromising/abusive relationships Getting sectioned