Specific and Detailed Treatment Plan Interventions

The list on this page is not an exhaustive list of interventions, but serve as an example of the interventions found in the Treatment Plans by Wiley Publishing. For my clients, your official treatment plan will be created in the Electronic Health Care Records System software “Therapy Notes LLC.” PDF copies of each “issue specific” treatment plan will be uploaded into your electronic health records.


Somatic (Physical Body) Interventions:

These interventions focus on the body, aiming to promote awareness, relaxation, and regulation of bodily sensations. Examples include deep breathing exercises, progressive muscle relaxation, yoga, massage therapy, and biofeedback. Sensorimotor interventions target the connection between the body and mind, emphasizing the importance of bodily experiences in psychological well-being. Techniques such as sensorimotor psychotherapy and somatic experiencing help individuals process and release physical and emotional tension stored in the body. The polyvagal theory informs interventions that address the autonomic nervous system’s role in regulating emotions and social engagement. Techniques such as grounding exercises, breathwork, and self-soothing strategies can help regulate the nervous system and promote a sense of safety and calm.

Daily Practice of Meditation and Breathing Techniques

The teachings and resources you need to begin a formal practice of meditation and mindfulness, guided by others, and especially helpful if you have difficulty staying still for any length of time.

Guided Meditation

Mindfulness and Relaxation Techniques:

Interventions that incorporate mindfulness and relaxation techniques aim to promote self-awareness, reduce stress, and enhance emotional regulation. Techniques such as deep breathing exercises, progressive muscle relaxation, and guided imagery help clients develop mindfulness skills and increase their ability to tolerate distressing emotions. These interventions recognize the interplay between mental and physical health. Practices like mindfulness meditation, guided imagery, tai chi, and qigong foster a mind-body connection, promoting relaxation, stress reduction, and overall well-being.

Acceptance and Commitment Therapy for Anger Management:

Participate in Acceptance and Commitment Therapy (ACT) for learning a new approach to experiencing anger and anger management. Learn how to use an ACT approach so you can experience and accept the presence of worrisome thoughts and images without being overly impacted by them, and committing your time and efforts to activities that are consistent with identified, personally meaningful values. Counselor will hold fidelity to “Acceptance and Commitment Therapy” by Hayes, Strosahl, and Wilson. Learn mindfulness meditation to help you recognize the negative thought processes associated with your trauma responses and change your relationship with these thoughts by accepting thoughts, images, and impulses that are reality-based while noticing but not reacting to nonreality-based mental phenomena. Read self-help mindfulness books by Jon Kabat Zin. Assignment of homework where you practice the lessons learned from mindfulness meditation and ACT in order to consolidate the approach into everyday life. Assignment of homework to readings consistent with the mindfulness and ACT approach to supplement work done in session (Get Out of Your Mind and
Into Your Life: The New Acceptance and Commitment Therapy by Hayes).

Worry Time Skill:

Learn and implement a strategy to limit the association between various environmental settings and worry, delaying the worry until a designated “worry time.” Therapist will tell you the rationale for using a worry time as well as how it is to be used; and agree upon a worry time with you and ask you to implement the plan. Therapist will teach you how to recognize, stop, and postpone worry to the agreed-upon worry time using skills such as thought
stopping, relaxation, and redirecting attention

Assignment of Homework: “Making Use of the Thought-Stopping Technique” and/or “Worry Time” in the Adult Psychotherapy Homework Planner by Jongsma to assist skill development); therapist will continue to encourage you to use worry time in daily life; therapist will review and reinforce your successes while providing corrective feedback toward improvement.

Emotional interventions:

These interventions target the identification, expression, and regulation of emotions. Techniques such as emotion-focused therapy (EFT), dialectical behavior therapy (DBT), and internal family systems therapy (IFS) help individuals explore and process emotions, develop emotional awareness, and enhance emotional regulation skills.

Anger Self Talk:

Identify, challenge, and replace anger-inducing self-talk with self-talk that facilitates a less angry reaction.

Your therapist will help you explore self-talk that mediates your angry feelings and actions (demanding expectations reflected in should, must, or have-to statements); help you identify and challenge biases, assisting you in generating appraisals and self-talk that corrects for the biases and facilitates a more flexible and temperate response to frustration. You will learn to combine new self-talk with calming skills as part of a set of coping skills to manage
anger. Assignment of a homework exercise in which you identify angry self-talk and generate alternatives that help moderate angry reactions; therapist will review the homework progress; reinforce your successes, providing corrective feedback toward improvement. You and therapist can role-play the use of relaxation and cognitive coping to visualized anger-provoking scenes, moving from low- to high-anger scenes. Assignment of homework: the implementation of calming techniques in your daily life and when facing anger-triggering situations; process the results with your therapist, therapist will reinforce your successes and engage in problem-solving obstacles if necessary.

Assertive Communication:

Gain understanding and mastery of assertive communication and how it can be used to express thoughts and feelings of anger in a controlled, respectful way. Your counselor will use instruction, modeling, and/or role-playing to help you learn the distinctive elements as well as the pros and cons of assertive, unassertive (passive), and aggressive communication.

Cognitive-Behavioral Interventions:

Cognitive-behavioral interventions focus on identifying and modifying unhelpful thought patterns and behaviors that contribute to distress. Techniques such as cognitive restructuring, thought challenging, and behavioral experiments help clients develop more adaptive thinking and behavior patterns.

Interpersonal Interventions:

Interpersonal interventions target improving the client’s interpersonal relationships and communication skills. Techniques may involve role-playing, assertiveness training, or exploring relational patterns and attachment styles to enhance healthy connections with others.

Interpersonal Effectiveness:

Learn and implement problem solving and/or conflict resolution skills to manage interpersonal problems. Learn problem-solving skills (defining the problem clearly, brainstorming multiple solutions, listing the pros and cons of each solution, seeking input from others, selecting and implementing a plan of action, evaluating the outcome, and readjusting the plan as necessary). Learn conflict resolution skills (empathy, active listening, “A part of me messages,” respectful communication, assertiveness without aggression, compromise); your counselor will use modeling, roleplaying, and behavior rehearsal to work through several current conflicts. You may want to consider holding conjoint sessions with the person you are having a conflict with to help you implement assertion, problem-solving, and/or conflict resolution skills in the presence of your significant other.

Strategies to Overcome Under Functioning vs Over Functioning Dynamic:

Sure, here is a summary of a psychoeducation lesson about strategies to overcome the relationship dynamic of the over functioning partner versus the under functioning partner:

What is overfunctioning and underfunctioning in relationships?

Overfunctioning and underfunctioning are terms used to describe two different patterns of relating in relationships. Overfunctioning partners take on too much responsibility for the relationship, while underfunctioning partners take on too little responsibility. This can create a dynamic where the overfunctioning partner is always “carrying the weight” of the relationship, while the underfunctioning partner is always relying on the overfunctioning partner.

What are the signs of overfunctioning and underfunctioning in relationships?

  • Overfunctioning:
    • Taking on too much responsibility for the relationship. Making decisions for the other person. Trying to control the other person’s behavior. Feeling resentful and angry.
  • Underfunctioning:
    • Avoiding responsibility in the relationship. Expecting the other person to take care of you. Feeling helpless, inadequate, dependent, guilt and shame.

What are the risks of overfunctioning and underfunctioning in relationships?

  • Resentment: Overfunctioning partners can become resentful of the underfunctioning partner for not pulling their weight. Underfunctioning partners can become resentful of the overfunctioning partner for being controlling and demanding.
  • Communication problems: Overfunctioning and underfunctioning partners often have difficulty communicating with each other. The overfunctioning partner may feel like they have to walk on eggshells around the underfunctioning partner, and the underfunctioning partner may feel like they can’t express their needs to the overfunctioning partner.
  • Loss of intimacy: Overfunctioning and underfunctioning can create a dynamic where the partners are not able to be truly intimate with each other. The overfunctioning partner may feel like they have to take care of the underfunctioning partner, and the underfunctioning partner may feel like they can’t be themselves around the overfunctioning partner.

How to overcome overfunctioning and underfunctioning in relationships?

  • Knowledge: Learn as much about ADHD and executive dysfunction as you can, both partners. Knowledge can lead to acceptance, understanding, and patience.
  • Communication: Overfunctioning and underfunctioning partners need to learn how to communicate with each other in a healthy way. This means being able to express their needs and feelings without judgment or criticism.
  • Negotiation: Overfunctioning and underfunctioning partners need to learn how to negotiate with each other about responsibilities in the relationship. This means being willing to compromise and give each other some slack.
  • Self-care: Overfunctioning and underfunctioning partners need to learn how to take care of themselves. This means setting boundaries, saying no, and taking time for themselves.
  • Professional help: If overfunctioning and underfunctioning are causing significant problems in the relationship, it may be helpful to seek professional help. A therapist can help the partners to understand the dynamic and develop strategies for change.
  • Better processes: Create better processes and systems, even (especially) the ones that don’t naturally fall into place. Faith comes from good processes, not from good intentions. Processes are more sustainable and more convincing for a partner.
  • Good Effort: Break the self-fulfilling prophecies by both partners giving their best effort. Treatment and good processes mean little without good effort. Partner will likely appreciate good effort, especially if results fall short. Work as a team together fighting the problems not each other. Where and how can the partner step in? And not? Positive attending—look for successes, not just failures and acknowledge both partners


Overfunctioning and underfunctioning can be a challenging dynamic to overcome in relationships. However, it is possible to change the dynamic with communication, negotiation, self-care, and professional help. If you are struggling with overfunctioning or underfunctioning in your relationship, there is hope. With effort and commitment, you can create a more balanced and healthy relationship.

Spiritual interventions:

These interventions address a person’s spiritual or existential concerns and beliefs. Practices may include meditation, contemplative exercises, exploring meaning and purpose, and integrating spiritual values into therapy to foster a sense of connection, transcendence, and personal growth.

Social/Cultural Interventions:

Social and cultural interventions target improving the client’s social relationships, connection to a community, and honoring cultural traditions of healing and interaction with your culture’s groups. Techniques may involve planning and implementing gatherings, celebrations, and ceremonies in order to connect you with your community and culture, considered as a source of strength for many.

Learn and Implement Coping Skills:

Learn and implement calming skills to reduce overall anxiety and manage anxiety symptoms. Calming/relaxation skills (applied relaxation, progressive muscle relaxation, cue controlled relaxation; mindful breathing; biofeedback) to discriminate better between relaxation and tension; applying these skills to daily life (Book suggestions: New Directions in Progressive Muscle Relaxation by Bernstein, Borkovec, and Hazlett-Stevens; Treating GAD by Rygh and Sanderson). Assignment of homework after each session in which you practice relaxation exercises daily, gradually applying them progressively from non-anxiety provoking to anxiety-provoking situations; therapist will review and reinforce success while providing corrective feedback toward improvement.

Wiley Adult Psychotherapy Treatment Planner (Anxiety)

Relapse Prevention and Aftercare Planning:

Interventions related to relapse prevention and aftercare planning focus on equipping clients with strategies and resources to maintain progress achieved in therapy. This may involve developing a relapse prevention plan, creating a support network, identifying warning signs, and practicing healthy coping skills.