This worker hypotheses that Jessica is experiencing increased levels of anxiety in all physical environments she intermingles daily and signs of post-traumatic stress disorder of past abusive experiences and memories she may have repressed through the years. Jessica and her family should participate in family therapy so that the family can better understand their own dynamics negative impacts and learn better communication skills. Jessica should also participate in independent therapy to address concerns and develop skills to address conflict through calm and appropriate methods. Jessica is in tune to others feelings, however not her own and often displays outburst of anger for which she cannot explain the reason the behind
the outburst. A treatment goal for Jessica should be to enhance her awareness of anger through self-monitoring. Jessica can achieve this goal by keeping a log of her outburst and recording identifying information such as who was the anger directed, when and where did the incident occur and what triggers prompted the outburst. Jessica should also record her feelings prior to and after the incident. Prior to this past year, Jessica excelled at school work thereby suggesting a worksheet/journal task such as keeping a log to monitor self would not be difficult for her complete. A second treatment goal to teach Jessica coping skills is needed. She should be taught relaxation techniques for after bouts of anger and to target her physical reaction prior to anger outburst …learn to calm self. A treatment goal should focus on enhancing her skills. Jessica should be taught how to address known conflicts in her life. This can be achieved by developing with Jessica “social stories” suppling her with direct problem solving skills for known situations. Socials stories will direct if this known negative response occurs (such as her parents are speaking negatively about the other) then she should respond with predetermined statements to bring an end to the conversation in a calm respectful manner. Further assessment to determine the reason why Jessica is skipping school and overeating should occur and goals developed to address the concern.