Note to reader: I am using this space and place to post parts of a new slip-fiction novel series I am working on, Left Brain Right, the story of a young girl who hears voices. Left-Brain excerpts will be from her care-takers’ point of view or the point of view of the friends and family around her, while right-brain excerpts will describe how she sees the situation. I will not be posting the whole story, but I will be posting practical tips when dealing with someone, or one’s own self, as they are going through traumatic, or not so traumatic, experiences.

© 2016 Jennifer Engel, All Rights Reserved, but feed back welcome.:)

How today’s story excerpt can help you:

Theme: We get by with a little help from our friends, family, neighbors, and community. You are not alone.  Just reach out.  People do want to help.

In today’s story excerpt Dr. Wong reports how her session with Michelle went as they tried to set up her circle of support.

Left Side:
Progress Report: September 9th Compiled by Dr. Wong

Report of recent symptoms/behaviors:

Michelle continues to increase her vocal and eye contact participation. On her DBR card she earned 100% for responding with at least a one-word verbal response to the speaker. In fact, she has increased her verbal interactions to one to two sentences, which has been reflected as a new goal on her card. When it comes to imitating at least a one-word verbal response, she is still at zero. She will be given conversational sentence starter stems to try on at least two people throughout the day to start. Participating in all of her daily sessions was at 100% and if this continues for six consecutive days at 95-100% the team will consider this goal met.

Session Note:

This season focused on Treatment Plan Problem 1: Goal 1 – Objective One

Problem 1: Discussion about grandmother seems to manifest depression as characterized by low-energy, excessive sleep, and social withdrawal.

Goal 1: Michelle will develop a system of support that she can process with as feelings of concern arise. This will be measured by her demonstrating these skills through individual as well as family therapy sessions.

Objective One: Michelle will complete two circle of support worksheets and gather information on how to get in touch with each circle of support member.

In the first Ring labeled Family:  Michelle put down her grandmother. When asked why she did not put down her mother, Michelle withdrew and did not speak. In order to maximize session minutes, the second ring was addressed. Ring one will be revised at the next session meeting, which mother has been contacted to attend, but has not responded.

In the second ring labeled Close Friends and Neighbors: Michelle put down the name “Zach.” When asked who Zach was, she reported a boy at school who was in many of her classes and who would end up just sitting next to her. It appeared as if communication did not continue beyond school hours. Permission was given for Michelle to send Zach an e-mail during study session hours, upon review and approval of Anita Smith, to see what type of response she may get back in return in order to determine if this would be, or would not be, a good person to place in her circle of support.

In the Third Ring Labeled School and Work Contacts: Michelle put down that she felt comfortable talking with her school’s social workers and some of her teachers. As Michelle gets closer to release, transfer of my contact will reduce down from daily sessions to monthly sessions, but per her IEP, she will still have access to 40minutes of social work minutes per week at her school and will be provided with a pass to go see the school social worker anytime she needs to process.

My name was listed in the fourth ring label professional service providers: which currently includes daily sessions. Once the Circle of support has been established and new skills are taught and goals are added to her DBR card of developing coping skills and problem solving skills with other staff and when Michelle starts learning some self-emotional regulation strategies with 95% accuracy, sessions will move from daily to weekly.

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