Togus Intensive Outpatient Ptsd Program

TOGUS INTENSIVE OUTPATIENT PTSD PROGRAM TREATMENT PACKAGE Day 1

Theme 1: Discovering Value(s)/Goal(s) and Human Suffering Topic: Values/Noticing and The Unworkable Change Agenda

9am: Pre-Test/NEPEC/Baseline/Follow-up Data

10:30am: Program Orientation:

Welcome/Introduction Group Rule(s) ACT Informed Consent Treatment Plan #1: Using the iView Diagram/Life Manual to discover Value(s)/Goal(s) Noticing: What is it? How to do it? The iView {Self-as-Context}

Homework: If you’re willing, practice Noticing while you move through Life between now and the next session {Present Moment Contact}.

1pm: Human Suffering:

Session Goal: The Unworkable Change Agenda

Homework Review: What did you notice? Value(s)/Suffering

Drawing Out the Unworkable Change Agenda: Suffering List & How Long Solutions List(s){Experiential Avoidance}

What does Your Experience Tell You?:{Self-as-Context} Workability ( Short term relief & Long term suffering) The Cost of the Struggle :(Magic Wand Exercise)

You’re Stuck/Trap : {Creative Hopelessness} You are not hopeless/The situation you are in is Hopeless/ and yet this is a place to create something New

Metaphor: Person-in-the-Hole {Creative Hopelessness}

Homework: If willing, Notice being stuck {Present moment Contact}

Theme 2: Choosing Value(s)/Goal(s)/ Human Suffering and How the Mind Works Topic: Choosing a Direction/Control is the Problem and Willingness is the Alternative

9am: Choosing a Direction:

Review Homework: Noticing being Stuck{Present Moment Contact} Treatment Plan #2:

Exercise: If willing, pick a Value Domain quick: for the week, month, year{Value}. *Value(s) are chosen directions not based on Feelings/Judgments Next, write Value Statement back of Data Form

Homework: If Willing, plan a goal to be reviewed by 1pm session{Committed Action}. *Regardless if the goal is completed, just notice {Present Moment Contact} 10:30am: Human Suffering and How the Mind works:

Session Goal: Control is the problem and Willingness is the Alternative

The Struggle has a name ( Control) *Exercise: Yellow Jeep (part 1)

When Control Works? If it is broke, fix it! {Rule of the World}

When Control does not Work? If you don’t Want it, You’ve got it! {Rule of the Mind} *Exercise: Yellow Jeep (part2) {Experiential Control}

Willingness is the Alternative: a Stance/a Leap -Two Scale Metaphor *Exercise: Yellow Jeep (part 3) {Willingness} Homework: If you’re willing, notice the more you don’t want private experiences the more you’ll have them. Will review at 1pm

1pm: Review Homework: 9am and 10:30 Sessions New Homework: Notice when your attention is on Suffering or Values TOGUS INTENSIVE OUTPATIENT PTSD PROGRAM TREATMENT PACKAGE Day 3

Theme 3: Expanding Value(s)/Goal(s)/ Suffering and How the Mind Works(Cont.) Topic: Expanding Committed Action/ Let Go of the Struggle

9am: Value Life Direction: Review Homework: Noticing the direction of your Attention {Suffering/ Values} Review Planned Action Toward Values since last session {Values}

Homework: If you are willing, plan one goal that you could do between now and the next session. Regardless if you do the goal(s) or not just notice what gets in the way { Barriers/Committed Action/Present Moment}.

10:30am: Human Suffering and How the Mind works (Cont.):

Session Goal: Buying a Thought{Getting Hooked} vs. Having a Thought{Noticing a Thought as a Thought/Defusion}

Review Homework: What Got in the Way!

Buying a Thought (Getting Hooked/How the Mind Works): Exercise(s): Biting on a Juicy, Ripe, Lemon/Finding a place to Sit Reason Giving Evaluating

Having a Thought ( Noticing a Thought as a Thought): Exercises: Milk, Milk , Milk Labeling (internal reactions for what they are) Describing

Homework: Noticing Yourself Buying a Thought(Getting Hooked) {Defusion}

*Pass out Fish Picture

1pm: Exercise: Monsters on the Bus {Practicing Letting Go/Willingness} TOGUS INTENSIVE OUTPATIENT PTSD PROGRAM TREATMENT PACKAGE Day 4

Theme 4: Taking the Suffering Along with You Toward your Values Topic: Welcoming all Passengers as You Live a Valued Life!/ You are not Your Programming!

9am: Value Life Direction:

Homework: Noticing getting Hooked/ Review Planned Action Toward Values since last session{Values} . . Homework for Life : Noticing Exercise: As you move through out your life each day, take several moments an ask yourself this question: Is what I am doing right now moving me in the direction of my Value (s)?{Self-as-Context}

10:30am: Human Suffering and How the Mind works (cont.):

Session Goal: If I am not my Thoughts

Review Homework: Noticing yourself Buying A Thought (Getting Hooked)

Getting Hooked on Thoughts about the Self: {Conceptualized-Self} (Are you Your Programming?)

Conceptualized Self Exercise: Mental Polarity

If I am not my Thoughts: {Self-as-Context}

Exercises: Chess Board Metaphor or Observer Self (Sense of Self that never changes)

Life Time Homework: From time to time each day, You can ask yourself this question: Who is doing the Noticing in this moment? {Self-as-Context}

1pm: Exercise: The Bus( Putting it All Together):Mosquitoes or Gnats

Post-Test/Discharge Planning & Follow-Up:

1. Post-Test/Qualitative data sheet/Brief Break 2. Discharge Planning & Follow-up:

a). Review committed actions toward values that were completed during the week. b). Review Aftercare/Follow-up Process: 90 day Follow-up date May return to program for weekly session How to Schedule Individual Coaching Session(s)/What is Individual Coaching?

Contact#: B. Hainke ext. 5324 Free toll#: 1-(877)-421-8263

3. Handout Program Completion Certificates

Metaphor: Time Management At The Harvard Business School ACCEPTANCE AND COMMITMENT THERAPY INFORMED CONSENT

What is Acceptance and Commitment Therapy (ACT)?

*ACT is a scientifically based Psychotherapy Model

What are the Basic Ideas (Assumptions) behind ACT?

1. People are not broken (Functional Contextualism) 2. People can get stuck( Psychological Inflexibility= Experiential Avoidance/Control/Fusion/ Lack of contact with present moment, Conceptualized Self and Lack of Committed Actions) 3. People can be less stuck by learning what works in moving them in the direction of what important to them (Psychological Flexibility=Willingness, Present moment contact, Self-as-Context, Values/Committed Actions) 4. Emphasis is on learning by doing/experience(Experiential Approach to Behavior Change)

What is the Goal of ACT?

To assist you in answering the Question:

Given what is important to me what am I willing to do and experience in order to move me in that direction in this moment in this situation.

This question can only be answered by Action and not with Words.

*Warning: Learning from experience( by doing) can be confusing at times!

ARE YOU WILLING TO START THIS PROCESS?