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Meaningful Goal Setting Session 5. January 6, 2012 Maggie Brett, L.C.S.W. mmibrett@gmail.com. Agenda. Check-In—questions, comments, thoughts about last session; issues with families; experience with reflection Reactionary work Further challenges to sustaining movement toward goals
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Meaningful Goal SettingSession 5 January 6, 2012 Maggie Brett, L.C.S.W. mmibrett@gmail.com
Agenda • Check-In—questions, comments, thoughts about last session; issues with families; experience with reflection • Reactionary work • Further challenges to sustaining movement toward goals • Case consultation • Reflection: evaluation of series and ideas for next series
Reactionary Work • “Reactionary workflow”—rather than being proactive, we respond to all incoming messages and lose our ability to act with intention • Need to prioritize and control our focus • In era of instant communication there can be the expectation of relief or solutions upon demand • Use of organization tools like lists, setting of boundaries, use of reflection and supervision
Common challenges to meeting goals • On-going—(e.g., culture and community, developmental issues, mental illness, family structure and relationships) need to be anticipated as much as possible and built into the development of the goals • Episodic—(e.g., life stresses, living situations, crises) Can also sometimes be anticipated, but often need to be responded to as needed
Challenge 4: Mental Illness • Depression—feelings of sadness, worthlessness, hopelessness; difficulty concentrating; difficulty making decisions; fatigue; irritability; changes in appetite, sleep patterns, and sexual desire; physical discomfort; • Bipolar Disorder—significant shifts in mood, energy, thinking, and behavior; shifts so serious that it impedes functioning; racing thoughts; impulsivity; episodic rage; can have hallucinations or delusions • Anxiety—fear and worry that is excessive, intrusive, persistent, and debilitating; avoidance and procrastination • Post Traumatic Stress Disorder—re-experiencing of traumatic event in flashbacks, nightmares, intrusive memories; numbed emotional state; avoidance of triggers of memories; irritability; hypervigilance; rage; anxiety
Challenge 5: Family Crises • Child abuse • Domestic violence • Homelessness • Death of family member • Divorce or separation • Military service