Treatment of Clients Experiencing Anxiety A Collaborative Approach to Care February 24, 2018 * Tex-CHIP Training Series

Role of Case Management in the Treatment of Anxiety Symptoms

Understanding Provider Role in Treating Anxiety Supportive role Education for client and support system Real-life & real-time applications of the skills Symptoms tracking and reporting Encouraging self-reporting Effective documentation from case manager to team

Considerations when Interacting with Clients Similarities across Anxiety Disorder diagnoses Fear, Anxiety, &/or Avoidance Current coping skills and patterns of learned behaviors Separating appropriate coping skills may be difficult depending on how the skills effect anxiety symptoms Case Manager as a potential primary enabler? Potential difficulties of comorbidity with other diagnoses Maintaining compassionate curiosity with difficult symptoms and potential for slow/selective progress

Goals & Related Interventions Increase positive interactions Decrease anxiety symptoms Interventions: Building supportive network for desired goals Challenging beliefs Planning for stressors and anxiety provoking situations “Homework” set by counselors

Measuring Outcomes/ Success Increased positive/desired behaviors Engaging in the (formerly) anxiety provoking situation Decreased negative/unwanted behaviors Engaging in the (formerly) anxiety provoking situation without or with decreased anxiety symptoms

Communication from Counselors Specifics of the needs as related to the presenting symptomology Identification of successes and challenges reported in session(s) Concrete identification of skills to build or strengths to utilize in case management planning Any positive or negative influence from primary support group or natural supports Risk factors, or triggers for increased risk Include related safety plan and emergency procedures