What is a Treatment Plan & how do we make one? Mental Health Help with Kati Morton | Kati Morton

What is a Treatment Plan & how do we make one? Mental Health Help with Kati Morton | Kati Morton

Hey everybody. Today I’m going to talk with you
about treatment plans. What are they. And how do we put them together? So like I said, Today I’m going to talk with you about
treatment plans. Now some of you may not even know
what that means. Now a treatment plan is something that
you will put together with your therapist. And it’s part of the whole ‘plan’ for
your ‘treatment’. How we get you from from point a
to point b, your main goal. Now at the beginning when you
first come in to therapy, Your therapist will ask you,
‘What brought you here today?’ If I get asked that one more time
when I go in to a therapist office, When I had to switch therapists. ‘What brings you in here today?’ But what they’re really asking is,
What’s your main goal. What’s going on in your life
that you’re struggling with. And how can I help you? That’s really what they’re asking. And so from the beginning, we’re trying
to figure out what your main goal is. If we could help you fix one thing
lickety split, what would it be? Now we put that at the bottom
of this piece of paper. Imagine this is a piece of paper. Your treatment plan. At the bottom goes ‘your main goal’,
why you’re here, what I can help you with. And we’re going to work
backwards from there. So we can get you there. Got it. Now some therapists may tell you that
they are working on a treatment plan. Some may not talk about it. It might be something they do,
you know, after hours. I do a lot of work on them after hours. But I do also mention it to some of my
patients as we kind of walk through it. So just so you know. They may say something, they may not. Every therapist is different. So once we get your main goal. Next comes what I call the
‘assessment period’. Now that is when we may make diagnosis
based on what struggles you have. Or things that you have
mentioned and brought up. Or maybe diagnosis that we already
got from a previous therapist. All of this kind of depends on
your process. Where you’re at. And we may already have a bunch
of information coming in. Or we may work with you and try to
figure out where you’re at, And what you’re struggling with. We’re going to ask you a lot of questions. This is when we ask maybe,
are you in school. How is school going. How is work going. Are you in a relationship. How old is your brother. How old is your sister. Do you, how old are your parents. Are your parents together or are
they separated. All these questions. About you. About what’s going on with you. We may also ask about your history. How you were raised. And how long your parents
have been divorced. Or all sorts of things like that to find
out who you are, and where you are now. And that really is what I call kind of the
‘meat of the treatment plan’. Is when we are trying to
assess where you are, And during that time we are going to
give you some homework. Or some things to try based
on that information. Those kind of things that I
put in workbooks. The little trial and error
things that I talk about, So that you can go out in the week
between our sessions, give them a go. And then let me know, report back.
What worked and what didn’t work. Do you follow so far? So we have taken your main goal. We’ve put that down at the
bottom of our treatment plan. We’re assessing you,
possibly diagnosing you. Taking your history. And then we are giving you some
homework and work to do in between. Now this can take a long time. A lot of times the process of
trial and error, With different plans and trials
of things we think may work. Like talking back to that negative voice. Or getting out of the
house two days a week. Or maybe calling that friend that you
haven’t connected with. It could be a bunch of different things. It can take us a while to get
through them, right. It just didn’t happen overnight. We can’t fix it overnight. But know that your therapist is
spending time in the evening. Probably right after your session,
or at the end of the day. Going through this. Trying to think of new things. Trying to research what’s working
for other people. Trying to put together maybe some
journal topics for you. To get you from where you are now. To your main goal. And I’m going to check my notes
to make sure I didn’t forget anything. Oh, and. The main goal of a therapist. My main goal for every client. Is that at the end,
they don’t have to be in therapy any more. They can fly free. But that being said, I always have an open door policy. Where my whole goal of
this treatment plan, Is to get you working on
your own using your own tools. You have your own tool box of all of the
things that have worked. That we have done, talked about in therapy
and done in therapy together. And you’re going to use them on your own. And so you feel good being out on your
own, using your tools. And you may not have to check
in with me every week. Maybe every other week for a while. And then soon enough you’re thinking, ‘I don’t think that I
need to be in therapy’. But then maybe you need to
come back for a tune up. And one of the most important things
that I want all of you to hear right now. Is that coming back to therapy does
not mean that you have failed. There is no shame involved in it. It’s not something that’s embarrassing. To be truthful, from the
therapist standpoint, It’s exciting. Do you know what that means. That means that you have worked so
hard in our time together. That you have gained such insight. That you have recognised
when you are slipping. And you get back into therapy. You pre-emptively strike. We nip it in the bud. We stop it from getting worse, right. That’s really hard to do. And I am always so proud of my patients
who have left and then come back. That they were able to do that. Because it’s a process, right. We all slip up sometimes. We may need a little booster session to
keep us going. That’s how life is. Things get stressful sometimes. And we need a little extra support. And there is no shame in that. So whatever level or whatever stage
of your treatment plan you are in. Keep working with your therapist. And I cannot encourage you enough to
be as honest as you can. Because your honesty around the
assessments and what tools work. Really end up helping you the most. Because when you leave therapy, I want you to have a tool box full of
things that actually work for you. And ones that you will actually use. So if something’s not working. Speak up. If you need to try something else,
let them know. Because we’re here to help you, right. And I hope that just sheds a little light
on what therapists do behind the scenes. Or after sessions. Because, I mean. Some people wonder,
they’ll come to my office, ‘So what do therapists,
what do you actually do?’ And that’s really what I actually do. I spend a lot of time on treatment plans. And so hopefully now you can kind of understand
why we have different tools each week. And why we challenge you to
do something different. And it’s kind of our process, right. So keep working with me. Keep checking back. As we work as a team towards
a healthy mind, and a healthy body. I was just thinking, a treatment plan is
really like a road map. To get us from where we are now. To where we really want to be. It just helps kind of structure that. You know. And as always. Don’t forget to subscribe to my channel. I put out videos five days a week. And you don’t want to miss them. And what would really help our community. Is if you click the share link below. And put that link on your favourite
social media site. And I would love to see all of you on
katimorton.com So don’t forget to check it out. I’ll see you soon. Bye! Subtitles by the Amara.org community


57 thoughts on “What is a Treatment Plan & how do we make one? Mental Health Help with Kati Morton | Kati Morton”

  • Hey kati, #katifaq so I have a question for you as you know my seizures are stress related and therapy is a trigger for them too any advice you could give to a) help keep stress levels down and b) to not feel so overwhelmed and anxious about going to therapy as it my induce a seizure later in the day

  • This video was perfect timing, I'm starting at my new therapist tomorrow, so it's really nice to have an idea of what will happen! 🙂

  • Haha "what brings you here today?" Try being in the ER waiting to get in to the psych unit…they ask you that SO MUCH.
    It was really helpful for me that my inpatient helped me make a post treatment plan and I was able to use those ideas to work with my current therapist.

  • Journal topic “Recovery does not mean cure. Rather recovery is an attitude, a stance, and a way of approaching the day’s challenges. It is not a perfectly linear journey. There are times of rapid gains and disappointing relapses. There are times of just living, just staying quiet, resting and regrouping. Each person’s journey of recovery is unique. Each person must find what works for them. This means that we must have the opportunity to try and to fail and to try again.”  What works for you ? What opportunities have you tried and failed and accomplished? Focus not on the things you couldn't do, but the things you were able to accomplish after thinking that you couldn't do it.

  • I didn't even realise that my counsellor was doing this with me at the time. Mine talked about the intended time scale of the treatment as well as talk about being more accurate with my treatment goals. I have Primarily obsessive OCD and she talked about assessing how you would like to be treated and to be realistic like how if someone wants to be a better runner if they are an athlete you need to be more accurate and describe how much further you would like to get and how much quicker do you want to get. It was a helpful analogy for me to understand.

  • thank you so much for this awesomely ha bisky vid i loved it so much and i am bookmarking this video so i can refer back to it just in case i need it for anything/when i am ready to get better

  • Great topic – as usual. 🙂

    Just curious, have you done a video or Q/A discussing body focused repetitive behaviors? I did try browsing through the videos before asking (turned into quite the task) – but I could just be over looking it or have yet to stumble upon it.

    Thanks for all you do. Hope your day is fantastic.

    – Emme

  • I just had a first appointment with a potential private therapist who deals with CBT therapy and is a psychologist and…… I hated it. And didn't like him. Now I feel really bad. Cos it didnt work out I feel like I failed. He didnt "get" me he doesn't know my story and expected me to just come out and say what happened in my past like its nothing I said I don't want to go in to it and he said I should I was so uncomfortable and told him I didn't want to, when he asked why I said "cos your a stranger " and he didn't get that it's so hard for me & told me that's where my issues with S/H,ED,anxiety & depression stem from and unless I open up I won't get better. I completely shut off after that and when I left decided I'm never going back. Now I'm thinking fuck I'm never going to get better are they all like this in the UK??? I'm so f***ing angry it's so hard to get help it's just constant failures. I thought private works be better than NHS as I've been waiting over 8 months for NHS help on waiting lists even tho I'm suicudal and currently SH.i need help so bad but now I wanna give up.

  • This was a really timely video, as I'm starting to work with a new therapist on a treatment plan! I never feel like I know what my main goals are though, which can make treatment planning frustrating and overwhelming. Anyone have tips on how to focus in on what you're looking to work on? Also, HAPPY BIRTHDAY, @Kati Morton ! Have a lovely day!

  • Hey Kati, I just have a quick question. Why do I shut down in therapy? I have seen several different therapists and each time I have went I had such a hard time opening up, and seems like everything I wanted to say completely flew out of my head. The last therapist I had actually told me that unless I start opening up more, she cannot help me anymore. I am going through some stuff right now and feel like I need to see a therapist again. However, I am scared that when I go, I will blank out and not be able to say anything or not be able to open up and just look stupid. It is so frustrating because I want to open up so badly and I want to say things but I simply can't!!!!  Any advice on this..Thanks so much, you rock Kati. #KatiFAQ

  • Bunch of Critters says:

    Hi kati, love your videos!
    Okay so why is it that i dont like to eat around people? Literally all day through school i wont eat unless its something quick say like crackers or something. I wont eat lunch or any of that. I will do the same at restaurants… And lately i just feel fat. I feel like i gained so much weight after i stopped doing sports, but could my mind be telling me to "not eat"?
    Please help!
    (I also have depression)

  • Jessica Villalpando says:

    Hi Kati #katifaq .. I have a question, hope you can help me out. I was diagnosed with depression and anxiety about 7 months ago. I accepted medication and meeting with a therapist. With time, I started to feel better and cope, to the point where I didn't need to see my therapist anymore. You could say my progress was fast.. I am still taking my meds but within the last 2 months, I've hit extreme lows to the point where it disables me for days and I lose my appetite. Then there are days when I feel very energetic and able. Is it possible that my depression is worsening? Not sure what's going on. Thank you for your videos and support! 🙂

  • Hey Kati! I had I question. I just changed therapist temporarily & the new therapist asked how long I had been in therapy. I told her maybe 11 months and she said that usually therapy doesn't last longer than 9 months, or at least they won't see you as frequently. It kind of made me upset and like I failed. Is this true??

  • #katifaq I was released from the hospital about a month ago after a suicide attempt. Since I was asked quite a bit about previous history of hospitalization and medication, it really made me think about my experience when I was 11 and how abnormal it might have been. I'm just trying to process the whole thing since I haven't really thought about it. Two main things I have questions about; first, when I was put in the hospital it was decided that I was too young for the adolescent ward and put with the adults. Second, every session I had with my doctor was done with my mom in the room so I was never able to really tell him anything due to a controlling and abusive family dynamic. Looking back I can't help but wonder how normal or ethical this was. Either way it seems just wrong. Am I reading too much into this? Sorry this got so long. Thanks for all that you do!

  • How do you get rid of irrational fear? Like I took an HIV test and it was negative but I think the doctors infected me with hiv. I have pin and needle pain in my hands prickling feeling my doctor says it anxiety

  • #katifaq Hi Kati, I've struggled with depression and anxiety but after CBT i've been doing alot better. However I'm really struggling at the moment with 'Boom and Bust' (all or nothing) For the first few weeks of Uni I was doing great, doing all of the reading and feeling really productive at work and at volunteering. Now I feel like i've crashed and the last few weeks I've felt too tired and not motivated to do anything and i feel my depression creeping back in. Any suggestions on how to break this cycle?

  • I have to do pie charts.  Like when I start catastrophizing certain little situations I need to do a pie chart of all the possible explainations. 

  • I am Talako (Gray Eagle In The Sky) says:

    Kati you are amazing. I have always wondered about this. Thank YOU!!!!!!! 🙂 rises and claps hands three times in a row

  • To clarify a statement you mention: ethically, every provider must talk with the client about their treatment plan.  The client is to be involved in the treatment plan and have control/input into the treatment plan.  I mention this not because of you as I know you do this, but many providers do not.  Just for example, in the ACA 2014 Code of Ethics, there are several locations to look up about informed consent for treatement:   D.2.b. Informed Consent in Formal Consultation, A.2.  Informed Consent in the Counseling Relationship and if they want to change the role/plan, A.6.d. Role Changes in the Professional Relationship, and more. 

    Thanks for great videos Kati and for being a therapist who is safe and competent for her clients!  Therapy can be a very helpful experience with providers like yourself. I want to see more providers like yourself and am working with others to improve those odds.

  • Hey Kati I have a question. My therapist wants me to do group but I have no clue what to expect or what happens in group. Can u tell me?

  • Eneyda Del Pilar says:

    Hello Kati,
    My concern is not too much about the treatment plan but the theoretical approach and the appropriate intervention for the case in question. That is kind of confusing. Thanks  

  • Katie Lemieux says:

    Kati, super impressed by your videos. You are super lively and animated, love it! Great layman's term info for people. Sent you a message on LinkedIn. I am on the East Coast, LMFT as well and co-own a company helping mental health professionals fulfill their dreams through world-class personal and professional development. We reach out and connect with rockstar MHPs like yourself doing awesome things. We love to chat!

  • Hi Kati, I have a question: If you are diagnosed with any mental illness, can the diagnosis ever go away if the person has a major positive life change?

  • Debra Hyatt-Burkhart says:

    Hi Kati, I am an LPC and I teach my students that they should be working WITH the client to develop and update the treatment plan. It shouldn't be a secret!

  • What do I do if I'm having challenges getting a therapist to create a treatment plan for me?  I've gone through several therapists in this area both self-pay and through insurance and they refuse to do a treatment plan.  Isn't this a standard of care?  How to get the most out of my treatment if they won't do it?  I feel like we're just having a nice chat without any direction and still not getting anywhere.  Please advise.

  • fuckin crazy people are in the world who? they are Psychotherapy they are real mental and make normal people are more mental
    dont fukin trust them

  • Cheyenne Johnson says:

    Interesting thought…. your main goal is to get them to not need therapy anymore. I feel way too "excited" about therapy that I never want to leave. I plan all week about what I want to talk about the next week. I recently got a therapist with my parents' permission but previously I had a therapist through the school without them knowing. I still talk to her and she knows about my new therapist. I don't really like her that much but I love to tell her great things that happen. I get way too attached… I don't have the courage to tell her that I don't want to see her anymore. A part of me doesn't want to let go. And I love to update the school counselors about my progress in recovery… I have group sessions with my friends as well. I also find it really disturbing to look things up about my new therapist… I feel like a stocker. I have this weird obsession of wanting to know about the therapist's personal life. But then when I find out she had the same struggles as me… I compare our stories and feel invalidated because she got "sicker" than me before she got help. This is just so wrong, I don't know how to stop getting so attached to the people who care about me.

  • what do I do if I suspect my therapist doesn’t have a treatment plan she is consistently adjusting, and instead is trying to keep me as a client in order to get paid?

  • Okay, so you talk about making a treatment plan for your clients. But what if your therapist wants to create a plan with you? I mean, I'm all for being involved in my plan but I don't even know where to begin. Knowing what my plan is would take out the element of surprise/anxiety of knowing that they have a plan and I don't which is why I think they are doing it this way. But what does it look like to work with a client on coming up with a plan? My end goal is to deal with and be able to talk about my traumas without all the negative feelings, as well as have less nightmares and less anxiety about generally everything. I know that is a lot of goals but I put off therapy for so long and they all kind of stem from the same thing. I think by focusing on the trauma stuff that the rest of the goals will fall easily in place or get addressed along the way. I don't know. I'm not a therapist. Help!

  • I've been with my first therapist since may. She asked why I was there on day1. Then every session since, has been me rambling. I pause thinking she will jump in and ask questions, guide me, make a treatment plan or guide me in ways to achieve my goal, but she doesn't do anything. So I ramble…people pleaser that can't stand silence. No idea what to do from here. I mentioned it to her a couple of times, saying I don't think anything is changing. She got mildly defensive. She's very nice. But I feel like there's something missing. I'm not sure what I expected, but after watching your videos I think I need more structure and guidance. I don't know that I have the energy to find a new Dr, which was the main reason I was seeing her in first place. When I asked her point blank if I had depression she said yes, get on med. Primary Dr gave me meds that we've been increasing over time, but zero difference. I feel like a psychiatrist may be better, then I'm getting the therapy part and meds by one person. I just don't have any on my insurance plan that don't work in treatment facilities. That seems like it's the complete opposite of my therapist. She said she feels like I just need someone to vent to. I don't. I have a family and friends for that. And talking about problems isn't 'venting. I don't get it. I feel like I'm doing therapy all wrong.

  • Hi Kati, I recently learned about you from Shane. I am currently completing my second year of my MFT program and have been utilizing your videos to simplify some of the information I learn. I was wondering if you only make videos for the general population about therapy, or do you also assist future therapists by coming from a more clinical perspective when explaining the various topics in your videos? Like applying theories etc.

  • I've seen about half dozen "therapists"–psychiatrists, psychologists, social worker, intern, and less than half had a treatment plan that I know of. Generally I'd just come in week after week and they'd just listen to me shoot off my mouth. Consequently, I decided "therapy" is not for me. But I guess it depends on what the issue is perhaps.

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