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Therapy for IndividualsCouples, & Families
Men Therapy Session

Counseling

1. DIAGNOSIS:
A. In determining diagnoses I use the DSM-5 Differential Diagnostic Process to help insure accuracy and reduce clinician bias.
B. The DSM stands for the Diagnostic and Statistical Manual of Mental Disorders and is used for consistent diagnostic analysis. Feel free to reference this link for more information on the https://en.wikipedia.org/wiki/Diagnostic_and_Statistical_Manual_of_Mental_Disorders

​​​​2. ASSESSMENTS:
A. The DSM Level 1 Cross Cutting Symptom Measure - Adult {H} may be used to clarify key treatment issues
B. Self-assessment tools will be made available in either hardcopy {H} or in app{@} formats. 

3. TREATMENT PLANNING:
A. If interested a written treatment plan can be developed as a guide for therapy
B. It is typically most effective if the client can determine the best method for remembering or recording the information discussed in therapy based on their learning style (auditory, visual, kinesthetic). Most individuals have a mixture of these three. It is important to determine you style due to the questions and discussions that will happen in our sessions. If you are not sure what you learning style/mixture is, let me know and I can send you a learning style self assessment. 

4. DIAGNOSTIC LISTING:
below are my evidenced-based assessment and treatment approaches categorized by the DSM descriptors: 
ANXIETY DISORDERS:
A. Assessments:
1) Penn State Worry Questionnaire {H} 
2) GAD-7 Anxiety Test Questionnaire {@}
B. Treatment Approaches:  
1) Cognitive Behavioral Therapy 
2) exposure treatment  3) relaxation skills  4) medication monitoring 
ATTENTION-DEFICIT/HYPERACTIVE DISORDERS
 A. Assessment: 1) PocketShrink{@}  2) ADHD Self Assessment Quiz {@}  3) NICHQ PTC Assessment   
 B. Treatment Approaches: 1) Client education  2) Parent education 3) Social skills training  4) medication monitoring
BIPOLAR DISORDERS:
A. Assessments: 1) Bipolar Test {@} 2) FOR  3) Tracking symptoms and correlating factors
B. Treatment Approaches:
1) Cognitive Behavioral Therapy   
2) Rational-Emotive Therapy 
3) Family Intervention/discussion with behavioral therapy 
4) medication monitoring
COUPLES THERAPY:
A. Assessments: 1) 5 Love Languages {@}  2) Gottman Assessments  {H}   3) Family of Origin Review (FOR)   
B. Treatment Approaches :
1) Individual: Emphasis on each individual focusing on the issues that they need to work on to improve the relationship.
2) Tools: prioritization, conflict resolution skills development, active listening, mindfulness, Root Cause Analysis (RCA), Straw Man concept, Appreciative Inquiry, Mindmapping, Simplex Process, and Problem Definition Process are all tools that can be used to enhance the development of the relationship.   
3) Actions Plans: that include SMART goals, calendar application, individual and couple ongoing accountability to goals/learning. 
4) Separation/Divorce: Sometimes couples come to help determine if they are able to reconcile the relationship to a healthy sustained level of compatibility. I often help couples determine that the relationship needs to come to a close with a cooperative                                  separation/divorce. If one or both parties feels like that they cannot make any more changes, are refusing to change or see                          that the incompatibility is too great, I can help you confirm those issues. Sometimes divorce is the best answer.  I can help                          with a referral to an attorney or assist in completing the legal paperwork to keep the costs down if needed see this link for                            further information http://ujs.sd.gov/Second_Circuit/Local_Forms_and_Policies/divorceforms.aspx
DEPRESSION:
A. Assessments: 1) PHQ-9{@}  2) Zung SDS{@}  3) Beck Depression Inventory{H} 4) FoOR
B. Treatment Approaches: 1) CBT 2) Interpersonal Therapy 3) Life Purpose Realization  4) medication monitoring
GENDER DYSPHORIA:
A. Assessments:
1) Sexual Orientation Assessment
2) Review of personal reflections of life experiences leading up to decision 
3) Pros/Cons of decision and how to determine the preferred course of action
B. Treatment Approaches:
1) partnering with the client’s medical team in process side effects to any medical procedure 
2) working with significant others, spouses, children and family members that need support and clarification during and after decisions and/or medical procedures.
TELECOUNSELING:
A. Technology:
1) Download the Zoom app on your device
2) A Meeting ID number will be assigned for each session for you to enter from your device
3) I will initiate the call from my office 
4) My cell number is 605-321-9988 for reference purposes
B. Paperwork/billing:
1) I will email or mail you the intake forms/insurance information to complete prior to the first session
2) You can scan/email or mail them back to me at:
     Paul Ritter 2210 S. Brown Place, Sioux Falls, SD 57105
3) A monthly bill will be sent to your preferred (home) address for payment. Credit card payments can be made by calling our billing office at 605-336-1974

KEY
{H} Hardcopy
CBT – Cognitive Behavioral Therapy
{@} App/Smartphone
FOR – Family of Origin Review