1

Treatment Plan #: BAT118

Client Name

Wayne, Bruce

Gender

DOB

2/29/1908

Admit Date

Discharge Date

8/18/2016

6/18/2015

Goals, Strengths, Limitations

Goals (clients):
Control anger
Increase personal relationships
Identify triggers, separate the traumatic memory from the debilitating emotion
associated with it
Strengths:
Street wise
Good grades at school
Talented martial artist
Business savvy
Does not age past 27
Limitations:
N/A

Problem (clinical interpretation of problem + client)

Adapted from Multi-Disciplinary Treatment Plan, Sarrah Gooch, LSW

Problem & Evidence

Long Term Goals

Target date

1.
Client BW has anger
management issues as
evidenced by his
physical aggression
towards people he
deems villains.

Recognize existing
feelings of anger discover
origins of such feelings
and find alternative ways
to ease, express, and
resolve such feelings.

4/2017

2.
Has trouble making and
keeping friends as
evidenced by his
attempts in the past and
not fully trusting
anyone except for his
childhood butler, Alfred.

Normal appropriate
2/2017
functioning at work, in
social relationships with
only minimal interference
from distrustful
obsessions.

3.
BW has not been able to
come to terms
emotionally with
traumatic events, as
evidenced by his
nightmares and
flashbacks to his parents
murders of which he
witnessed.

Stop destructive
6/2017
behaviors that serve to
maintain escape and
denial, and implement
behaviors that promote
healing, acceptance of the
past events, and
responsible functioning.

Objectives for Long Term Goals

Problem 1:
Adapted from Multi-Disciplinary Treatment Plan, Sarrah Gooch, LSW

Achieved date

Short Term Objective

Evidenced By

Current Outcome

Date Achieved

Evidenced By

Current Outcome

Date Achieved

Recognize causes and

triggers for anger.

Be able to express
feelings of anger in a
calm and collected
manner.

Develop relaxation
methods to manage
anger such as, playing
music, reading, pacing,
etc.

Problem 2:
Short Term Objective

Adapted from Multi-Disciplinary Treatment Plan, Sarrah Gooch, LSW

Show a level of trust

with therapist by being
able to disclose feelings
and beliefs.

Increase social
interaction eliminating
fear or suspicion being
reported.

Identify and explore

historical sources of
feelings of
vulnerability.

Problem 3:
Short Term Objective

Evidenced By

Adapted from Multi-Disciplinary Treatment Plan, Sarrah Gooch, LSW

Current Outcome

Date Achieved

Explain the traumatic

event in as clear detail
as possible. Then
express feelings that
were experienced at
the time of the trauma.

Express an awareness
of how Post-Traumatic
Stress Disorder affects
self and others.

Increased comfort and

ability to talk and
think about the
traumatic incident
without emotional
stress.

Discharge Criteria
Criteria:
Adapted from Multi-Disciplinary Treatment Plan, Sarrah Gooch, LSW

The individuals documented treatment plan goals and objectives have been
substantially met.

Plan:
BW will return home with his butler, Alfred Pennyworth. He will continue
outpatient care with follow-up visits with his SVPH therapist.

Support:
Alfred Penny worth- Butler
Dick Grayson- Apprentice
Clark Kent- Friend

Diagnosis

Diagnosis changed

Diagnosis:
Paranoid Personality Disorder
disruptive mood dysregulation disorder (DMDD)
Post-Traumatic Stress Disorder (PTSD)

Medication

Medication changed

Adapted from Multi-Disciplinary Treatment Plan, Sarrah Gooch, LSW

Medication

Reason

Fluoxetine (Prozac)

To reduce depression
caused by PTSD and limit
paranoia/anxiety.

Safety Plan
Triggers:
Gun shots
Verbal escalation/yelling
Confrontation
Death of individuals close to him
Coping skills:
Pacing
Reading
Safe Driving
Martial Arts
Vacations

Adapted from Multi-Disciplinary Treatment Plan, Sarrah Gooch, LSW

Summary
Individual Therapy:
Individual therapy to help BW learn and implement coping skills and the
ability to identify, process, and resole feelings and concerns at home.

Narrative form of Overall Progress:

This client is a 27 year old client who is unmarried and lives at home with his
butler and apprentice. During the day he is CEO and owner of Wayne
Enterprises at night he believes he is the Dark Knight and Protector of
Gotham. It has been reported by his close friends and butler that client has
trouble trusting others especially females. Client reports anger outbursts
towards people he calls Gothams problem. Client has reported on multiple
occasions that these outbursts ended in physical altercations. Client also
reports reoccurring flashbacks and nightmares of the night he witnessed his
parents killed by an unknown assailant. Client states his focus of treatment is
to return home and remain the main shareholder and owner of Wayne
Enterprises.

Adapted from Multi-Disciplinary Treatment Plan, Sarrah Gooch, LSW