Sample Concrete Forms of Measurements

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Likert Scale

  1. …implement 2-3 coping skills such as progressive muscle relaxation and four square breathing to decrease their anxiety from a 7 to a 3 on a 1-10 scale with 1 being no anxiety.
  2. The client will rate her overall self-worth with the goal of achieving 7/10 with 10 feeling she had achieved self-worth that week.
  3. …decrease symptoms of anorexia such as fear of specific foods from a 9 to a 4 on a 1-10 scale with 1 being no fear.

Use of Skill Frequency (daily, each week, per month, etc.)

  1. ….in order to create 2-4 effective problem-solving strategies to be used at a minimum of one time daily to be evidenced by increased ability to cope with the stressors of life, increased organization, decreased feelings of anxiousness and overwhelm, and increased overall happiness.
  2. The client's goal is to self-report major depressive disorder symptoms no higher than 2/10 each week while embracing 2-3 thought-challenging skills in her daily life.
  3. …..by using "I statements" 4 out of 7 days a week to work on being more assertive and developing more trust in their relationship.
  4. Progress will be measured by the client writing down at least three positive interactions he has had with someone each week.

SUD Score

  1. …process 3-5 major traumatic memories to reduce her SUD from distress from triggers from a 7 to a 5 (0 = no distress, 10 = worst distress)
  2. The client will decrease her anxiety symptoms from a current SUD of 8/10 with 10 being the worse to a 5/10 or lower.
  3. …engage in EMDR to decrease the subjective unit of distress (SUD) from anything higher than a 0 to a 0 or 1 on a 0-10 scale where 10 is the highest level of distress.

Assessment Scores

  1. Progress will be measured by a minimum of a 5-point reduction in the client's self-report symptoms on the GAD-7.
  2. Progress will be measured by client's self-report of a 10-point reduction in scores on the PHQ-9.
  3. …reduced avoidance and lower anxiety by 10% in both anxiety and avoidance (current score Anx = 48, Avoid = 50) by client's self-report using the Liebowitz Social Anxiety Scale.
  4. …self-report of engagement in exercises and client's ability to increase difficulty level from a 4 (moderately anxiety provoking) to a 7 (very anxiety provoking) as measured by the client's Anxiety Hierarchy.

Opportunity Scores

  1. ….implement these skills in 3 out of 4 conversations with her husband
  2. …replace negative reactions with newly learned self-regulating behaviors (counting, breathing, focusing on tasks, delaying intuitive responses, redirecting energy, etc.) in  5 out of 6 opportunities to do so.
  3. …client will implement these learned strategies to protect her peace of mind/wants/needs in 1 out of 3 opportunities to do so

Percentage Scores

Only use 25%, 50% or 75% unless you clearly define what the % means as seen in examples b and c below:

  1. She will report feeling a sense of peace 50% of the time when in the company of others outside of her family
  2. …reduce her negative thoughts/self-talk by 70% (e. g. 7 out of 10 statements)
  3. The client will report a 90% improvement in her relationships, experiencing a reduction in discord with others in 9 out of 10 interactions.

Suicidal Clients

Only time 100% or 0 can be used.

  1. …engaging in coping, cognitive, mindfulness, and grounding skills, utilizing community resources, and otherwise following her safety plan for each and every episode of suicidal ideation that occurs.
  2. ….in order to completely remove suicidal ideation by 100% …..
  3. …reduce suicidal ideation from a current 6 to a 0 on a scale of 0-10 with 0 being no suicidal ideation.

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