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HIV: Therapeutic Strategies for Guilt, Uncertainty, and Taking Control
HIV: Therapeutic Strategies for Guilt, Uncertainty, and Taking Control

Section 14
Appendix: Reproducible Client Worksheets

Answer Booklet | Table of Contents
| HIV/AIDS CEU Courses
Counselor CEUs, Psychologist CEs, Social Worker CEUs, MFT CEUs

Coping With Anger
Review CD track 1 for more information regarding this technique.
Client reviews and utilizes the following procedures to deal with anger.
1.  Separate the anger from its target.
2.  Find alternative methods for discharging anger.

Coping With Mild Depression
Review CD track 1 for more information regarding this technique.
Client reviews and utilizes the following procedures to deal with mild depression.
1.  Understand that mild depression, unlike clinical depression, can be a natural reaction to HIV. 
2.  Understand that mild depression generally wears off in a few weeks.
3.  Engage in physical activity to avoid feelings of depression.
4.  Accomplish something you want to get done.

Managing Fear
Review CD track 1 for more information regarding this technique.
Client reviews and utilizes the following procedures to learn to live with fear.
1.  Dissipate fear with information regarding the thing you are afraid of.
2.  Talk to others with similar experiences.  Consider attending a group session.

Dealing With Guilt
Review CD track 1 for more information regarding this technique.
Client reviews and utilizes the following procedures to cope with guilt.
1.  Separate HIV from a sense of punishment.  You are not being punished.
2.  Understand that guilt can be a useless emotion. 
3.  Find alternate ways to use the emotional energy that guilt is robbing from you.
4.  Acknowledge your own self worth.  For example, what do your friends like about you?  Other than your reasons for feeling guilty, what makes you who you are?

Coping With Uncertainty
Review CD track 1 for more information regarding this technique.
Client reviews and utilizes the following procedures to manage uncertainty.
1.  Understand and accept that uncertainty is a part of life whether you have HIV or not.
2.  Invest cautiously in the future.  Buy a home, or invest your money.  Do something that requires long term planning.

Considerations for Disclosure
Review CD track 3 for more information regarding this technique.
Client reviews and utilizes the following procedures to help alleviate concern regarding informing others that they are HIV positive.
1.  Be clear about why you want to tell a specific person.  Do you want sympathy, special treatment, or support?
2.  Consider the worst case scenario.  Some people may become hysterical.  Think of ways to deal with that.
3.  Give the person plenty of time to process the information.
4.  Consider choosing a setting that offered plenty of time and privacy. 

Five Reasons for Wanting to Disclose Your HIV Status
Review CD track 3 for more information regarding this technique.
Client reviews and utilizes the following procedures to understand their motivation behind disclosure.
1.  The right for others to know.
2.  Need for emotional support from others.
3.  Access to medical resources or services.
4.  The need for intimacy. 
5.  Integrity.

Techniques for Emotional Healing
Review CD track 5 for more information regarding this technique.
Client reviews and utilizes the following procedures to strengthen the immune system through emotional growth and healing.
1.  Identify possible factors for emotional distress.
2.  Overcome addictions or behaviors identified in step one.
3.  Maintain good reasons for living.
4.  Give yourself goals to achieve and remind yourself of them often.
5.  Find a purpose if there is none.  Maybe gaining insight into yourself or doing volunteer work can become a purpose. 

Five Criteria for Discrimination
Review CD track 6 for more information regarding this technique.
Client reviews and utilizes the following criteria to verify discrimination.
1.  Action or inaction that causes harm or injury.
2.  Harm or injury.
3.  Disparate or unequal treatment.
4.  Disparate or unequal impact.
5.  Separate treatment.

Dividing and Conquering
Review CD track 7 for more information regarding this technique.
Client reviews and utilizes the following criteria to cut overwhelming and insoluble problems into manageable, solvable parts.
1.  Divide your problems into those that have solutions and those that do not.
2.  Focus on the problems that have solutions and accept those that do not.
3.  Begin brainstorming and implementing solutions.

Positive Denial
Review CD track 7 for more information regarding this technique.
Client reviews and utilizes the following criteria to admit both the realities of today and the unpredictability of tomorrow.
1.  Deny doubt regarding the future.
2.  Admit you are alive now.
3.  Behave cautiously, but embrace life.

Adherence Evaluation
Review CD track 7 for more information regarding this technique.
Client reviews and utilizes the following criteria to evaluate his or her ability to maintain adherence to treatment medications.
1.  Purchase a thirty-day supply of once-a-day vitamins.
2.  Get a calendar and count out thirty days.  Mark your beginning date and your end date.
3.  Write your beginning date and end date on the bottle.
4.  After thirty days, check the vitamin bottle to see how many are left.
5.  Evaluate yourself using the percentage scale. 

  • One pill remaining.  Congratulations, you’re doing better than 95 percent.
  • Two pills remaining.  You’re scoring about 93 percent, which is still above average.
  • Three pills remaining.  At 90 percent adherence, you’re on the right track.  Consider why you missed those three doses.  How could you have remembered them?
More than three pills remaining.  Anything over three pills is less than ninety percent.  Unfortunately, with HIV treatment, you’ll need to earn an “A” or not take the test at all.
 
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