Still Harbor Counseling

Therapy & Wellbeing
88 Cove Street, Suite 200, Portland, ME 04101 · (207) 555-0142 · stillharborcounseling.example
Individual Treatment Plan & Goals
Plan No.
SH-2026-117
Created
March 6, 2026
Review By
May 29, 2026
Client
J. M.Adult · Telehealth + in-person · Self-referred
Clinician
Maya Okafor, LCSWLicensed Clinical Social Worker · ME #LC-8841
Episode of Care
12 weeks · weeklyCBT-informed · 50-min sessions
Where we're starting

You came in describing persistent, hard-to-control worry most days for the past several months — racing thoughts, trouble falling asleep, muscle tension, and avoidance of work emails and social plans. Together we understand this as generalized anxiety disorder.

You also named real strengths to build on: you're insightful about your patterns, you follow through once a plan is clear, and you have a supportive partner. This plan turns that into a steady, week-by-week path back to feeling like yourself.

GAD · F41.1Moderate severityNo safety concernsStrengths-based
Goals we'll work toward
1
Lower day-to-day anxiety
Reduce GAD-7 score from 15 (moderate-severe) to 8 or below, tracked every other week.
Measure
GAD-7 ≤ 8
2
Sleep through the night
Fall asleep within 30 minutes and wake rested at least 5 nights a week, using a wind-down routine.
Target
5+ nights / wk
3
Re-engage with life
Return to two avoided activities (replying to work email same-day; one weekly social plan) without escalating dread.
By week
Week 8
How we'll get there
Wks 1–3
<b>Build the map.</b> Psychoeducation on the worry cycle, daily thought + sleep log, and shared goal-setting.
Wks 4–8
<b>Core CBT work.</b> Cognitive restructuring of worry thoughts, graded exposure to avoided tasks, behavioral activation.
Wks 9–11
<b>Strengthen & generalize.</b> Practice skills in real settings, problem-solve setbacks, build relapse-prevention plan.
Wk 12
<b>Review & step down.</b> Re-measure GAD-7, celebrate gains, and decide on maintenance or spacing sessions.

<b>Box breathing</b> — a 4-4-4-4 reset to use the moment worry spikes, before it builds.

<b>Worry window</b> — a scheduled 15-min daily slot to contain rumination instead of all-day spillover.

<b>Thought records</b> — catch a hot thought, test the evidence, and write a fairer one.

<b>Wind-down routine</b> — screens off, dim lights, and a short body scan 45 minutes before bed.

Session cadence & review
Phase 1
Weekly
50-min individual sessions, Tuesdays 10:00am
Check-ins
Bi-weekly GAD-7
Brief measure at weeks 2, 4, 6, 8, 10, 12
Review
Week 12
Formal progress review & plan update
This plan is collaborative and living. We'll revisit goals together at the 6-week mark and adjust pace, focus, or frequency to match how you're doing — your input shapes the plan as much as mine.

If you need support between sessions

Reach me at the office line during business hours. In a crisis or if you ever feel unsafe, call or text 988 (Suicide & Crisis Lifeline), available 24/7, or go to your nearest emergency room. You are never a burden for reaching out.

Agreed together

We reviewed this plan, and it reflects the goals and approach we agreed on. The client received a copy.

Client signature · Date
Maya Okafor, LCSW · Date
Still Harbor Counseling · Confidential clinical record · Protected under HIPAA · stillharborcounseling.example
This plan is a shared agreement between you and your therapist and may be updated together at any time.