RTCV2 Part 2 – Questionnaire

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F. Codependency and Boundaries Worksheet

Family Intensive Codependency and Boundaries Worksheet

Please watch the video and fill out the worksheet in response. (You may fill out answers as you watch if preferred)

** Enmeshment definition : A relationship that lacks independence of thought, values, opinions, etc. One person must always be and do the same as the other, and you lose touch with your own needs or desires. Enmeshed relationships lack boundaries and limits.

1. Codependency is a _____ addiction.*

2. What are the 2 parties in a codependent relationship? Which do you relate with the most? (Remember, it’s not if you’re codependent, it’s just a matter of when you are codependent)*

3. Codependency leads to enmeshment of decision making,__________, and __________ __________.*

4. In your own words, why can codependency interfere in someone’s healing or treatment process?*

5. For the tips given for rescuers and the rescued - which ones stand out to you the most that you need to start implementing?*

6. What’s the ultimate solution for codependency?*

7. What is the definition of boundaries? List 3 examples of boundaries given in the video*

8. How do you communicate boundaries?*

9. What are areas in your life that you need to set boundaries, or need to improve your boundaries?*

G. Screens Impact Summary

Family Intensive Screens Impact Worksheet

Based on your learning about screens, please provide a general summary below on how screens affect:

Dopamine
Atrophy
Mood/Focus/Motivation
Relationships & social skills

H. Behavior Worksheet

Family Intensive Behaviors Worksheet

Please watch the video and fill out the worksheet in response. (You may fill out answers as you watch if preferred)

1. What are the 3 pillars of behavior, meaning that if there are issues in any of these pillars you will see challenging behavior. What are these 3 pillars?

2. Give an example of a lagging skill and how that may lead to a behavior problem*

3. How do emotions and behaviors relate to each other in your own words? Please give an example of a specific unregulated emotion leading to a certain behavior.*

4. In your own words, how might a need not being met lead to a behavior issue? Please give an example of an unmet need leading to a certain behavior or reaction.*

5. Addressing these pillars can take time, what can be implemented to help stabilize the behavior in the meantime?*

6. What are the 4 functions of behavior (AKA the 4 categories of behavior)?

7. What is the basic human need that drives attention-seeking behavior? Why do you think is it important to know this need when addressing these behaviors?*

8. What are the positive ways to give or receive attention?*

9. What does escape mean? What are some things that can cause this behavior?*

10. Define Access to tangibles. What are some tangibles that motivate you?*

11. List a behavior that you personally would like to improve on. Based on what you learned in this video, what do you think is one of the primary drivers of your behavior? (you may relate it to the 3 pillars or 4 functions of behavior)*

12. Collaborative conversation helps you focus on _____ the _____ instead of hyperfocusing on the _____ . In your own words, why might this be more productive when addressing concerns with your loved ones? *

I. Reinforcements Worksheet

Family Intensive Reinforcements Worksheet
Please watch the video and fill out the worksheet in response. (You may fill out answers as you watch if preferred)

1. Define reinforcements. Which is more common and effective, positive or negative reinforcements?*

2. Reinforcements are key ways to motivate _____ in _____ and _____ .*

3. What is meant by we live in a “binge culture”? In your own words, how can giving reinforcements for basic, small efforts break this cycle?*

4. In your own words, why do you think it’s important when addressing behavior that privileges are earned?*

5. Why is clarity so important when laying out reinforcements to target behavior (for example - specific metrics, specific rewards, specific timeline)?*

6. What are behaviors or patterns that you want to change in your own life? What motivates you that you can use as a way to reinforce healthy change? (ex: motivated by small breaks, by social gatherings, snacks, guilty pleasures).*

J. Psyche During Admission

Family Intensive Psyche During Admission Worksheet
Please watch the video and fill out the worksheet in response. (You may fill out answers as you watch if preferred)

1. What is the psyche that occurs during admission for almost every individual?*

2. What are some reasons that this psyche comes up? Which ones can you see coming up for you potentially?*

3. What is the honeymoon stage?*

4. Why is either of these mindsets listed above problematic? Why is it so important to work through these thoughts and finish strong?*

5. Please list the 5 ways to work through this psyche mentioned in the video:

6. What is your personal goal for treatment (for yourself or your loved one) that you can hold to in order to finish strong?*

7. What do you think the speaker means when she says that mental health struggles cause you to lose time?*

Levels of Care

Clinical Services

Specialized Services

Mood Disorders

Behavioral & Addiction Disorders

Anxiety & Trauma Disorders

Eating & Related Disorders

Neurodevelopmental & Cognitive Disorders

Family & Adolescent Mental Health