ALPIMS Targeted Care Plan Framework
Each care plan includes:
- 🔍 Domain overview
- 📌 Priority concerns
- ✅ Recommended strategies (core & optional)
- ⚠️ Cautions or challenges
- 📈 Tracking and adjustment tips
1️⃣ Anxiety Domain Care Plan
🔍 Focus: threat sensitivity, overwhelm, panic, worry loops
📌 Priorities: emotional safety, nervous system down-regulation, thought pattern support
✅ Strategies:
- 🧘 Nervous system resets: paced breathing, somatic anchoring, weighted tools
- 📚 Cognitive tools: CBT-style reframes, worry journaling, thought defusion
- 🛏️ Environmental support: low-stimulation zones, clear rhythms, visual calendars
- 🤝 Co-regulation: non-demand presence, safety scripts, “do nothing together” time
⚠️ Caution: Don’t push exposure therapy without regulation support; cognitive-only tools often fail when body is dysregulated.
📈 Track: panic triggers, daily tension level, safety cues that work
2️⃣ Laxity Domain Care Plan
🔍 Focus: joint instability, fatigue, autonomic dysregulation, poor proprioception
📌 Priorities: injury prevention, stamina preservation, supportive movement
✅ Strategies:
- 🧍♀️ Physical supports: braces, compression, ergonomic aids, orthotics
- 🚶 Gentle movement: physiotherapy, core strengthening, pacing exercises
- 🛏️ Positional care: joint cushioning, sleep support, low-sink seating
- 🔁 Postural rotation: shift often, reduce fixed positions
⚠️ Caution: Overstretching or unsupported hypermobility can worsen symptoms. Avoid high-impact or overcorrective regimens.
📈 Track: injury frequency, proprioception awareness, postural strain signs
3️⃣ Pain Domain Care Plan
🔍 Focus: chronic pain, tension, hyperalgesia, flare states
📌 Priorities: pain modulation, sensory buffering, pacing
✅ Strategies:
- 🧖 Hot/cold therapy, TENS, magnesium soaks
- 📦 Flare kit: topical creams, safe pain meds, gentle distractions
- 🧠 Pain science education (e.g., Explain Pain) to reduce fear-pain loop
- ⏱️ Activity pacing, post-exertional monitoring, green zone expansion
⚠️ Caution: Avoid overexertion, boom-bust cycles, or ignoring early flare signals.
📈 Track: pain intensity, flare triggers, crash recovery time
4️⃣ Immune Domain Care Plan
🔍 Focus: MCAS, inflammation, sensitivities, autoimmune patterns
📌 Priorities: reduce reactivity, strengthen regulation, limit exposure burden
✅ Strategies:
- 🧴 Low-tox environment: fragrance-free, mold-safe, low-chemical
- 🥣 Low-reactivity diet: low-histamine, salicylate-aware, failsafe variants
- 🌿 Anti-inflammatory tools: omega-3s, herbal supports (if tolerated)
- 🧘 Nervous–immune integration: vagal tone support, cold exposure, pacing
⚠️ Caution: Don’t rely on food restriction alone; monitor for malnutrition or orthorexic patterns.
📈 Track: symptom-food-exposure link, tolerance expansion, immune flare markers
5️⃣ Mood Domain Care Plan
🔍 Focus: depression, anhedonia, burnout, shutdown
📌 Priorities: gentle activation, relational safety, mood-supportive habits
✅ Strategies:
- 🌤️ Micro-mood boosts: sun, music, colour, joy objects
- 🪴 Activation ladder: green zone movement, nature exposure, creative output
- 🫂 Relational anchors: trusted contact, non-judgmental communication, grief processing
- 💊 Evaluate for meds, nutritional support (e.g., B12, D, iron)
⚠️ Caution: Beware of pressure to “cheer up” or over-engage when dysregulated. Support recovery pace.
📈 Track: mood tracking apps, joy pulses, activation windows
6️⃣ Sensory Domain Care Plan
🔍 Focus: overload, misophonia, visual snow, sound/light/smell triggers
📌 Priorities: sensory buffering, input management, predictable transitions
✅ Strategies:
- 👂 Earplugs, sound filters, noise-cancelling headphones
- 🕶️ Light-filtering glasses, screen dimming, soft lighting
- 🧸 Safe sensory kits: fidgets, weighted items, soothing textures
- 🧘 Nervous system co-regulation with body–environment alignment
⚠️ Caution: Sensory avoidance alone can increase sensitivity—use buffering, not just avoidance.
📈 Track: overload events, tolerance windows, sensory refuge effectiveness
🧭 Bringing It All Together: Personalized ALPIMS Plan
Use a matrix like this to map cross-domain supports:
| Domain | Top Symptoms | Priority Interventions | Tracking Notes |
|---|---|---|---|
| Anxiety | Panic, racing thoughts | Breathwork, safety scripts | Worry log, daily check-in |
| Laxity | Joint strain, fatigue | Bracing, physio pacing | Movement tolerance journal |
| Pain | Widespread pain | Heat, pacing, flare kit | Flare frequency + triggers |
| Immune | MCAS, gut reactivity | Diet, clean environment | Food/symptom log |
| Mood | Low mood, withdrawal | Activation plan, sunlight | Mood tracking chart |
| Sensory | Overload, misophonia | Earplugs, retreat nook | Overload tracker |