DEPRESSION 79 B. The client's precursors, triggers, and pattern of depression symptoms were reviewed on a time line to exp lore how he/she experiences and is affected by depression. C. The client displayed a greater understanding of his/her pattern of depression problems and was given support and feedback in this area. D. The client struggled to understand his/her pattern of depression symptoms and was redirected in this area. 3. Obtain Feedback Regarding Depression Pattern (3) A. The client's family, friends, and caregivers were asked about the client's pattern of depression symptoms. B. The client's family was asked abou t the family history of depression. C. Family, friends, and caregivers identified a pattern of depression for the client and within the family, and this was reviewed. 4. Log Current Level of Functioning (4) A. The client, family, or caretaker was provid ed with sleeping, eating, and activity logs in which to document the client's current level of functioning. B. Daily logs related to the client's sleeping, eating, and activity levels have been filled out regularly, and the aggregate results were reviewed, indicating a pattern of depression. C. The client's symptom logs were reviewed, but do not indicate a pattern of depression symptoms. D. Symptom logs have not been filled out regularly, and this assignment was reinforced as a helpful way to monitor the client's symptoms. 5. Encourage Expression of Depression Feelings (5) A. The client was encouraged to identify and share his/her feelings of depression in order to clarify them and gain insight into the causes. B. The client was provided with support a nd empathy as he/she described his/her feelings of depression. C. As the client has expressed his/her pattern of depression feelings, he/she has been assisted in gaining insight into the causes for his/her depression. D. The client was unable to clearly identify his/her depression feelings and was provided with additional feedback in this area. 6. Identify Losses Due to Severe and Persistent Mental Illness Symptoms (6) A. Inquiries were made about specific losses that the client might have experienced d ue to his/her severe and persistent mental illness symptoms. B. Empathy was provided as the client identified concerns related to loss of independence, income, freedom, dignity, or relationships due to his/her pattern of severe and persistent mental illne ss symptoms. C. The client was provided with feedback about how his/her losses due to severe and persistent mental illness symptoms may contribute to secondary symptoms related to depression. D. The client denied any specific losses due to his/her severe and persistent mental illness symptoms, and this was accepted. 