78 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The client has been unable to resolve the grief that he/she experiences regarding his/her losses due to mental illness symptoms. C. The client's feelings of grief have turned to major depression as energy has diminished and sadness and hopelessness dominate his/her lif e. D. The client has begun to resolve the feelings of grief that are associated with the loss in his/her life. E. The client has verbalized feelings of hopefulness regarding the future and acceptance of the losses of the past. 13. Suicidal Ideation (11) A. The client expressed that he/she is experiencing suicidal thoughts but has not taken any action on these thoughts. B. The client reported strong suicidal thoughts that have resulted in suicidal gestures or attempts. C. The client reported that suici dal urges have diminished as the depression has lifted. D. The client denied any suicidal thoughts or gestures and is more hopeful about the future. 14. Low Self-Esteem (1 2) A. The client stated that he/she has a very negative perception of himself/hers elf. B. The client's low self-esteem was evident within the session as he/she made many self-disparaging remarks and maintained very little eye contact. C. The client's self-esteem has increased as he/she begins to affirm his/her self-worth. D. The clie nt verbalized positive feelings toward himself/herself. INTERVENTIONS IMPLEM ENTED 1. Assess Mood Episodes (1) * A. An assessment was conducted on the client's current and past mood episodes, including the features, frequency, intensity, and duration of th e mood episodes. B. The Inventory to Diagnose Depression (Zimmerman, Coryell, Corenthal, and Wilson) was used to assess the client's current and past mood episodes. C. The results of the mood episode assessment reflected severe mood concerns and this was presented to the client. D. The results of the mood episode assessment reflected moderate mood concerns, and this was presented to the client. E. The results of the mood episode assessment reflected mild mood concerns, and this was presented to the clie nt. 2. Display Symptoms Graphically (2) A. A graphic time line display was used to help the client chart his/her pattern of depression symptoms. * The numbers in parentheses correlate to the number of the Therapeutic Intervention statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 