DEPRESSION 87 F. The client was reinforced for his/her use of healthy techniques t o express his/her repressed emotions and reports decreased feelings of depression. G. The client continues to struggle with depressed feelings despite having been assisted in expressing his/her repressed emotions. 39. Refer to an Activity Therapist ( 39) A. The client was referred to an activity therapist for recommendations regarding physical fitness activities that are available in the community. B. The client was referred to community physical fitness resources (e. g., health clubs and other recreationa l programs). C. The client has been actively participating in community physical fitness programs and was reinforced for this. D. The client has declined involvement in community physical fitness programs and was redirected to do so. 40. Educate the Fam ily (40) A. The client's family was educated about his/her mental illness concerns. B. The client's family was referred to What to Do When Someone You Love Is Depressed: A Practical and Helpful Guide by Golant and Golant. C. Family members were praised for displaying an increased understanding of the client's mental illness concerns. 41. Teach Support Changes (41) A. The family members were taught about how to support the changes the client has made through treatment. B. Specific examples were listed from the family members regarding the ways in which the client's changes may affect the family functioning. C. Family members were reinforced for their positive support of the client's changes within treatment. D. Family members have sought a return to the previous status quo and have not supported the client through his/her treatment; this pattern was reflected to the family members. 42. Educate about Maintenance Treatment ( 42) A. The client was educated about the ongoing need for maintenance treatmen t (e. g., following up on appointments, continuing to take medications, or attending support groups) despite the lack of identifiable symptoms. B. The client acknowledged his/her need for maintenance treatment despite the lack of identifiable symptoms and was reinforced for this understanding. C. The client continues to use maintenance treatment despite the lack of identifiable symptoms and was provided with positive feedback in this area. D. The client has not used maintenance treatment and was redirecte d to do so. 43. Identify Symptom Indicators of Depression ( 43) A. The client was requested to identify a list of symptom triggers and indicators of his/her depression deepening. B. The client has developed a list of symptom triggers and indicators, and this was reviewed. 