PSYCHOSIS 275 D. The client was reinforced for his/her insight into the effects of his/her ps ychosis. E. The client has not understood or accepted the effects of his/her psychotic symptoms, and was provided with remedial assistance in this area. 28. Assess Adaptive and Maladaptive Strategies (28) A. The client was assessed for his/her adaptive a nd maladaptive strategies for coping with his/her psychotic symptoms. B. Inquiries were made regarding how the client uses deficit strategies to cope with his/her psychotic symptoms. C. The client was provided with feedback about his/her use of maladapti ve and adaptive strategies for coping with his/her psychotic symptoms. 29. Use Cognitive-Behavioral Strategies (29) A. Cognitive-behavioral strategies were used to help the client learn coping and compensation strategies for managing his/her psychotic sym ptoms. B. The client was referred for cognitive-behavioral therapy to help the coping compensation strategies for managing his/her psychotic symptoms. C. The client was asked to provide examples of the cognitive-behavioral strategies that he/she has learned in order to cope with his/her psychotic symptoms. D. The client was reinforced for his/her use of cognitive-behavioral strategies. E. The client has not used cognitive-behavioral strategies to cope with his/her psychotic symptoms and was redirect to do so. 30. Desensitize Fearfulness of Hallucinations ( 30) A. The client was encouraged to talk about his/her hallucinations, their frequency, intensity, and meaning, in order to desensitize his/her level of fear. B. “What Do You Hear and See?” from the Adult Psychotherapy Homework Planner, 2nd ed. (Jongsma) was used to help the client talk about his/her hallucinations. C. As the client talked about his/her hallucinations, he/she was provided with support, encouragement, and empathy. D. The client was r einforced for reporting a decreased sense of fear related to his/her hallucinations, now seeing them as simply a symptom. E. The client continues to exhibit significant fear related to his/her hallucinations and was provided with additional support in thi s area. 31. Teach Coping and Compensation Strategies (31) A. The client was taught coping and compensations strategies for managing his/her psychotic symptoms. B. The client was taught self-calming techniques and attention switching/narrowing techniques to help manage his/her psychotic symptoms. C. The client was taught healthy internal cognition techniques, such as realistic self-talk or realistic attribution of the source of the symptom in order to help manage his/her psychotic symptoms. D. The client was taught to increase adaptive personal and social activity to help manage his/her psychotic symptoms. 