MANIA OR HYPOMANIA 197 24. Teach Communi cation Skills (24) A. Behavioral techniques were used to teach communication skills. B. Communication skills such as offering positive feedback, active listening, making positive requests for behavioral change, and giving negative feedback in an honest, respectful manner were taught to the client and family. C. Behavioral techniques were used to teach the family healthy communication skills. D. Education, modeling, role-playing, corrective feedback, and positive reinforcement were used to teach communic ation skills. 25. Assign Communication Skills Homework (25) A. The client and family were assigned homework exercises to use and record newly learned communication skills. B. Family members have used newly learned communication skills, and the results we re processed within the session. C. Family members have not used the newly learned communication skills and were redirected to do so. 26. Differentiate Losses, Abilities, and Expectations (2 6) A. The client was assisted in differentiating between actual losses, abilities, and expectations, and imagined or exaggerated losses, abilities, and expectations. B. The client verbalized grief, fear, and anger regarding imagined losses in life and was provided with support and redirection in this area. C. The cli ent was able to differentiate between his/her real and imagined losses, abilities, and expectations and was provided with positive feedback in this area. D. The client continues to focus on imagined, exaggerated losses, abilities, and expectations and was focused on being more reality oriented in this area. 27. Confront Grandiosity (2 7) A. The client's grandiosity and demandingness were kindly but firmly confronted. B. The client has become less expansive in his/her mood and more socially appropriate du e to the consistent confrontation of his/her grandiosity and demandingness. C. The client has reacted with anger and irritability when his/her grandiosity was confronted. 28. Focus on Impulsive Behavior Consequences (2 8) A. The client's impulsive behavi or was repeatedly reviewed in order to help him/her identify the negative consequences that result from this pattern. B. The impulsive nature of the client's manic/hypomanic episode was reviewed regarding its negative consequences. C. The client was focu sed onto the need to identify his/her impulsive, manic/hypomanic symptoms as early as possible. D. The client was helped to identify the impulsive nature and negative consequences of his/her manic/hypomanic episodes and not to be so focused on just the he re and now, and he/she was provided with additional feedback in this area. 