DEPRESSION 77 C. The client's energy level has increased as the depression has lifted. D. It was evident within the session that the client is demonstrating normal levels of energy. 6. Psychomotor Agitation (6) A. The client demonstrated psychomotor agitation within the session. B. The client reported that with the onset of the depression, he/she has felt unable to relax or sit quietly. C. The client reported a significant decrease in psychomotor agitation and an i ncrease in the ability to sit more quietly. D. It was evident within the session that the client has become more relaxed and less agitated. 7. Psychomotor Retardation (6) A. The client demonstrated evidence of psychomotor retardation within the session. B. The client moved and responded very slowly, showing a lack of energy and motivation. C. As the depression has lifted, the client has responded more quickly and his/her psychomotor retardation has diminished. 8. Social Withdrawal (7) A. The client h as withdrawn from social relationships that were important to him/her. B. As the client's depression has deepened, he/she has increasingly isolated himself/herself. C. The client has begun to reach out to social contacts as the depression has begun to li ft. D. The client has resumed normal social interactions. 9. Feelings of Hopelessness and Worthlessness (8) A. The client has reported feelings of hopelessness and worthlessness that began as the depression deepened. B. The client's feelings of hopeles sness and worthlessness have diminished as the depression begins to lift. C. The client expressed hope for the future and affirmation of his/her own self-worth. 10. Inappropriate Guilt ( 8) A. The client described feelings of pervasive, irrational guilt. B. Although the client verbalized an understanding that his/her guilt is irrational, it continues to plague him/her. C. The depth of irrational guilt has lifted as the depression has subsided. D. The client no longer experiences feelings of irrational guilt. 11. Hallucinations or Delusions ( 9) A. The client has experienced mood-related hallucinations or delusions, indicating that the depression has a psychotic component. B. The client's thought disorder has begun to diminish as the depression has bee n treated. C. The client reported no longer experiencing any thought disorder symptoms. 12. Losses Leading to Unresolved Grief ( 10) A. The client has experienced losses related to his/her severe and persistent mental illness symptoms. 