GRIEF AND LOSS 121 C. The client's depression symptoms have diminished as he/she has begun to resolve the feelings of grief. D. The client's depression symptoms have lif ted. 5. Hopelessness/Worthlessness (4) A. The client verbalized feelings of hopelessness and worthlessness subsequent to his/her experience of the loss of the significant other. B. The client verbalized an unreasonable pattern of feeling hopeless and wo rthless as he/she struggles to meet the needs previously met by the lost significant other. C. The client reports that his/her feelings of hopelessness and worthlessness have diminished. D. The client reports a pattern of feeling hopeful and worthwhile d espite the loss. 6. Inappropriate Guilt (4) A. The client expressed feelings of guilt about having acted in some way to cause the death of his/her significant other. B. The client has continued to hold onto the unreasonable belief that he/she behaved in some manner that either caused the death of the significant other or failed to prevent it from occurring. C. The client has started to work through his/her feelings of guilt about the death of the significant other. D. The client verbalized that he/she is not responsible for the death of the significant other. E. The client has successfully worked through his/her feelings of guilt and no longer blames himself/herself for the death of the significant other. 7. Fear of Abandonment (4) A. The client repo rted that he/she fears being abandoned by all significant others due to his/her experience of multiple losses. B. The client reported being confused about what the future of his/her life would be like due to his/her traumatic loss. C. The client is begin ning to talk about his/her future and reports a decreased fear of abandonment as he/she struggles to resolve the experience of loss. D. The client has begun to return to a more normal, hopeful outlook on his/her life, and he/she does not fear being abando ned by others who care for him/her. 8. Grief Avoidance (5) A. The client has shown a pattern of avoidance of talking about the loss except on a very superficial level. B. The client's feelings of grief are coming more to the surface as he/she faces the loss issue more directly. C. The client is able to talk about the loss more directly without being overwhelmed by feelings of grief. 9. Loss Due to the Effects of Mental Illness (6) A. The client described a pattern of loss of ability, status, relations hips, and competence due to his/her incapacitating effects of psychosis and other severe mental illness symptoms. B. The client described his/her pattern of grief-related emotions due to the personal losses he/she has experienced subsequent to his/her sev ere mental illness symptoms. 