GRIEF AND LOSS 123 C. The client's paranoid thoughts and speech have become less frequent. D. The client no longer gives evidence of paranoia. 15. Spiritual Conflicts (10) A. The client described confusing and conflicting thoughts and feelings regarding his/her spiritual understanding of the losses he/she has experienced. B. The client described that he/she is angry with God for the losses that he/she has experienced. C. The clie nt has begun to work through his/her spiritual conflicts. D. The client has become more settled regarding his/her spiritual conflicts and made his/her peace with God. 16. Loss of Support Network (11) A. The client expressed grief over having lost import ant portions of his/her support network due to his/her psychotic or other severe mental illness symptoms. B. The client's support network members have identified their inability to continue supporting him/her due to the effects of his/her severe mental il lness symptoms. C. As the client has stabilized, his/her support network has become more available to him/her, and his/her grief has resolved. INTERVENTIONS IMPLEM ENTED 1. Provide Emotional Support (1) * A. Active and empathic listening, consistent eye c ontact, unconditional positive regard, and warm acceptance were used to help provide direct emotional support to the client. B. The client was supported as he/she began to express feelings more freely as rapport and trust levels increased. C. The client has continued to experience difficulties being open and direct in his/her expression of painful feelings and was encouraged to discuss these as he/she feels safe to do so. 2. Assess Suicidal Intent (2) A. The client was asked to describe the frequency an d intensity of his/her suicidal ideation, the details of any existing suicidal plan, the history of any previous suicide attempts, and any family history of depression or suicide. B. The client was encouraged to be forthright regarding the current strengt hs of his/her suicidal feelings and his/her ability to control such suicidal urges. C. The client was provided with positive feedback and support as he/she described his/her thoughts and feelings regarding suicide. D. The client was assessed to have a lo w potential for suicide and was advised that suicide monitoring will continue. E. The client was assessed to have a high potential for suicide and was referred for a more intensive level of supervision. * The numbers in parentheses correlate to the number of the Therapeutic Intervention statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 