 120 GRIEF AND LOSS CLIENT PRESENTATION 1. Death of Significant Other (1) * A. The client presented as visibly upset and distressed over the recent loss of his/her significant other. B. The client displayed symptoms of depression, confusion, and feelings of i nsecurity regarding the future. C. The client reported severe emotional reactions and uncertainty due to his/her grief and loss. D. The client revealed that feelings of being alone and hopeless have been overwhelming for him/her since the death of his/he r significant other. E. The client has started to talk about the loss of his/her significant other and has begun to accept consolation, support, and encouragement from others. F. The client has resolved the debilitating grief over the death of his/her si gnificant other. 2. Preoccupation with Loss (2) A. The client's thoughts have been dominated by the loss experienced, and he/she has not been able to maintain normal concentration on other tasks. B. The client reported a reduction in his/her preoccupati on with the experience of loss and slightly improved concentration. C. The client's concentration has improved significantly, and his/her thoughts are no longer dominated by the loss he/she has experienced. 3. Exacerbation of Mental Illness Symptoms (2) A. The client's recent loss has caused an emotional upheaval, which has caused an exacerbation of his/her mental illness symptoms. B. The client has not regularly maintained his/her medications or monitored his/her prodromals due to his/her preoccupation by the loss, which has resulted in an exacerbation of his/her primary mental illness symptoms. C. The client has regressed due to his/her recent loss. D. As the client has worked through his/her feelings related to the loss, his/her primary mental illness symptoms have decreased. 4. Depression Symptoms (3) A. The client described a lack of appetite, sad affect, low energy, and a disturbance of his/her sleep, as well as other depression signs that have occurred since the experience of the loss. B. The client has experienced thoughts of suicide, crying, or depressed mood since the experience of the loss. * The numbers in parentheses correlate to the number of the Behavioral Definition 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. 