 76 DEPRESSION CLIENT PRESENTATION 1. Changes in Appetite (1) * A. The client reported that he/she has had a significant decrease in his/her appetite. B. The client reported that he/she has had a significant increase in his/her appetite. C. The client's cha nge in appetite has resulted in significant weight changes associated with the depression. D. As the depression has begun to lift, the client's appetite has returned to normal. E. The client reported that his/her appetite is at normal levels. 2. Depress ed Affect (2) A. The client reported that he/she feels deeply sad and has periods of tearfulness on an almost daily basis. B. The client's depressed affect was clearly evident within the session as tears were shed on more than one occasion. C. The clien t reported that he/she has begun to feel less sad and can experience periods of joy. D. The client appeared to be happier within the session, and there was no evidence of tearfulness. E. The client reported no experience of depressed affect. 3. Lack of Activity Enjoyment (3) A. The client reported a diminished interest in or enjoyment of activities that he/she previously found pleasurable. B. The client has begun to involve himself/herself with activities that he/she previously found pleasurable. C. The client has returned to an active interest in and enjoyment of activities. 4. Sleeplessness/Hypersomnia (4) A. The client reported periods of inability to sleep and other periods of sleeping for many hours without the desire to get out of bed. B. The client's problem with sleep disturbance has diminished as the depression has lifted. C. Medication has improved the client's problems with sleep disturbance. D. The client reported a normal sleep routine resulting in his/her feeling rested. 5. Decreased Energy Level (5) A. The client reported that he/she feels a very low level of energy compared with normal times in his/her life. B. It was evident within the session that the client has low levels of energy as demonstrated by slowness of walking, minima l movement, lack of animation, and slow responses. * The numbers in parentheses correlate to the number of the Behavior 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 W iley & Sons, 2008. 