PSYCHOSIS 269 6. Psyc homotor Abnormalities (6) A. The client demonstrated a marked decrease in reactivity to his/her environment. B. The client demonstrated various catatonic patterns (e. g., stupor, rigidity, posturing, negativism, and excitement). C. The client gave eviden ce of unusual mannerisms or grimacing. D. The client's psychomotor abnormalities have diminished, and his/her pattern of relating has become more typical and less alienating. 7. Agitation (7) A. The client displayed a high degree of irritability and unp redictability in his/her actions. B. The client displayed agitation through anger outbursts and impulsive physical acting out. C. The client is difficult to approach due to his/her extreme agitation. D. As treatment has progressed, the client has decrea sed his/her level of agitation and is less irritable, angry, unpredictable, or impulsive. 8. Bizarre Dress/Grooming (8) A. The client has not given adequate attention to his/her personal grooming. B. The client presents in unusual clothing and bizarre m anner of dress due to his/her diminished contact with reality. C. As the client's psychosis has stabilized, he/she has become more normalized in his/her dress and grooming. 9. Disturbed Affect (9) A. The client presented with blunted affect. B. The cli ent gave evidence of a lack of affect. C. At times the client's affect was inappropriate for the context of the situation. D. The client's affect has become more appropriate and energized. 10. Relationship Withdrawal (10) A. The client has been withdra wn from involvement with the external world and preoccupied with egocentric ideas and fantasies. B. The client has shown a slight improvement in his/her ability to demonstrate relationship skills. C. The client has shown an interest in relating to others in a more appropriate manner. INTERVENTIONS IMPLEM ENTED 1. Approach in a Calm Manner (1) * A. Due to the client's acute psychotic symptoms, he/she was approached in a calm, confident, open, direct yet soothing manner. B. Body language when approaching t he client focused on a slow approach, facing toward the client, and speaking slowly and clearly. * The numbers in parentheses correlate to the number of the Therapeutic Intervention statement in the c ompanion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 