 302 SEXUALITY CONCERNS CLIENT PRESENTATION 1. Sexual Victimization (1) * A. The client recalled a history of being victimized in a sexual manner due to the vulnerability that is caused by his/her severe and persistent mental illness symptoms. B. The client r ecalled specific memories of being sexually victimized. C. The client has experienced a variety of secondary symptoms due to his/her sexual victimization. D. As the client has stabilized his/her severe and persistent mental illness symptoms, he/she is less vulnerable to sexual victimization. 2. Bizarre Sexual Thoughts (2) A. The client's hallucinations, delusions, and other severe and persistent mental illness symptoms have caused him/her to experience bizarre sexual thoughts. B. The client's hallucina tions and delusions contain strong sexual themes. C. The client's support system has become alienated due to his/her expression of bizarre sexual thoughts. D. As the client has become more stable in regard to his/her hallucinations and delusions, his/her bizarre sexual thoughts have decreased as well. 3. High Risk for STDs (3) A. The client has reported engaging in high-risk behavior for sexually transmitted diseases (STDs). B. The client appears to lack an understanding about sexual behavior that puts him/her at a higher risk for STDs. C. As the client has gained understanding about safer sexual behavior, his/her risk for STDs has decreased. 4. Impulsive Sexual Acting Out (4) A. The client reported a behavior pattern that reflected a lack of normal inhibition and an increase in sexual impulsivity, without regard for potentially painful consequences. B. The client's impulsivity has been reflected in sexual acting out. C. The client has gained more control over his/her impulses and has returned to a normal level of inhibition and sexual propriety. 5. Hypersexuality (4) A. The client described a pervasive pattern of promiscuity and an increased focus on sexual matters. * 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. 