EMPLOYMENT PROBLEMS 91 C. As the client has adjusted to his/her increased job expectations, he/she has experienced a decrease in his/her primary psychosis symptoms. INTERVENTIONS IMPLEM ENTED 1. Outline Employment History (1) * A. The client was asked to prepare a chronological outl ine of his/her previous employment. B. The client was assisted in preparing a chronological outline of his/her previous employment. C. The client's employment history was reviewed. D. Specific incidents of the client's employment success and failure wer e identified and processed within the session. E. The client has not prepared a chronological outline of his/her previous employment and was redirected to do so. 2. Identify Successful and Unsuccessful Employment Experiences ( 2) A. The client was asked to describe his/her previous successful employment situations. B. The client was asked to describe his/her negative job experiences. C. Attentive listening and encouragement were used to support the client as he/she reviewed his/her previous successful a nd unsuccessful employment situations. D. The client was unable to identify any previous successful employment situations and was given feedback in this area. 3. Relate Symptom Pattern to Employment Difficulties ( 3) A. The client was requested to identi fy situations in which the primary symptoms of his/her mental illness have negatively affected his/her job performance. B. The client was asked to identify situations in which his/her primary symptoms of mental illness have affected his/her social interac tions at work. C. The client's job performance and social interaction difficulties were processed within the clinical contact. D. The client was unable to identify ways in which his/her primary symptoms have affected his/her job performance or social int eraction and was given additional feedback in this area. 4. Educate about Mental Illness ( 4) A. The client was educated about the expected or common symptoms of his/her mental illness that may negatively impact his/her employment. B. As his/her symptoms of mental illness were discussed, the client displayed an understanding of how these symptoms may affect his/her level of employment. C. The client struggled to identify how symptoms of his/her mental illness may negatively impact his/her employment and was given additional feedback in this area. 5. Identify and Evaluate Reasons against Employment (5) A. The client was assisted in identifying possible reasons for not obtaining employment. * The numbers in parentheses correlate to the number of the Therapeutic Intervention statem ent in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Johnsma) by John Wiley & Sons, 2008. 