Reduced daily activity |
Use of a blank checklist to illustrate to the therapist and client what was actually being done each day. Discussion of the importance of a daily routine; discussion of the importance of increasing daily activity such that she could develop the initiation and stamina to persist with demand of employment; goal setting to determine appropriate daily activities including: medication regimes, hygiene schedule, household chores, exercise, and a leisure activity; Use of checklists, signs and an alarm to prompt these; Efforts to streamline steps to completing household tasks; initial incentives ($5 gift card to Walmart) for successful goal achievement with house-keeping tasks. |
Reduced affective display and emotional range |
Identification and processing of thoughts and emotions related to both reaching and failing to reach weekly goals; Practice identifying emotions in role plays with the therapist and in magazine pictures; Practice making specific facial expressions in a mirror. |
Reduced social drive |
Social skills training to include: making greetings, maintaining conversations, closing conversations, reading and demonstrating non-verbal communication, importance of initiation, and practice in assertive communication; goals set to initiate phone calls to family; goal to attend church and to practice greeting people following service |
Reduced interests |
Development of leisure skills; goals set to attend church regularly, therapist accompanied her on outings to craft store to select hobby supplies, regular visits to family using public transportation, and daily walking for exercise |
Reduced sense of purpose |
Identification of both short- and long-term goals; practice breaking down large goals into smaller steps; practice with goal-setting and goal modification when necessary |