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Despite the use of CPAP therapy, the veteran/service member reports continuing sleep problems. Discuss Risks Due to Sleep Problems A. The veteran/service member was encouraged to discuss potential risks to self and others due to sleep problems. Problems like falling asleep on the shooting range or while driving a military vehicle were identified as potential risks due to the service member’s sleep problems. The veteran/service member identified problems that may occur due to his/her sleep problems, and these were reviewed with him/her. The veteran/service member was unable to identify any risks to self or others that might occur because of sleep problems and was provided with additional specific examples.

Arrange for Biofeedback Training A. The veteran/service member was referred for biofeedback training to help develop more precise relaxation skills, specifically for facial and neck muscles. The veteran/service member was referred for electromyography training. The veteran/service member was administered biofeedback training to teach him/her more in-depth relaxation skills.

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Explore Severity of Clinical Symptoms A. The severity of the veteran’s/service member’s clinical symptoms was explored. An assessment was made of the need for treatment targeted at the veteran’s/service member’s clinical symptoms. The veteran/service member was referred for treatment for his/her clinical symptoms.

The service member’s team members complained that he/she fails to function in a productive manner. The service member has improved his/her functioning within the team. Administer Social Anxiety Assessment A. The veteran/service member was administered a measure of social anxiety to further assess the depth and breadth of his/her social fears and avoidance. The veteran/service member was administered the Social Interaction Anxiety Scale and/or Social Phobia Scale . The result of the assessment of the social anxiety indicated a high level of social fears and avoidance; this was reflected to the veteran/service member.

The veteran/service member was encouraged to be evaluated by a medical health care provider in order to identify the usefulness or side effects of his/her substance use. The veteran/service member was supported as he/she has discontinued all nonprescribed substance use. The veteran/service member has continued his/her nonprescribed substance use, and the focus of treatment was turned toward these concerns.

” in the Adult Psychotherapy Homework Planner, 2nd ed. The service member has identified unresolved marital/relationship issues and was reinforced for working to resolve these concerns. The service member denies any unresolved marital/relationship problems, and he/she was reminded to deal with these concerns as they may appear. Conduct Couple’s/Marital Session A. A couple’s/marital session was conducted for the purpose of resolving indentified problems.

Create a Light-Free Sleeping Environment A. The veteran/service member was instructed to create a light-free sleeping environment. The veteran/service member was given ideas about blacking out windows and ceiling door cracks, and wearing a night gays go dating mask. The veteran/service member has worked to create a light-free sleeping environment, and the benefits of these changes were reviewed. The veteran/service member has not developed a light-free sleeping environment and was redirected to do so.

The veteran/service member was reinforced for his/her regular use of cognitive techniques learned in group. The veteran/service member has not regularly used cognitive techniques learned in group, and was reminded to do so. The veteran/service member was reminded to use cognitive rehearsal in high-risk situations and to review throughout the day the top five reasons why it is important to quit. Instruct about Behavioral Practice A. Instructions were given to the veteran/service member about consistently practicing behavioral techniques learned in group. The veteran/service member was reminded to use delaying, fading, and aversion techniques.

The veteran/service member has not engaged in treatment for pain symptoms and was reminded to do so. Apprehension about Falling Asleep A. The veteran/service member believes that he/she will experience nightmares whenever he/she falls asleep. The veteran/service member reports significant apprehension about falling asleep in order to avoid nightmares.

Mad TV – Ms. Swan on Lowered Expectations

First it only applies to context-free situations, when you have to rate yourself without any feedback on things that are not concrete. On the flip side, there are people who know so much they are overwhelmed by what they don’t know and forget they are quite knowledgeable and skilled in their own right. The Dunning-Kruger effect effect occurs when a person’s lack of knowledge and skills in a certain area cause them to overestimate their own competence. By contrast, this effect also causes those who excel in a given area to think the task is simple for everyone, and underestimate their relative abilities as well. I suspect that both of the employees you warned heard “I won’t be able to keep you in this role” as meaning they might get moved to a different role, demoted, or so forth — but not fired. I have seen these stereotypes harm the Latina community countless times.

The service member was encouraged to meet his/her basic physiological needs of rest and sleep by coordinating a quiet and nonthreatening environment in which to relax. The service member has been able to relax through the use of quiet and nonthreatening environments, and the benefits of this relaxation were emphasized. The service member continues to be quite agitated despite attempting a quiet, nonthreatening environment, and was provided with additional assistance in this area.

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Demonstrate Empathy and Understanding ∗ A. The veteran/service member was shown empathy and understanding through a calm, nurturing manner, good eye contact, and active listening. The veteran/service member responded to calm acceptance by beginning to describe his/her psychotic symptoms. The veteran/service member remained agitated, tense, and preoccupied with his/her own internal stimuli, despite the use of warm acceptance. Assess Thought Disorder Severity A. The severity of the veteran’s/service member’s thought disorder, history, and type of symptoms was assessed through clinical interview.

Daytime Hypersomnia A. The veteran/service member reported that he/she feels very sleepy during the day and easily falls asleep, even while sitting in a chair. The veteran/service member reports that he/she has fallen asleep in the presence of others in a social situation on many occasions. The veteran/service member reports that he/she has had difficulty managing his/her daily expectations because of his/her severe sleepiness.