Symptoms
Therapeutic Use of Self
Environment, Client Factors, and Activity Demands
Evidence Based Interventions/Family Interventions
Goals
100

These are sensory experiences that are not corresponding to reality.

What are hallucinations?

100

This is therapeutic quality/mode is crucial for those experieince psychotic symptoms.

What is empathy?

100

This increases hallucinations, while its opposite can help decrease them.

Isolation/lack of Social Participation

100

A combination of individual and group therapy with education for families as well as medication management, supported employment/education, and case management.

What is Coordinated Speciality Care for Clients with Psychosis or Psychotic Disorders.

100

Overall goal.

What is increased and successful and satisfactory participation and performance in occupations?

200

This involves persecutory and gradiose ideas, and individuals may be suspicious and believe others are harassing them.

What is paranoia?

200

You need to do this with patients with delusions/hallucinations while talking with them.

What is acknowledge the reality of hallucinations without dismissing them but not to reinforce them.

200

The environment that is crucial for paranoid individuals. 

Stable and consistent.

200

Positive Psychotic Behavior is seen as the person operating from a core set of beliefs that cuase them to see the world as rejecting or dangerous and themselves as broken and defeated; treatment is used to contradict these thoughts and beliefs.

What is CBTp?

200

The occupation and outcome that helps address the sedentary behavior and lack of physical and social activity common with those with psychotic symptoms.

What is health management.

300

These are often arising from an information-processing bias and include thought withdrawal, gradeur, and somatic types.

What are delusions?

300

This should be avoided in communication.

What are confrontations or criticisms?

300

Two ways hallucinations increase or are more likely to occur.

What is stress and overly stimulating environments.

300

Engagement and activation of the adaptive mode through activities will neutralize or inhibit dysfunctional beliefs that cause negative symptoms. 

What is CT-R Model.

300

Increased occupational participation reduces this from psychotic symptoms.

What is distress?

400

Clients find these experiences troubling, and the experiences lead them to elaborate beliefs and disruptive patterns.

What are hallucinations?

400

A strategy (besides mantras, redirection to what is reality-base, and perspective taking) that includes identifying warning signs, then coping mechanisms, and plans for a crisis. 

What is crisis intervention?

400

Can be used cautiously during activities. 

Sensory stimulation.

400

A developmental approach for neurocog and social cognition deficits aimed at helping the client achieve improvements with performance-based skills.

What is CET aka Cognitive Enhancement Therapy

400

The 3 general categories of beliefs that people attribute to their psychotic symptoms which must be challenged by successful occupational engagement.

What is control, credibility, and power.

500

These are often thought to reflect underlying needs, occupational identity, or attachment issues.

What are delusions?

500

Group therapy considerations.

What is avoiding competition, special roles, and understanding the need for control? 

500
Simple, structured, suited to cognitive level, reflect interests, preferably with social interaction.

What are occupation-based activities.

500

They need to be better educated in order to be better advocates and find resources.

What is family?

500

Occupations most impacted by the symptom. Be specific within the occupations.

Money, food, housing, employment, friendship, medical care