Maintain Consistent, Limited Contact A. The service member was encouraged to maintain consistent contact with family and friends from home while setting limits. The service member was encouraged to call family and friends but not on a daily basis. The service member was encouraged to keep some conversations brief, just checking in with family and friends. The service member’s limits on his/her contact with family and friends were processed.

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The veteran/service member has displayed delusions of nihilism, grandiosity, or reference. The veteran’s/service member’s delusional thoughts have diminished in frequency and intensity. The veteran/service member no longer experiences delusional thoughts. Personality Disorder A. The service member has had visits with military behavioral health professionals in regard to antisocial personality disorder concerns. The service member may be separated from the military due to a diagnosis of a personality disorder.

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Assign List of Strengths A. The veteran/service member was asked to identify strengths about himself/herself. The veteran/service member was assisted in reviewing and critiquing his/her list of strengths. The veteran/service member has not followed through on making a list of strengths and was encouraged to do so. Counter Weaknesses by Assigning Environmental Experiments A. The veteran/service member was assigned environmental experiments to help counter his/her perceived weaknesses. The veteran/service member was asked to do tasks such as asking friends, superiors, or fellow service members if they view him/her as having particular weaknesses.

The veteran/service member has not consistently taken the medication, and he/she was redirected to do so. C. The service member has a clear understanding of how his/her child will understand the concept of the length of his/her deployment. The service member has created a visual aid that will assist his/her child in keeping track of when the service member will return; this visual aid was reviewed and reinforced. The service member was encouraged to review and update his/her will and/or power of attorney. The service member was encouraged to include his/her spouse/legal guardian in this process. The service member has updated his/her proper documents and was reinforced for this.

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The service member was overwhelmed by feelings of sadness and shame as he/she talked about his/her sexual assault; direct support was provided. It was reflected to the service member that he/she is not able to talk about the assault without becoming emotionally overwhelmed. The service member was urged to share the specifics of the abuse as he/she feels safe in doing so. Assess Assault Impact A. An assessment was completed of the impact the sexual assault has had on the service member’s social, occupational, and interpersonal functioning.

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As treatment has progressed, the service member has displayed greater ability to function in a combat situation. Physical Limitation Profiles A. The service member reports being repeatedly placed on physical limitation profiles by military healthcare providers. The service member is concerned about his/her military status due to being placed on physical limitation profiles by military healthcare providers. As treatment has progressed, the service member has been able to manage his/her pain better, and physical limitation profiles are no longer necessary. The service member has become more at ease with being on a physical limitation profile.

The service member has not Like it the conflict patterns that he/she experiences and was redirected to identify such. Teach Progressive Muscle Relaxation and Calming Strategies The service member was taught progressive muscle relaxation skills. The service member was taught diaphragmatic breathing skills. The service member was assigned to engage in calming strategies twice per day for 15 minutes each time. The service member was encouraged to implement the calming strategies when anxiety or stress arises.

Strange and Disorganized Behavior The veteran/service member displayed strange and disorganized behavior. The veteran/service member displays a pattern of perseveration. The veteran/service member displays inappropriate and odd dress. Frequent Disciplinary Action The service member often receives disciplinary action for disruptive behavior. The service member is at risk for demotion due to his/her disruptive behavior.