How to Coach Yourself and Others Empowering Coaching And Crisis Interventions | Page 145
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Consider referral, if the survivor:
is depressed, and shows agitation, restlessness and pacing
is apathetic, immobile, unable to rouse self to movement
is incontinent
mutilates self
excessively uses alcohol or drugs
is unable to care for self, eg. doesn’t eat, drink, bathe or change clothes
repeats ritualistic acts
Speech / Mental Functioning
You can probably handle, if the survivor:
has appropriate feelings of depression, despair, discouragement
has doubts of his/her ability to recover
is overly concerned with small things, neglecting more pressing problems
denies problems; states he/she can take care of everything him/herself
blames problems on others; is vague in planning; bitter in feelings of anger that he/she is a victim
Consider referral, if the survivor:
hallucinates – hears voices, sees visions, or has unverified bodily sensations
states his/her body feels unreal and fears losing his/her mind
is excessively preoccupied with one idea or thought
has delusion that someone or something is out to get him/her and family members
is afraid of killing self or another
is unable to make simple decisions or carry out everyday functions
shows extreme pressure of speech; talk overflows
Emotions
You can probably handle, if the survivor:
is crying, weeping, with continuous retelling of the disaster
has blunted emotions, little reaction to what is going on around him/her
shows excessive laughter, high spirits
is easily irritated and angered over trifles
Consider referral, if the survivor:
is excessively flat, unable to be aroused, completely withdrawn
is excessively emotional, shows inappropriate emotional reactions
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