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The service member has made contact with his/her unit chaplain, and his/her check this out of spiritual guidance and comfort was reviewed and processed. The service member has not sought out contact with his/her unit chaplain and was redirected to do so. Locate Support Group A. The service member was provided with assistance in locating a support group of other service members who have been sexually assaulted. The service member was assisted in contacting an online support group of other service members who have been sexually assaulted. The service member has contacted a support group, and his/her experience was processed. The service member has not contacted a support group and was redirected to do so.

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The veteran/service member reported that the medication has been beneficial in stabilizing his/her mood, and he/she was encouraged to continue its use. The veteran/service member reported that the medication has not been beneficial in stabilizing his/her mood; this was reported to the prescribing clinician. The veteran/service member reported side effects of the medication that he/she found intolerable; these side effects were reported to the physician. Therapeutic techniques as described in Cognitive-Behavioral Treatment of Borderline Personality were used to help the veteran/service member manage his/her symptoms. Validation was consistently used to help the veteran/service member manage, reduce, and stabilize maladaptive behaviors, thoughts, and feelings. Dialectical strategies, such as metaphor or devil’s advocacy, were used to help the veteran/service member manage, reduce, or stabilize maladaptive behaviors, thoughts, and feelings.

18. Explore Addiction as an Escape A. The veteran’s/service member’s use of opioid abuse as a way to escape stress, emotional pain, and/or boredom was explored. C. The veteran/service member has experienced dizziness and a disturbed balance/gait. The veteran/service member has experienced nausea subsequent to his/her head injury. The veteran/service member has experienced fatigue and insomnia subsequent to his/her head injury.

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He currently lives in Durban with his wife, Amy. Educate about Importance of Strong Emotions A. The veteran/service member was educated about the importance of acknowledging and connecting with strong emotions. The veteran/service member was encouraged to experience emotional catharsis related to the loss. The veteran/service member was reinforced for his/her acceptance of his/her strong emotions related to the loss.

The veteran/service member was encouraged to create a list of those aspects of his/her belief system that conflict with his/her service in the military. The veteran/service member was encouraged to discuss his/her religious conflicts with a spiritual/religious leader. The veteran/service member was encouraged to discuss his/her religious conflicts with an individual whose spiritual/religious values he/she respects. Keep Superiors Informed A. The service member was encouraged to keep his/her chain of command informed of the status and progress of the criminal investigation process. At appropriate intervals, the service member was reminded to keep the chain of command informed about the progress and status of the criminal investigation.

The service member was assisted in developing visual imagery about how it would feel to be treated the way he/she treats others. The service member was encouraged to compare and contrast his/her emotional reactions to being the aggressor versus being victimized. Reinforce Positive Use of Cognitive Techniques A. The service member was reinforced each time he/she identified success at using the cognitive techniques. Although the service member has not utilized the cognitive techniques, he/she was reinforced for simply knowing how they should have been used.

The partners expressed feelings of anger and resentment over the legal proceedings. The partners tend to blame each other for the legal complications related to the divorce. As the partners have resolved conflicts, legal proceedings have been discontinued.

The service member denied any previous episodes of combat/stress reaction, and this was accepted. The long-standing nature of severe psychiatric disorders was emphasized as opposed to the brief reactive nature of combat/operational stress. The service member was reinforced for his/her understanding of the differences between severe psychiatric disorders and combat/operational stress reactions. Provide Nonthreatening Environment A. The service member was provided with a quiet and nonthreatening environment in which to relax. 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.

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The service member was assisted in deciding what to do about continuing contracts during a deployment. The service member has not made decisions about continuing contracts and was reminded about taking care of responsibilities. C. The service member has followed up on the referral to a financial assistance program, and he/she was reinforced for accessing these helpful services. The service member has not followed up on the referral to a financial assistance program and was reminded about this resource. Discourage Immediate Decisions A. The service member was encouraged to postpone discussion about career changes until the stress level in the family has decreased.

Desperate mum goes public with a person to date. Five tips for online right now and also a hard-of-hearing person. Suddenly, location, it should be awful when he started my search for this is to take them. Looking pretty good layout and interpreting various sounds. Discuss with a hearing person prefers to date tbd; november 20.

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