Presentation What it May Look Like Possible Reasons Initial Approaches Overly Eagerly and indiscriminately Depression or other Work to build confidence and self-efficacy Compliant/Passive complies with your psychiatric condition Encourage the Veteran to take the lead in decision suggestions Fear of failure, sometimes making and accomplishing tasks Appears to place all based on past experiences Give clients simple and reasonable tasks to complete responsibility for decision Passive aggressive Offering choice wherever possible and give making, execution and Low self-esteem space/time to make their choice outcome on to you/others Genuine appreciation and Affirm their own contributions to outcomes “Whatever you say”, “You’re desire to not “be a bother” Encourage them do the things they can reasonably the boss” accomplish on their own Resist the urge to take over a task if they are unsuccessful or don’t complete it the first time Fearful/Distrustful Avoidant behaviors such as Psychiatric or SUD Consider briefer yet more frequent visits missing appointments or not disorders, including Axis II Allow for extended time to build rapport returning calls disorders Be flexible with missed appointments Veteran may be guarded in Past negative experiences Provide deliverable outcomes providing even basic Defense mechanisms such Allow the Veteran to guide the pace of assessment, information as projection or explore gently and don’t push too hard for answers displacement Veteran may decline if Veteran is presenting as guarded assistance despite obvious Trauma need Fear of legal consequences such as incarceration, parole/probation violations, or involuntary hospitalization Cultural factors/not comfortable asking for or accepting help
Presentation What it May Look Like Possible Reasons Initial Approaches Overly Compliant/Passive Eagerly and indiscriminately complies with your suggestions Appears to place all responsibility for decision making, execution and outcome on to you/others “Whatever you say”, “You’re the boss” Depression or other psychiatric condition Fear of failure, sometimes based on past experiences Passive aggressive Low self-esteem Genuine appreciation and desire to not “be a bother” Work to build confidence and self-efficacy Encourage the Veteran to take the lead in decision making and accomplishing tasks Give clients simple and reasonable tasks to complete Offering choice wherever possible and give space/time to make their choice Affirm their own contributions to outcomes Encourage them do the things they can reasonably accomplish on their own Resist the urge to take over a task if they are unsuccessful or don’t complete it the first time Fearful/Distrustful Avoidant behaviors such as missing appointments or not returning calls Veteran may be guarded in providing even basic information Veteran may decline assistance despite obvious need Psychiatric or SUD disorders, including Axis II disorders Past negative experiences Defense mechanisms such as projection or displacement Trauma Fear of legal consequences such as incarceration, parole/probation violations, or involuntary hospitalization Cultural factors/not comfortable asking for or accepting help Consider briefer yet more frequent visits Allow for extended time to build rapport Be flexible with missed appointments Provide deliverable outcomes Allow the Veteran to guide the pace of assessment, explore gently and don’t push too hard for answers if Veteran is presenting as guarded
Potential-Clinical-Presentations-Handout.docx