Project Outreach

                                                                                         Service · Integrity · Compassion

	Problems:
	Loss of interest or pleasure in nearly all activities		Significant distress or impairment in social, occupational or other important area of functioning
	Change in appetite or weight, sleep, or psychomotor activity		Presence of irritability or angry outbursts
	Feelings of worthlessness or guilt		Social isolation or disinterest
	Difficulty thinking, concentrating or making decisions		Decreased energy, tiredness and fatigue
	Recurrent thoughts of death or suicidal ideations, plans or attempts		Impaired ability to think, concentrate or make decisions

	Goals:
	Improve depressive symptoms such that patient is able to return to previous level of functioning		Develop a more accurate cognitive about self and surroundings and healthier behavioral pattern of adaptation
	Objectives:
	Patient will demonstrate elevation of mood as manifested by increased range of affect and stabilization of appetite, sleep, energy and activity		Patient will replace excessively negative thought and talk with more realistic cognition and speech
	Patient will specify what in the past or present life may have contributed to depression		Patient will verbalize hopefulness about the future
	Patient will take medication as prescribed by a physician		Patient will develop and utilize behavioral strategies to overcome depression
	Patient will verbalize any history of suicidal ideations and any current urges		Patient will identify and verbalize any unresolved grief or conflict issues that may be contributing to depression