Indicadores para referir a un coachee como paciente objeto de terapia

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Top Ten Indicators to Refer a Client to a Mental Health Professional

Your Client:

1. Is exhibiting a decline in his/her ability to experience pleasure and/or an increase in being sad, hopeless and helpless
- As a coach you may notice that your client is not as upbeat as usual.
- He/she may talk much more frequently about how awful life/the world is and that nothing can be done aboutit.
- The client may make comments about "why bother" or "what's the use."
- There will be a decline in talking about things that are enjoyable.
- He/she may stop doing things they like to do (examples: going to the movies, visiting with friends, participating in athletic events or being a spectator of sporting events). 
- The client begins to talk about being unable to do anything thatforwards their dreams or desires

2. Has intrusive thoughts or is unable to concentrate or focus 
- As a coach you may notice that your client is not able to focus on their goals or the topic of conversation. 
- The client is unable to complete their action steps and isn't aware of what got in the way. 
- You notice that your client begins talking about unpleasant events during the course oftalking about themselves and their goals. 
- The client tells you that unpleasant thoughts keep popping into their minds at inopportune moments or when they are thinking about or doing other things and that they can't seem to get away from these thoughts. 
- Your client tells you about recurring scary dreams that they didn't have before. 
- Your client reports that they have so many thoughtsswirling in their heads and that they can't get them to slow down.

3. Is unable to get to sleep or awakens during the night and is unable to get back to sleep or sleeps excessively 
- Your client comes to his/her coaching sessions tired and exhausted. 
- Your client begins talking about not being able to get to sleep or how he/she just wants to sleep all the time. 
- Your client may report to youhow he/she gets to sleep and then wakes up and can't get back to sleep. 
- Your client tells you how he/she needs to take naps during the day, something they have not done before. 
- Your client reports that they fell asleep at an inopportune time or place.

4. Has a change in appetite: decrease in appetite or increase in appetite 
- Your client reports that he/she isn't hungry and justdoesn't want to eat. 
- Your client reports that he/she is eating all the time, usually sweets or junk food, whether or not they are hungry. 
- Your client says he/she doesn't get any enjoyment from eating when they did in the past. 
- Your client reports that he/she is not sitting down to eat with friends or family when he/she did in the past.

5. Is feeling guilty because others have sufferedor died 
- Your client reports that he/she feels guilty because they are alive or have not been injured. 
- Your client states that he/she doesn't understand why he/she is still here/alive when others have had to suffer/die 
- Your client doesn't want to move forward with his/her goals because he/she doesn't deserve to have the life he/she chose, especially when other people have had tosuffer/die. 
- Your client questions his/her right to have a fulfilling life/career in the face of all that has happened 
- Your client expresses the belief that he/she is unworthy of having a satisfying life.

6. Has feelings of despair or hopelessness 
- According to your client nothing in life is OK. 
- Your client misses session times or says he/she wants to quit coaching because life is notworth living or he/she doesn't deserve to get what they want. 
- Your client moves into excessive negative thinking. 
- Your client says that he/she can't make a difference or that whatever he/she does doesn't matter. 
- Your client has the attitude of "Why bother?"

7. Is being hyper alert and/or excessively tired 
- Your client reports that he/she can't relax. 
- Your client states...