Version May 2024
| Diagnoses (primary) | Key feature from history | Example statements |
| Existential concerns | Lack of meaning Questions meaning about one's own existence Concern about afterlife Questions the meaning of suffering Seeks spiritual assistance | "My life is meaningless." "I feel useless." |
| Abandonment by God or others | Lack of love, loneliness Not being remembered No sense of relatedness | "God has abandoned me." "No one comes by anymore." "I am so alone." |
| Anger at God or others | Displaces anger toward religious representatives or others Inability to forgive | "Why would God take my child...it's not fair." |
| Concerns about relationship with deity | Desires closeness to God, deepening relationship | "I want to have a deeper relationship with God." "I want to understand my spirituality more." |
| Conflicted or challenged belief systems | Verbalizes inner conflicts or questions about beliefs of faith Conflicts between religious beliefs and recommended treatments Questions moral or ethical implications of therapeutic regimen Expresses concern with life/death or belief system | "I am not sure if God is with me anymore." "I question all that I used to hold as meaningful." |
| Despair/hopelessness | Hopelessness about future health, life Despair as absolute hopelessness No hope for value of life | "Life is being cut short." "There is nothing left for me to live for." |
| Grief/loss | The feeling and process associated with the loss of a person, health, relationship | "I miss my loved one so much." "I wish I could run again." |
| Guilt/shame | Feeling that one has done something wrong or evil Feeling that one is bad or evil | "I do not deserve to die pain free." |
| Reconciliation | Need for forgiveness or reconciliation from self or others | "I need to be forgiven for what I did." "I would like my wife to forgive me." |
| Isolation | Separated from religious community or other community | "Since moving to the assisted living, I am not able to go to my church anymore." "I have moved and no longer can go to my usual 12-step meeting." |
| Religious specific | Ritual needs Unable to perform usual religious practices | "I just can't pray anymore." |
| Religious/spiritual struggle | Loss of faith or meaning Religious or spiritual beliefs or community not helping with coping | "What if all that I believe is not true?" |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟
