Expected Development

Sits unsupported for short periods

Rolls from back to abdomen

Grasps a rattle placed in hand

Says “mama” and “dada” specifically

Developmentally delayed

Expected fine motor skill

Above expected level

Sign of sensory deficit

“Do you have a best friend?”

“Do you ever feel sad or lonely?”

“What do you want to be when you grow up?”

“Do you like playing with other kids?”

“You must follow your parents’ rules to stay safe.”

“It’s normal to want independence at your age.”

“You shouldn’t argue with your parents.”

“Tell your parents how wrong they are.”

Identity formation

Generativity

Intimacy

Integrity

Expresses regret over past choices

Feels purpose in mentoring younger adults

Withdraws from social activities

Focuses on physical complaints

Physiologic safety need

Social belonging need

Esteem need

Self-actualization

Encourage daily physical activity

Explore support systems and time management

Recommend homeschooling

Praise the client for adult-like responsibilities

Assess medication list and vital signs

Notify provider of cognitive decline

Provide memory games for stimulation

Encourage daily journaling

“It sounds like your job leaves little time for balance- what small change could you start with?”

“You need to focus on your family’s needs before your own right now.”

“Try resting whenever you can and don’t worry about exercise for now.”

“You may be depressed; I’ll call the provider for medication.”