A client with manic episodes returns to a group therapy after an absence. What should the COTA® do first?

In the context of a client with a history of manic episodes returning to group therapy after an absence, the most appropriate initial action is to resume group therapy sessions and apply cognitive-behavioral methods. This approach supports the client's reintegration into the therapeutic environment, allowing them to engage with peers and the therapeutic process.

Resuming group therapy provides the client an opportunity to connect with others who may share similar experiences, helping to reduce feelings of isolation and promoting social support, which is crucial in mental health treatment. Cognitive-behavioral methods can be particularly beneficial in helping the client manage their thoughts and behaviors, which is important in maintaining stability and reducing the risk of future episodes.

The emphasis on a structured therapeutic setting also encourages the client to articulate their experiences during their absence, facilitating a smoother transition back into therapy. Cognitive-behavioral techniques can help the client reflect on their emotions and thought patterns, aiding in self-awareness and coping strategies that are essential for managing symptoms of mania.

In contrast, suggesting individual sessions might delay the benefits of group support that the client can gain from peer interactions. Allowing the client to rest first could lead to missed opportunities for engagement and may unintentionally reinforce avoidance behaviors. Discussing medication needs with the psychiatrist, while important