why he has chosen withdrawal and paranoid delusion as defenses. George may be unable to conclude that failing grades are the problem, he may decide that Satan is the problem. An example of an open-ended question might be "what has caused you to be sitting here in the corner?" A closed-ended question would be "how long have you been sitting in this corner?"
The second step would be to ensure George's safety and minimize his physical and psychological danger toward himself and others. Safety is an important part of the entire procedure. George appears to be in possible danger regarding both his physical and psychological needs (including suicide potential). He is ungroomed and dwelling in a paranoid state. His lashing out at his father may point to the possibility of danger toward his father. The degree of the danger must be determined and steps to alleviate it must be taken.
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