Many people use clinical terms like shutdown, dissociation, or overload. PIP does not score labels. It scores what actually happens, what stops, and what support is needed when functioning breaks down. If you don’t translate shutdown into everyday impact, it gets minimised or ignored. . Here’s how to describe shutdowns in plain, assessable language: . Describe the loss of function, not the label Example: “At times I become unable to speak, respond, or continue the task and need time alone to rec
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