Although the Reflection Circle is a basic structure for reflection, not all groups or group members are comfortable or interested in speaking up in this environment right away. Being creative and using a variety of activities helps to gain the participants' interest and can foster comfort and familiarity in the group.
If polyuria is present, patients should be asked about the age at onset, rate of onset (eg, abrupt vs gradual), and any recent clinical factors that may cause polyuria (eg, IV fluids, tube feedings, resolution of urinary obstruction, stroke, head trauma, surgery). Patients should be asked about their degree of thirst.
Symptoms of Polydipsia and Polyuria in Dogs. The most common symptoms of these medical conditions are an increase in urination, and drinking much more water than usual. There are generally no other behavioral changes. Causes of Increased Thirst and Urination in Dogs. The primary causes of polydipsia and polyuria include congenital abnormalities, and those associated with renal failure. Congenital diseases can include diabetes, a decrease in steroid production by the adrenal glands, and some rare psychological disorders.