...elf_management_capability: emerging
- crisis_prevention: active
- cost_escalation_risk: unchanged

---

## CONV_0002_BLOCK_05
**clinical_assessment**
- affective_state: fatigue and feeling exhausted (Fatigue = krankhafte Erschöpfbarkeit; Erschöpfung)
- risk_level: medium
- suicidality: denied
- insight_level: medium
- therapeutic_alliance: explicit (explizit = klar benannt)
- diagnosis_effect: borderline...