Three Therapeutic Communication Techniques For Depression

How Are Nonverbal Cues Used In Therapeutic Communication

Silence also allows the therapist to observe the patient for any nonverbal cues. In addition, another method used for therapeutic communication includes expressing thoughts and feelings by sharing observations. A therapist will share observations of a patients behavior to show a portrayal and feeling of concern.

Who is involved in verbal and non-verbal communication?

There are 3 components in a communication exchange: the sender, the message, and the recipient. The sender encodes the message , it is then conveyed to the recipient who decodes the message. What is verbal and non-verbal communication? Communication involves two components: verbal and non-verbal cues.

How does non-verbal communication help with hearing loss?

Non-verbal communication provides additional cues and meaning to spoken word, making it easier for the person with hearing loss to interpret and understand the message . Research has found that hearing-impaired individuals are better at understanding non-verbal cues than normal hearing individuals.

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What Are The Two Types Of Therapeutic Communication

There are two types of therapeutic communication: verbal and nonverbal. As youve learned already, many therapeutic communication techniques involve both types. Effective therapeutic communication often involves: Active listening This means, in part, paying attention to what a client is really saying.

Physical Signs & Behavioural Manifestations Of Stress

Signs that a person under stress may exhibit include:

• Dry mouth, heavy breathing, dilated pupils, sweaty palms, rapid heart rate, and trembling. Consider these are physical manifestations of the bodys flight or fight responses to the stressor .

Clients and their families seek health care when they are feeling unwell, dealing with lifes stressors and uncertainties. As a Health Care Administrator you will see signs and behaviours that may seem on the surface as excessive or unreasonable responses to the situation.

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Nature Of The Relationships Between And Among People Involved In The Communication Process

Communication can be impeded when the client views the health care professional as the one that is in the position of power and control rather than a person who is mutually exchanging a message with the client who is the center of care and the person who is actually in the position of power and decision making, rather than the nurse or another health care professional.

In order to eliminate this barrier, the nurse must establish trust with the patient, they must face the person when they are communicating with them, and at the same eye level of the patient in order to convey equality and mutuality rather than a position of power and authority over the client.

Outcomes Approach And Budget Section

Outcomes

Therapeutic communication, as described, involves interacting with mental health patients to help them with their emotional and physical well-being, with the potential for long-term benefits. Therapeutic communication can help the process go more smoothly from when you contact the patients. The following are the results of developing therapeutic communication in nursing and healthcare in this example.

Patients feel comfortable

Most individuals with mental health disorders are stressed by health care facilities, especially if they experience anxiety before their hospital appointment. As a result, therapeutic communication may include active listening, making mental health patients feel valued and heard. As a result, therapeutic conversation prevents patients from shutting down and becoming comfortable, as Siregar et al. describe .

Establishes a safe space

When nurses therapeutically speak with mental health patients, they will feel safer and more at peace. Trust and transparency provide a safe environment where patients may have the greatest possible experience. As a result, therapeutic dialogue fosters a nonjudgmental environment and openness, helping mental health patients to feel more valued and comfortable, as Moosvi and Garbutt describe .

Emphasizes emotional well-being

Approach

Allow patients to choose the topic of discussion.

Start with acknowledging pain

Become comfortable with the patients silence

Budget

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Therapeutic Communication In Depression

People suffering from depression have negative thoughts that lead to feeling depressed. While these thoughts need to be changed, depressed people are sometimes uninterested in the world around them and are easily discouraged. Therapeutic communication encourages a depressed person to examine and change his negative or distorted thought patterns, while maintaining sensitivity and therapeutic rapport. Therapists use a number of techniques to achieve these goals.

What Are Three Therapeutic Communication Techniques For Depression

So here are five therapeutic communication techniques nurses should utilize to deliver effective nursing care in working with individuals having depression:

• Trash I think and You should
• Acknowledge their pain.

• Recognizing and countering objections.

What are the 5 elements of verbal communication?

There are five elements in the process: The sender the receiver the message the medium and internal and external static. A glitch in any of these areas can deform the message and distort its meaning.

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Respecting Medical Knowledge The Patient

When the interviewers explained the process of screening and treatment at the NCD clinic, depression became a topic of medical knowledge. Patients discussed a great respect for medical knowledge. For instance, a hypertension patient highlighted the difference between the same dietary recommendations offered by community members and a medical provider:

There is a difference, tell us that do not eat this or do not eat this, and we do not listen. But, when a doctor tells us that if you eat this you are putting your life at risk, we listen .

Patients also related a respect for medical knowledge when given hypothetical scenarios described in depression vignettes. A hypertension patient described a possible interaction with her husband, pretending that he is the man in the vignette with depression:

He will understand the counselling from a health worker because he is afraid of the health workers. But for me to tell my husband about counseling, he will say, “What do you know! but he is afraid of the health workers. These people know something, they are well trained and so he just listens attentively, and he may also just take medications .

The notion of accepting medical recommendations out of fear introduces the issue of power. Describing a patient-provider interaction as charged with fear acknowledges the providers power to shape how a patient feels. A different patient expanded on this dynamic:

Individual Values Beliefs Perspectives And Perceptions

Individual values, perspectives, perceptions and beliefs bias communication. At times people will only hear or see what they hear or see as based on their own, rather than an objective, view and perspective. For example, a client may only hear the nonthreatening rather than the threatening and stressful aspects of their plan of care because they are biased against the negative aspects of care. Similarly, gestures and other forms of body language are interpreted very differently as based on the client’s preconceived notions, as well as their values, beliefs, perspectives, and perceptions.

As a result of these factors, nurses must assess these individual values, beliefs, perspectives, and perceptions as they impact on the sending and receiving of messages. For example, the nurse will clarify and validate the client’s nonverbal grimacing which could be a sign of pain or it could be a sign of disgust during the interaction.

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Building Rapport With Depressed Individuals

The symptoms complex that is associated with depressionincluding neurovegetative and somatic symptoms, guilt, shame, and anhedoniaposes a challenge to the formation of an optimal therapeutic relationship. Depressed individuals most often initially present to their primary care physician, frequently with a chief complaint of somatic symptoms or specifically with complaints of depression . Patients may be reluctant to fully disclose depressive, suicidal, or other crucial symptoms because of issues of stigma, feelings of vulnerability, or fear of being judged. In this scenario, forming a doctor-patient relationship that feels safe enough to disclose very personal information is the basis for therapeutic rapport building.

Enhancing the therapeutic alliance is of utmost importance for improving treatment outcomes for patients with depression. This is best done by honestly and sensitively presenting the engagement challenge up front, ensuring optimal education about the disorder and treatment options, providing attuned listening, and using strength-based approaches to identify assets and resiliencies that may be enhanced, in addition to identifying and treating the disabling symptoms .

Encouraging The Client To Verbalize Feelings

The therapeutic nurse-client relationship with a client begins with the establishment of trust. This trust is initiated within this relationship with honesty, openness, caring, compassion, and respect.

After this basic trust is established, it must be maintained and further developed throughout the working stage of this therapeutic relationship and the client is additionally encouraged to openly express and ventilate their feelings, fears, discomfort, and anxieties. Other elements of the therapeutic nurse-client relationship and therapeutic communication are open and honest communication, the encouragement of the patient’s free expressions and ventilation of feelings, values, beliefs and views, the provision of an environment that is unconditionally accepting and respectful, and the nurse’s maintaining a nonjudgmental, unbiased attitude relating to the patient’s views, feelings, and ideas of client regardless of whether or not the nurse agrees with them.

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Appropriateness Of Receiving Depression Services At An Ncd Clinic

Although patients initially stated preferences for social support or prayer to treat depression, when asked about the integration of depression services within NCD clinics, every patient described integration as appropriate.

During the interview with the hypertension patient that prioritized prayer as a depression treatment, the interviewer discussed psychosocial counseling and asked the patients views regarding counseling at their NCD clinic:

It would be helpful because they will be able to disclose all their problems, if that specific person would guide and counsel him on what to do .

When the interviewer described screening and medication, and similarly asked for the patients thoughts:

The medicine would be effective since they will be examined to reach a diagnosis. The reason why people are told to go to a health facility is for them to be examined so that a diagnosis can be ascertained. So it would be nice if that can be endorsed, if medicine would be made available .

Here, the patient stated their initial preference for depression treatment as prayer at a Christian church. Once the interviewer described screening and treatment as a medical process delivered through the NCD clinic, the patient responded that the services would be appropriate.

Its very difficult to deal with because you can go and associate with friends, but when you get back home youll still meet the problems. The most important thing that you can do is just to pray .

Trash I Think And You Should

Giving opinions and advice on what should individuals with depression do to manage their condition is very easy. For some, it might sound good because this is an active way of helping them by providing concrete solutions and straightening out their perceptions. Statements like You should just have chosen to stay positive and I think being happy is a decision may mean well but roughly translates to having a choice on how one should feel and by free will, the person chose to feel depressed.

The goal is to help them find their feet again and maintain stability on the ground. The nurse should help the client explore his ideas regarding possible solutions to his problems. Giving advice may make the patient think that his problems can be easily solved, and this just makes the client feel inadequate. Add to this the possibility that the client may not agree with what the nurse offers and develops resentment towards the nurse which can sever the relationship.

Instead, the nurse can ask the client to describe his feelings about the problem and consequently may offer facts and services that can help depending on what client stressed that can make him feel better. Again, it is important the clients decision-making skill should be given importance.

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Using Open Ended Questions

Open ended question, as previously discussed, elicits more and fuller information than a closed ended question that requires more than a simple yes or no answer. This therapeutic communication technique is particularly useful when the nurse wants fuller and deeper information from the client and when the nurse is facilitating the client’s full and free ventilation and expressions of their own feelings and beliefs. Closed ended questions are also useful particularly when the client is not able to, for one reason or another, formulate more complete feedback and communication to the nurse. For example, closed ended questions are useful when the client is cognitively impaired or they are on mechanical ventilation with intubation and not able to speak with the nurse and others.

Assessing What You Already Know

As you reflect upon the questions and statements consider what you already perceive about mental well-being.

during their lifetime, and peoples perception to stressors differs. A small amount of eustress is considered helpful because it is short in duration and it works to sharpen senses and focus . Think about the few minutes before you begin a test, that feeling of butterflies in your stomach, then once the test begins you settle in and focus. While a certain level of eustress can be helpful, it can not be sustained for long periods of time, and once stress becomes overwhelming it is then considered distress. If levels of distress do not dissipate then it begins to impact a persons well being both physical and mental .

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Tips For Enhancing Engagement With A Depressed Individual

An individual with depression presents with self-deprecation, lack of motivation, feelings of helplessness, hopelessness, and social withdrawalall potential barriers to forming a beneficial therapeutic alliance. Considerable therapeutic skill is required for the physician to engage an individual in the midst of a major depressive episode. Techniques that promote activation and provide realistic hope for recovery are especially helpful. The patient may need a great deal of reassurance and an extended period of trust-building before truly engaging in the therapy. Establishing a collaborative, mutual partnership in which the therapist and patient work together to set goals and complete treatment tasks is particularly importantboth for resolution of symptoms and for ongoing adherence to medication for the recommended period of time.

How Do You Communicate With A Mental Health Patient

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Level Of Development And Age

Infants can only communicate and send messages to others with behavioral cues such as crying and smiling. They are also not able to process messages from others unless they consist of message cues like cooing, a gentle touch and a facial expression such as a smile.

Young children, like toddlers and preschool children, typically have a limited vocabulary so they are not able to understand verbal messages unless they are simple and at their level of understanding. They are also now able to receive and process nonverbal communication cues as well as to send messages with the same cues. For example, they will interpret the angry face of a parent as one that expresses the dissatisfaction of the parent in terms of their poor behavior.

The nurse will assess the client’s communication needs in respect to their specific age and developmental status and modify care accordingly to these age related needs.

Encouraging Descriptions Of Perception

For patients experiencing sensory issues or hallucinations, it can be helpful to ask about them in an encouraging, non-judgmental way. Phrases like What do you hear now? or What does that look like to you? give patients a prompt to explain what theyre perceiving without casting their perceptions in a negative light.

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What Are The 3 Types Of Clientele

3 types of customers and how to approach them

• Cheap customers. The first one is the cheap customers. These type of customers buy based on price. …
• Educated customers. These customers buy based on value. These people are educated about the things they buy. …
• Driven customers. These people buy based on emotions.

What are the 3 types of customers?Toni Keskinen has identified three different customer types who behave in different ways.

• The decisive customer. This customer type has decided to proceed through the decision making process quickly in order to complete the purchase. …
• The learning customer. …

What are client characteristics?

Client characteristics are the cognitive, emotional, physical and psychological qualities of individuals that affect the patient selection, client treatment matching, treatment planning and outcome of therapy. These characteristics include: Cognitive style. Client attitudes. Client participation.

What are client characteristics in Counselling?

There are six personal characteristics that are critical for good counselors and should be improved upon continually. These include having good interpersonal skills and being trustworthy, flexible, hopeful/optimistic, culturally sensitive, and self-aware.

What are the 3 types of counseling?

The three major categories of developmental counseling are: Event counseling.Performance counseling.Professional growth counseling.

How is the client viewed in solution focused therapy?