Importance of Therapeutic Relationship in Treating Depression

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Criterion 1
Therapeutic relationship is basically the relationship between nurses and patients that
uses personal attributes, theoretical understandings as well as appropriate clinical technique.
It has been evolved as the cornerstone of nursing theory on psychiatrist or mental health.
Also, in the mental health nursing, the interpersonal interaction is the core of practice.
Typically this type of relationship displays empathy, warmth, friendliness and support to the
patients which is associated with the improvement of patients’ satisfaction. The primary goal
of therapeutic alliance is to facilitate personal growth of the patients by addressing their
concerns or problems (Kornhaber et al. 2016). Enhancing the therapeutic relationship is the
utmost important in order to improve the therapeutic outcome of a patient with depression. It
can be achieved best by the engagement with client. Background information of the patients
is the primary requirement for establishing the therapeutic relationship. In case of a depressed
patient, it is important to assess education, readings or any specific life experience.
Knowledge regarding health and illness is also necessary to have. The key concept of
developing therapeutic relationship with patients involves developing trust. It is basically
defined as the firm belief that provides a nonthreatening interpersonal climate in which the
patient will feel comfortable to discuss confidential issues and needs with the nurses.
According to various literatures, establishing trust is a crucial step in nursing but it is most
vital for an accurate assessment of the patients (Bailey 2014). A study also revealed that the
psychiatric nurses place a high emphasis on the development of trust as an essential tool of
developing therapeutic relationship with the patients with depression (Mace et al. 2017).
Another important concept is communication. It is used in all the stages of nursing, starting
from planning and implementing to evaluating of the nursing care. Several ways to
communication were distinguished as including authenticity, empathy, listening and time.
The skilful utilization of empathy can assist in successful establishment of rapport and trust.

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In a study, it has been found that patients who were treated or communicated with empathy
were more satisfied on the treatment procedure and it improved their healthcare outcome
(Bailey 2014). Some other authors mentioned that authenticity is also an essential term in
building therapeutic relationship. The use of honest, humour as well as open communication
positive impacts the treatment outcome while handling patients with depression. Studies also
indicated that genuineness and honesty are the main aspects of effective communication with
the patients having mental health issues including depression. Listening is also important to
establish therapeutic relationship. A nurse who actively listens to all the problems of patients
is more likely to gain trust from the patients which is helpful in the development of
interpersonal communication process. In order to explore the boundaries of therapeutic
relationship, providing time is also essential for a nurse while delivering care to a patient with
depression. Different studies also reported the importance of advocacy and empowerment in
this regard (Hankerson, Suite and Bailey, 2015). Patients with depression require additional
assistance in establishing therapeutic relationship and the stated facts can be extremely
supportive to build trust and provide effective care.
Criterion 2
Depression is one of the severe issues of mental health and if it is left untreated then it
can endanger the lives of the patients by reducing quality of life, work functioning and
impairment in social relationships. It also leads to suicide in some worst cases. Again, there
are high chances that if patients with depressive disorder get to visit a therapist will not
receive evidence-based therapy and as a consequence, it can even worsen the situation of
depression. Therefore, depression should be treated as one of the severe mental health issues.
But, it is quite challenging task for a nurse to develop therapeutic plan for a patient with
depressive disorder. It has been found in many researches and studies that in order to treat
depression it is necessary to apply cognitive behavioural therapy and interpersonal therapy on