Establishing and Maintaining a Therapeutic Relationship with Trish

Mental Health 1
MENTAL HEALTH
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Mental Health 2
Mental Health
How would you establish and maintain a therapeutic relationship with Trish? How would you
promote mental health and recovery with Trish? Your answer should refer to the case scenario
and utilize appropriate supporting references.
The main aim of this essay is to display how to maintain and develop a therapeutic
relationship with Trish, a twenty-eight-year-old woman with the intention to help keep her
engaged with a variety of services to establish meaningful progress towards her progress.
According to the case study, she clearly understands health services, especially with the
proposed diagnosis personality. Therefore, I will highlight on etiology, including the signs and
symptoms she is displaying to help ascertain the type of disorder she could be suffering from.
Moreover, I will explain the fundamental techniques that could be used in the promotion of
mental health as well as the recovery interventions in the case of Trish.
The personality disorders are numerous, and they are described as the forms of behavior,
thoughts as well as feelings. Based on the case study of Trish, the key behaviors and symptoms
as presented imply that she could be suffering from a condition called emotional unstable
personality disorder often referred to as the borderline personality disorder. Such a disorder
usually meets the criteria of diagnosis in the International Classification of Disease (ICD-10)
(Osler et al.2019, p.1). Consequently, her condition is a subtype of personality disorder that
could also be referred to as a mental health condition (EUPD)
There are a variety of features of the EUPD. Some of the critical examples include
unpredictable mood, acting impulsively, lack of control of behavior and emotional outbursts
among others. However, the most dominant characteristics are impulsive actions that occur as a
result of emotional instability (Townsend and Morgan, 2017, p.1). The other feature is

Mental Health 3
considered as the borderline type that is displayed through feelings of emptiness, involvement in
many unstable interpersonal relationships that counteracts together with suicidal ideation and
self-harm
The case of Trish indicates how complex her situation is due to the various features of
alcohol misuse, emotional withdrawal, depression, as well as post-traumatic stress that was
caused by sexual abuse from her uncle. The mentioned characteristics above are significant
contributors to her ailment. Research indicates that there is one particular cause of the infection;
however, there is a combination of several factors that include, environmental and biological
factors that make a person susceptible (Solli and Rolvsjord, 2015, p.80). Additionally, certain
individuals develop such infections as well as experience problems during their childhood.
It is crucial to be in possession of collateral information concerning Trish before meeting
her especially on her condition, social and personal history. Also, certain vital factors should be
taken into account to help in the establishment of a therapeutic relationship. Such factors are
interpersonal and development theory, background knowledge, knowledge of the person,
knowledge of the infection as well as the information concerning the contributing factors and
influences (Lysaker et al.2018, p.1). Based on the therapeutic relationship existing between
Trisha and the nurse, a fundamental purpose can easily be formed. With such a relationship, it
will be easy for her to work with as well as towards her key objectives that aim to help Trisha
develop better ways of dealing with her behavior, feelings, and thoughts. Eventually, she will be
in a position to effect beneficial change in relation to having the potential to manipulate positive
health outcomes, and this could be considered as a technique of treatment.
According to Linehan (2018, p. 34), to establish a therapeutic relationship, three phases
are involved, that is orientation phase that entails the introduction of both the service user and the