Psychosis Essay Based On Andrew`S Clinical Scenario
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Added on 2019-11-20
Psychosis Essay Based On Andrew`S Clinical Scenario
Added on 2019-11-20
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Running head: PSYCHOSIS ESSAY1PSYCHOSIS ESSAY BASED ON ANDREW`S CLINICAL SCENARIOStudent NameStudent ID Date
PSYCHOSIS ESSAY2Question one`Discuss the key interpersonal skills you will use to engage with Andrew. (400 words)` My engagement with Andrew is interpersonal. Interpersonal communication depicts an interaction between individuals during which they relay their feelings, thoughts, behaviour, and emotions [ CITATION Pat15 \l 2057 ]. Its success requires proper skills and active participation of the involved individuals. Appropriate intonation and gestures are indispensable when engaging psychotic patients[ CITATION Dav13 \l 2057 ]. As such, my skills will be immensely skewed towards these. The tone will be empathic and be showing care [ CITATION Pat15 \l 2057 ]. This will be essential in alluring substantial attention and interest of the patient. The expression of care in my voice will make him fully express himself both verbally and non-verbally. Using empathic tone when asking and responding to questions in the conversation will enable me to satisfactorily see things particularly his experiences and behaviour from his psychotic situation or disorder.For instance, empathize with him associating several loosely linked and implausible stories about diverse people in the university being ASIO spies. This will enable me to articulate and adequately comprehend his psychotic disorder. My intonation will express positivity and optimism [ CITATION Cle12 \l 2057 ]. In conversing with him, the positive intonation will make him see me as an individual who means well for him especially in alleviating his mental disorder. This will enable Andrew to fully express himself without holding back both consciously and unknowingly. This is because he will be feeling safe and appreciated. Consequently, this way I will understand his condition holistically and comprehensively. Most importantly, this will have some therapeutic effect init [ CITATION Tan16 \l 2057 ]. This implies that it will aid him in recovering by triggering the desire to overcome it within him. The gestures I will employ, for instance, posture, eye contact, and facial expressions will express encouragement, support and communicate respect [ CITATION Pat15 \l 2057 ]. Similarly, the gestures should elicit interest and engagement in the patient [ CITATION Reb11 \l 2057 ]. This will serve to connect with him and motivate him to voice his experiences and express his conduct without fear. He will feel encouraged to be strong and persistent in facing the disorder and consequently overcome it. The support gesture will trigger the will within him to progressively fight the condition. Additionally, facial expressions and eye contact which vividly communicates respect are going to make him see that I understand his condition and that I can assist him in recovering from it.
PSYCHOSIS ESSAY3ReferencesCleary, M., Hunt, E., Horsfall, J., & Deacon, M. (2012). Nurse-patient interaction in acute adult inpatient mental health units: a review and synthesis of qualitative studies. Issues in mental health nursing, 66-79.David, K. (2013). Schizophrenia: An overview and practical handbook. Springer.Patrick, C., & Catherine, G. (2015). Oxford Handbook of Mental Nursing. Oxford University Press.Rebekka, L., Margret, H., Peter, W., Rolf, S., & Roland, V. (2011). When Psychopharmacology Is Not Enough: Using Cognitive Behavioural Therapy Techniques for persons with Persistent Psychosis. Hogrefe Publishing.Tania, L., Claude, L., & Til, W. (2016). `Group CBT for Psychosis: A Guidebook for Clinicians`. Oxford University Press.
PSYCHOSIS ESSAY4Question two`The doctor stated that Andrew has symptoms of psychosis`. `Using correct clinicalterms and the clinical cues in the scenario, discuss three important signs and symptomsthat support the doctor`s opinion. (400 words)` One of the chief symptoms of psychosis is difficulty in concentration [ CITATION Hec13 \l 2057 ]. From the clinical scenario, it is evident that Andrew is exhibiting hardships in concentrating with what is going on in our conversation. For instance, as we are conversing he frequently looks around or even past me as if looking for something. This implies that he does not pay attention to what we are discussing regarding his condition. As such, it leads one to conclude that indeed he is a psychotic patient who requires rehabilitation and pharmacological intervention. Hallucinations are also manifested in psychotic patients [ CITATION Ben12 \l 2057 ]. They describe the process in which an individual sees or hears things which do not exist. The typesof hallucinations vary from one patient to another based on the level of psychosis. A common hallucination type in patients with a psychotic disorder is an auditory hallucination[ CITATION Sch13 \l 2057 ]. It normally involves hearing voices which are not present. For example, when I ask him why he is frequently looking around or past me he says that he can hear people talking about him. This is a clear indication that he is hallucinating about imaginary individuals who are conversing about him in the room. This is regardless of the fact that we are just the two of us in the room. Visual hallucination is also another kind of hallucination that is characteristic of psychotic patients [ CITATION Sch13 \l 2057 ]. It involves seeing things which do not exist. For instance, in the scenario, he is entirely convinced that there are other actual people in the room who are talking about him although he does not know who they are. Persecutory delusions which depict the feeling that an individual is being subjected to constant surveillance are a manifestation of psychotic condition [ CITATION Phi131 \l 2057 ]. This is often an expression of false believe that one is being persistently monitored by a third party. For instance, in the scenario, Andrew describes other evidence of a conspiracy against him like `the lights around the unit he lives in being manipulated to alter his thoughts`. Additionally, he talks about the various electrical items being moved around in the apartment to keep a close watch over him. All these according to him, are meant to monitor him in and around his apartment and also alter his thoughts.
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