Case Study: Establishing Self-Directed Recovery Relationships Report

This report delves into Sophie's case, a victim of domestic violence now suffering from borderline personality disorder and in a coma. It explores the principles of recovery, emphasizing the importance of self-directed approaches and collaborative relationships. The report outlines the significance of a collaborative recovery model, individual uniqueness, real choices, dignity, respect, partnership, and communication in Sophie's care. It further discusses psychotherapy techniques like Dialectical Behavior Therapy and Schema-focused therapy, along with medication. The report also focuses on inviting information sharing through communication techniques, and provides a 7-day recovery plan, highlighting activities like garden outings and household tasks to stimulate Sophie's recovery. The overall objective is to assist Sophie in overcoming her mental health issues, regain her mental stability and improve her quality of life.

ESTABLISH SELF-DIRECTED
RECOVERY RELATIONSHIPS

INTRODUCTION 3
TASK..........................................................................................................................................................3
1 Principles of recovery...........................................................................................................................3
2 Self- directed recovery relationship......................................................................................................5
3. Invite information Sharing...................................................................................................................6
4. Define and Confirm the collaborative relationship..............................................................................7
CONCLUSION..........................................................................................................................................9
REFRENCES...........................................................................................................................................10

INTRODUCTION
Every human being undergoes through various problems related to mental, financially, ethically,
socially which lead them to drastic depression, loss of mental stability, behaving abnormal etc.
So, when people experiences mental health difficulties they may find themselves in a passive
role within mental health system and or within their social lives. Thus, in order to come out from
that huge problem they take a support of self-directed recovery which means restoration of a
positive and fuller self-identity in which mental health problems are viewed as unique creation of
God who becomes empowered and taking control of decision that affect their lives in making it
more better in order to lead a happiest life (Croft and Parish, 2016). This report is based on
Sophie case study in which it describes that Sophie was trapped in domestic violence by her ex-
husband. Due to that result, Sophie went to coma and it highly affected her health and mental
safety. Furthermore, in this it includes different types of principles related to recovery and
importance collaborative relationship is also discussed here.
TASK
1 Principles of recovery
The most important thing to understand is that people can recover from a mental health
problem and live a productive and fulfilling life. However, recovery has two different meaning in
mental health, one is clinical recovery which means a person no longer has any symptoms in the
way somebody might regain from flu or a broken leg. The second is personal recovery which
signifies as process whereby an individual reclaims their right to better life by generating
positive attitude or perception within themselves. In regard of this report, Sophie has gone
through mental and emotional illness due to which she was in attack of borderline personality
disorder which means it is a personality disorder that typically involves following symptoms like
inappropriate or extreme emotional reactions, highly impulsive behaviors, disturbed due to
unstable relationship. Thus, as a home based care for Sophie, there are some principles which
help her to come out of her anxiety or depression in order to live a happy and better life. As per
the Australia, they suggest collaborative recovery model which is regarded as one of the
effective recovery oriented service provision that involves explicit exploration and use of
personal strength and values. Some of the principle for recovery process are mentioned below:

Uniqueness of an individual: Under this, it involves recognizing that recovery is not
necessarily about cure but is about having opportunity for choices and living a meaningful,
satisfying or purposeful life and being a valued member of community. Along with this, it
empower Sophie’s motivation and make her realize that she is at the center of care and emphasis
over her social inclusion or quality of life.
Real choices: In this, it support and encourage Sophie to make her own choices about how they
want to lead their lives and acknowledge those selections needs to be meaningful and creatively
explored.
Attitude and rights :Under this, it involve communication, listening, acting upon several
situation in order to analyze their behavior as well as make them understand their emotions.
However, it assist Sophie to maintain and develop social, recreational, occupational and
vocational activities which are meaningful to her for instils hope for future betterment (Muller,
Kirby and Yardley, 2015).
Dignity and respect: It consist of being courteous, respectful and honest in all interaction. Along
with this, Sophie get challenge to control over her sensitive emotions, respect for other
individuals particularly for their belief, values and culture.
Partnership and communication: In this, it acknowledges each individual is an expert on their
life and that recovery involves working in partnership with individual’s ad their career to provide
support in a way that make sense to them. Therefore, Sophie will be asked to share her values,
thoughts, problems in order to generate clear effective engagement.
Evaluating recovery: Under this, each and every activity get track and evaluate the progress
level of grieved personality in order to make corrective course of action in a better manner.
Along with this, mental health system reports on key outcome that indicate recovery building
including housing, employment, education, social and family relationship as well as health and
well-being of Sophie.
However, by following these principles which is described above, Sophie can soon recover from
her mental issues as well as can gain positive energy that help her to tackle over borderline
personality disorder and also can strengthen her cultural or social connectivity.

2 Self- directed recovery relationship
People with borderline personality disorder tend to have major difficulties with relationships,
especially with those who are closet with them. Their wild mood swings, angry outbursts,
chronic abandonment fears, and impulsive and irrational behaviors can leave loved ones feeling
helpless, abused, and off balance. In regard of Sophie, there are several ways to give her
complete healing from her anxiety so that she can lead a life filled with hope and joy. However,
this kind of order is mainly treated using psychotherapy, but medication must be added.
Treatment can help them to learn skills to manage and cope with their condition as well as they
feel better about themselves and live more stable and rewarding life. The some of the ways
which is follows for Sophie’s betterment are as follows:
Psychotherapy : It is nothing but it refer as talk therapy which is considered as fundamental
treatment approach in case of Sophie which enable care taker to make her focus over current
ability to function, learn to manage emotions that feel uncomfortable (Page and Townsend,
2018). There are several types of psychotherapy that have been found to be effective which
includes:
Dialectical behavior therapy: In this, it gives an initiative to Sophie tolerate distress and improve
relationship, to acquire skill based approach in order to treat how to manage their emotions.
Schema focused therapy: It provide a platform for Sophie to identify or determine her unmet
needs which led her to negative life patterns, which sometime made her to go to very severe
stage her life even to coma. The main focus of this therapy is to help Sophie to get her needs
fulfilled in healthy manner to promote positive life patterns.
System training for emotional predictability and problem solving: In case of Sophie, as a care
taker, they takes an effort to follows this model i.e. it is 20 weeks treatment which includes
working in group that incorporate family members, caregivers, friends that assist Sophie to
become more socialize and attentive.
Transference focused therapy: Under this, they mainly aim to help to understand their emotions
as well as interpersonal difficulties so that Sophie can easily identify boost her morale and stand
against all hindrances which made her depression or depression.

Encourage responsibilities: Under this, caretaker resisting the urge to rescue Sophie from
consequences of their action allowing them to experience natural consequences which help them
toanalyse who are in need of support. Moreover, it also assist them to be more effectively cope
by stepping back and not taking responsibility for things that are not teiir fault, due to this, both
the aprties can strengethn their perception and positive attitude.
However, along with therapy medication is also necessary to help with symptoms or co-
occurring problems such as depression, impulsiveness, aggression or anxiety. Moreover, some
medication which is included for Sophie are antidepressants, antipsychotics or mood stabilizing
drugs which gives her much relaxation and enhance her life standard. However, its recovery
takes time as learning to manage emotions, thoughts, and behaviors are challenging and
important element in an individual. Thus, it is fully depend over Sophie ability to acquire
available environment and learn to manage of handle over emotions in a better way (Cook, J. A.,
Morrow and Battersby, 2017).
3. Invite information Sharing
In the case of Sophie and her children, it is necessary to discuss her issue and make
solution of it. Because without listening story of respective women it is difficult to take decisions
and make solution of it. As she is in Coma so it is difficult to ask her reason behind this
condition. Coma is the issue in which human being brain work but physically he/she will not
able to move or walk. A person in coma is deeply withdrawn and extreme state as well as there
are several reasons behind Coma such as structural or mechanical damage, metabolic changes
that occur near death or from insulin imbalances and psychological or psychogenic factors. The
focus here is on coma near death. There is proper process through which health caretaker can
connect with Sophia as well as communicate issues with her. So that, issue will be discuss and
solution come out explanation of overall process mention below :-
 Connecting – In this step caretaker have to sit near Sophia and speak to her gently and
slowly when she exhales in the rhythm of his breathings while taking mouth should be
near to patient ear. For example: caretaker firstly have to introduce herself and make
Sophia comfortable and softy take her hand in arms. When respective patient press arm
of caretaker this means she is also involve in overall conversation. This will be the best
time when caretaker can discuss as well as ask issue facing by her and reason behind
body marks.
 Finding the way – This is second step of communicating with patient who are in Coma.
Thus, Caretaker of Sophia have to prepare statement related to the issues so she can ask

to her about reason behind all those body marks and Coma. Caretaker have to start
conversation after following the rate of breathing. This gives the idea to the patient that
what is happening is important; that there is a way to be followed; that he is not alone and
that you will provide help on the path. Finally, this message encourages the patient to
become aware of himself.
 Pick up Minimal cues – Now in this step it is time to take response of Sophia which
require time and caretaker can make suggestion about what she had seen, feeling and
hearing as well as have to watch for the minimal cues such as auditory, movements or
eyes changes. It may take a while (even as much as twenty minutes) for the Sophia to
respond or for caretaker to notice some of these minimal cues. While caretaker continue
to follow Sophie’s body motions and breathing, do not just be passive but participate by
observing what is happening inside and outside. Caretaker may become aware of changes
in their own breathing, changes in body temperature, or even the appearance of
spontaneous fantasies or plays of imagination.
Thus, with the assistance of respective process there is chances of communication and Caretaker
can understand reason behind her such situation and take major steps to overcome with it.
Although, nonverbal communication will be more suitable because touch and feel will only
answer about the issue of Sophie (DiClemente and et,2016).
4. Define and Confirm the collaborative relationship
Recovery plan is that in which overall activity of patient is mention along with days so that
major steps will taken and individual get recover soon. As caretaker is for seven days a within
that she have to take major steps so that Sophie will get recover soon. Below mention is seven
days recovery plan of Sophie explanation are as follows :-
Day 1 – On daily basis morning activity will be outing in garden for one hour so that fresh air
will be taken by Sophie which is very necessary for remaining healthy. Then after that on daily
basis one of the major work of house wife to tidy her house in that caretaker involve her as well
as take help of Sophie. So that, they will get involve in overall activity and remain active as
much as can. Ob first day this much involvement in other activity of house will be fine. As day
will passes daily basis activity will get more and more. So that, she will get recover soon.
Day 2 – On second day to recovery plan one more activity will get involve in daily routine of
Sophie along with getting house tidy and morning outing. That she will help in her children in

getting school on time because every mother is attached with their children as well it will be the
way through which individual will get recovery more effectively then some other activities.
Day 3 – Then on third day caretaker take Sophie for some social activity which help her in
interacting with several people as well se will get more comfortable when see several people
with her. Because in social gathering individual start reacting in more effective manner as
compare to sitting at home. Along with this caretaker can link Sophie with some community
which help her in supporting services and provide better support in getting recover. As more
people will get involve she will not feel alone and start reacting fast on things and recover fast.
Day 4 – On fourth day, several changes started taking place in Sophie as she started getting
involve in several activities planed for her as well as she enjoy a lot while dong such activities.
Thus, Caretaker involve respective patient in doing planning for remaining days. So that, plans
will be design in more effective manner according to her likes and dislikes. This practice will
help caretaker in identifying Sophie like and dislikes which will help in understanding her nature
or behaviour towards other things.
Day 5 – On fifth day she wishes to go out with her children in some garden or gaming zone
which shows her love for him. She not only went out but also get involve in every activity
conducting by her children and feel happy when Sophie’s children was enjoying (Tang, J.,
Abraham, Greaves and Yates, 2014).
Day 6 – on sixth day, some physical exercises was conducted caretaker so that she will get
physically strong as well. Because physical fitness it will get difficult for her to with children any
where as well as in conducting daily basis activities also she will feel several difficulties. As
physical fitness is much important so for that Yoga session was conducted for sophie and some
meditation classes also which make her feel more strong physically and get ready to face any
situation.
Day 7 - This is last day of Caretaker and it will be analysed that how much Sophie has been get
recovered. In simple term overall examination of patient will take place. Thus, in last day
without help as well as recalling of caretaker sophie done each and every activity from day first
morning outing to the last day physical exercise. This shows that every thing was remembered by
her as she have sharp memory. Along with this, there is no such requirement of anyone’s support
as she can all alone conduct activities within effective manner as not in such excellent manner
but will not face many difficulties.

Thus, this seven days recovery plan will help Sophie is coming out of the situation of Coma
as well she will get physically and mentally stable with the assistance of planning. So, these
seven days will be more effective ad help in getting her fit and fine which is necessary for herself
and children.
CONCLUSION
From the above discussion it has been concluded that, there are several issues by which
individual will go through when they suffer from any type of domestic Violence. Same as Sophia
is also is Coma in that she is not able to talk anyone but can listen or see because Coma is an
issue in that Brain of human being work but individual cannot movie physically. Thus, there are
several practices which can be made by caretaker in respect of sophie so that she will get well
and come out from Coma. Along with this caretaker have to take major steps for building direct
relation with patient in coma. So that, they both will feel comfortable with each other as well
treatment also work and sophie also get recover easily. Furthermore, reason behind her body
marks and Coma have to be discuss which is difficult because of her such situation. As there are
several communication method that will be use by caretaker to ask all these issues from her.
Then in the end recovery plan will be design for Sophie so that she can come out with coma
which is of seven day and each as well as every day have different activity which make Sophie
strong and help her in getting recover easily.

REFRENCES
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