Psych / Difficult topics Flashcards
What is a core pain?
What is really bothering the patient
What is a seed resistance?
How core pains present
What are some core pains?
- Fear of unknown, physical pain, death
- Loss of hope, internalor external control
- Loneliness, Feeling Wronged, Loss of Meaning, Self-Loathing
What are some seed resistances?
anger, demands, rambling, anxiety, confusion, inquiries
3 ways to deal with seed resistances?
- Content discussion: Direct confrontation
- Process discussion: ask about emotions / empathize
- Side stepping: Use as a last resort
What are the following examples of:
“You are not answering me”
“I am board certified, I can help you”
- Content discussion: Direct confrontation
What are the following examples of:
“You look angy / appear anxious”
“Its hard to talk about death”
- Process discussion: ask about emotions / empathize
What are the following examples of:
“Lets focus on your PMH and we can come back to this later”
- Side stepping: Use as a last resort
Tactics for dependant personality?
Regular, brief sessions
Sat you’ll come back later and do
Tactics for obsessive personality?
Detailed explanations
Provide choices
Use patient input in collaborative manner
Tactics for narcissistic personality?
Avoid confronting
Emphasize they deserve the best
Staff needs to be one same page
Tactics for Suffering victim?
Regular visits regardless how variable complaints are
Tactics for paranoid personality?
Stay calm and dont argue
Clear recommendations
Let know you understand their position
Characteristics of narcissistic?
Self centered
Critical of others
Believe noone qualified to care for them
Tactics for paranoid Schizoid?
Engage patients in decision making
Dont feel you have great rapport
