moduel 1

Accepting

• yes

• Uh huh

• I see what you’re saying

General leads

• mhm

• Go on

Broad opening

• tell me about…

Reflecting

• it looks like you’re sad

Voicing doubt

• Oh really?

• Is that so?

  Redirect patient

Seeking consensual validation

• Tell me if I understand.. You are worried…

Verbalizing implied

Do you feel like no one understands?

Encourage evaluation

Ask what they think, get their insight

Giving approval/agreeing/disagree

I noticed….

Ask about what made it bad or whatever

Counter transference

Positive/negative protection to patient

Transference

Positive/negative projection to nurse

Referential delusions

Belief that’s certain gestures, comments, environmental cues, or passages from books or newspapers are specifically directed at oneself

• billboards

• TV

• Song lyrics, are for them (pt)

Somatic delusions

Preoccupation With the body often focus on having a physical defect or general medical condition

• my brain is Rotting away

• I have cancer growing inside me, even though all my tests are negative

• These parasites are crawling under my skin

Delusions of control

Believe that one’s body or actions are being controlled by an outside force

• Aliens are controlling my thoughts

• The government implanted a chip

Brief psychotic disorder

> 1 day to <1 month

Schizophreniniform disorder

1 to <6 months

Schizophrenia

>6 months + functional decline

Delusional disorder

Delusions >1 month. Functioning often less, impaired

Schizoaffective disorder

Psychosis + major mood syndrome

Prodromal

Subtle decline in function

Suspiciousness

Acute

Prominent psychosis

• safety and stabilization

Stabilization

Symptoms diminish

Coping and education

Maintenance/recovery

Prevent relapse and improve function