Challenging Medical Communications. Dr Thiru Thirukkumaran Palliative Care Services Northwest Tasmania

Size: px
Start display at page:

Download "Challenging Medical Communications. Dr Thiru Thirukkumaran Palliative Care Services Northwest Tasmania"

Transcription

1 Challenging Medical Communications Dr Thiru Thirukkumaran Palliative Care Services Northwest Tasmania

2 What are the common Challenging situations?

3 Common Challenging situations Handling difficult questions Engaging with emotional stress Dealing with angry patients Collusion Denial Patients refuse to talk

4 Handling difficult questions A terminally ill cancer patient asking you the following questions: Am I dying doctor? How long do I have? Am I getting better with treatment? How do we approach these questions?

5 Handling difficult questions Assess patient s perceptions (1) What makes them ask the question? (2) What do they think themselves? (3) Explore all the reasons (4) Allow time for their own contemplation If appropriate Continue further (1) Warning shot or Forecasting if appropriate (2) Confirm their perceptions if possible (3) Pause to assess response (4) Address concerns raised in a realistic manner that maintains appropriate hope (5) Assess patient s feelings and on-going concerns (6) Assure Continuing care and support

6 Handling difficult questions If patient changes subject, decides against taking their questions further or indicates they are not ready for the answers Leave it there for the time being They will be ready after some time Remember patients have insight Their functional status or their progressive symptoms made them thinking about the worse case scenario The success depending on the professional s thought provoking questions at the encounter

7 Engaging with emotional stress Identify the feelings that provoke the patient Silence Affirmative acknowledgement Tissues Go with pain (resist temptation to try to take emotion away)

8 Dealing with angry patients-1 Allow ventilation & Recognition Pause The patient experiences being understood, is therapeutic Stepping back rather than defending our side initially (Lets patient diffuse the emotion) Active listening and feedback to story Position, Posture, eye contact, facilitative responses & appropriate silence Permission to talk, Requesting & Accepting the Correction... Did I get it right? It will make them feel better that they are controlling the situation, not us Explore reasons for situation (Consider motivation -? Secondary gain,? Hidden agenda) Framing - sounds like what you are telling me.. - Let s see if I have this right. Reflecting Content Factual as well as nature and intensity

9 Dealing with angry patients-2 Focus on individuals stress / feelings Identifying & Calibrating the anger I can imagine how angry I d feel if that happen to me.. That situation really got you, didn t it? By acknowledging their feelings, you are no more in their opposite site, but patient & the professional are on the same side Empathy to diffuse anger 3 implications Cognitive : Enter patient s perceptive, but don t lose your own Affective : Put yourself in patient s place Action Component: Verify emotion so patient can correct and/or feel listen to Professionals honest attempt to understand should facilitate trust Apologise if appropriate Negotiate a solution

10 Collusion Example: Collusion on some information given by the doctor Acknowledgement & Exploration Feelings Their own perception Reasons for not being truthful Strain on the relationship What will happen as condition deteriorates Assess the patient s questions to relative Look for window of Knowledge Agreement to assess patient Reassure not giving the info.. if information not wanted

11 Denial The function of denial is to protect the patient against distress could be intolerable, and lead to psychological disorganisation or suicide.

12 Checking the strength of denial Challenging any inconsistencies in the story You say it couldn t have been serious, yet you tell me you had an intensive course of chemotherapy?... Look for a window on denial Is there ever a movement when you don t think things are going to workout?... Do you ever worry you won t get better?...

13 Patients refuse to talk-1 Reasons: 1. Denial 2. Incorrect information 3. Depression 4. Difficulty adjusting to the situation 5. Talking to someone else 6. Already dealt with so don t want to cover again 7. Dementia & learning difficulties 8. Cultural & spiritual issues

14 Patients refuse to talk-2 Decide how urgent it is that the patient needs to talk Build relationship & look for a window of opportunity Explore sensitivity Liaise with others involved in care Consider being frank if necessary Consider involving relatives

15 Movie Clips

16 Bad Consultation

17 Cancer patient Am I going to get better doctor?

18 Any thoughts?

19 Thank You

COMMUNICATION ISSUES IN PALLIATIVE CARE

COMMUNICATION ISSUES IN PALLIATIVE CARE COMMUNICATION ISSUES IN PALLIATIVE CARE Palliative Care: Communication, Communication, Communication! Key Features of Communication in Appropriate setting Permission Palliative Care Be clear about topic

More information

suicide Part of the Plainer Language Series

suicide Part of the Plainer Language Series Part of the Plainer Language Series www.heretohelp.bc.ca What is? Suicide means ending your own life. It is sometimes a way for people to escape pain or suffering. When someone ends their own life, we

More information

AFSP SURVIVOR OUTREACH PROGRAM VOLUNTEER TRAINING HANDOUT

AFSP SURVIVOR OUTREACH PROGRAM VOLUNTEER TRAINING HANDOUT AFSP SURVIVOR OUTREACH PROGRAM VOLUNTEER TRAINING HANDOUT Goals of the AFSP Survivor Outreach Program Suggested Answers To Frequently Asked Questions on Visits Roadblocks to Communication During Visits

More information

Difficult conversations. Dr Amy Waters MBBS, FRACP Staff Specialist in Palliative Medicine, St George Hospital Conjoint Lecturer, UNSW

Difficult conversations. Dr Amy Waters MBBS, FRACP Staff Specialist in Palliative Medicine, St George Hospital Conjoint Lecturer, UNSW Difficult conversations Dr Amy Waters MBBS, FRACP Staff Specialist in Palliative Medicine, St George Hospital Conjoint Lecturer, UNSW What are difficult conversations? Why are they difficult? Difficult

More information

Emotional Intelligence

Emotional Intelligence Emotional Intelligence 1 Emotional Intelligence Emotional intelligence is your ability to recognize & understand emotions in yourself and others, and your ability to use this awareness to manage your behavior

More information

GOALS FOR LEADERS SAMPLE SESSION OUTLINE

GOALS FOR LEADERS SAMPLE SESSION OUTLINE THOUGHTS 1 -- THOUGHTS AND YOUR MOOD Welcome new participants Review group rules GOALS FOR LEADERS Have participants and group introduce themselves Review the cognitive behavioral treatment model Introduce

More information

Our plan for giving better care to people with dementia Oxleas Dementia

Our plan for giving better care to people with dementia Oxleas Dementia Our plan for giving better care to people with dementia Oxleas Dementia 2013-2016 November 2013 1 Contents 1. What is our plan about? 2. Finding out if someone has dementia 3. Finding out the care and

More information

Ingredients of Difficult Conversations

Ingredients of Difficult Conversations Ingredients of Difficult Conversations Differing Perceptions In most difficult conversations, there are different perceptions of the same reality. I think I'm right and the person with whom I disagree

More information

Chapter 1. Dysfunctional Behavioral Cycles

Chapter 1. Dysfunctional Behavioral Cycles Chapter 1. Dysfunctional Behavioral Cycles For most people, the things they do their behavior are predictable. We can pretty much guess what someone is going to do in a similar situation in the future

More information

After a Suicide. Supporting Your Child

After a Suicide. Supporting Your Child After a Suicide Research literature estimates that once a suicide happens the chances of another death by suicide increases dramatically in the adolescent and young adult population. The following suggestions

More information

Connecting to the Guest. Dr. John L. Avella Ed.D Cal State Monterey Bay

Connecting to the Guest. Dr. John L. Avella Ed.D Cal State Monterey Bay Connecting to the Guest Dr. John L. Avella Ed.D Cal State Monterey Bay Connecting to Guest Developing Relationships Create Loyal Guests Role of Guest Service Provider To create a unique emotional experience

More information

Goals of Care Conversations Training Goals of Care Conversations about Life-Sustaining Treatment Decisions

Goals of Care Conversations Training Goals of Care Conversations about Life-Sustaining Treatment Decisions Goals of Care Conversations Training Goals of Care Conversations about Life-Sustaining Treatment Decisions Shaida Talebreza, MD, FAAHPM, AGSF Associate Professor, University of Utah School of Medicine

More information

Emotional Intelligence

Emotional Intelligence Cornell Municipal Clerks Institute 2015 Emotional Intelligence Understanding yourself, caring enough to understand others, managing yourself because you care Session goals Explore the concept of emotional

More information

3/6/2015. Sandi Hebley RN, CHPN, LMSW

3/6/2015. Sandi Hebley RN, CHPN, LMSW Sandi Hebley RN, CHPN, LMSW 1. Discuss and define comprehensive assessment 2. Describe a psychosocial assessment 3. Describe a spiritual assessment 4. Describe an initial bereavement assessment Medicare

More information

Taking Control of Anger. About Anger

Taking Control of Anger. About Anger Taking Control of Anger About Anger About the course This course is for anyone who is concerned about his or her anger. Throughout the course you can expect to learn: How to reduce the frequency and intensity

More information

Creating suicide safer communities A N X I E T Y R E C O V E R Y C E N T R E V I C T O R I A

Creating suicide safer communities A N X I E T Y R E C O V E R Y C E N T R E V I C T O R I A Creating suicide safer communities A N X I E T Y R E C O V E R Y C E N T R E V I C T O R I A Overview We will be talking about suicide What does a suicide safer community look like Australian Statistics

More information

Operation S.A.V.E Campus Edition

Operation S.A.V.E Campus Edition Operation S.A.V.E Campus Edition 1 Suicide Prevention Introduction Objectives: By participating in this training you will learn: The scope and importance of suicide prevention The negative impact of myths

More information

Motivational Interviewing in Healthcare. Presented by: Christy Dauner, OTR

Motivational Interviewing in Healthcare. Presented by: Christy Dauner, OTR Motivational Interviewing in Healthcare Presented by: Christy Dauner, OTR The Spirit of MI Create an atmosphere of acceptance, trust, compassion and respect Find something you like or respect about every

More information

Difficult Conversations

Difficult Conversations Difficult Conversations Corban Sanchez Academic Advisor NACADA Conference 2011 Douglas Stone, Bruce Patton, and Sheila Heen of the Harvard Negotiation Project Moving Toward a Learning Conversation Normal

More information

Delivering Bad News. April 27, 2017

Delivering Bad News. April 27, 2017 Delivering Bad News April 27, 2017 Introduction Barbara Lewis, MBA Managing Editor DocCom Timothy E. Quill, MD, FACP, FAAHPM Distinguished Professor of Medicine Palliative Care Program University of Rochester

More information

Managing Conflicts Around Medical Futility

Managing Conflicts Around Medical Futility Managing Conflicts Around Medical Futility Robert M. Taylor, MD Medical Director, OSUMC Center for Palliative Care Associate Professor of Neurology The Ohio State University James Cancer Hospital Objectives

More information

THERAPEUTIC COMMUNICATION CLINICAL ASSIGNMENT STUDY ACTIVITY FOR EGO DEFENSE MECHANISMS

THERAPEUTIC COMMUNICATION CLINICAL ASSIGNMENT STUDY ACTIVITY FOR EGO DEFENSE MECHANISMS NUR2712C a. Displacement b. Reaction formation c. Splitting d. Regression e. Sublimation f. Rationalization g. Projection h. Suppression i. Identification j. Compensation k. Minimization l. Intellectualization

More information

Take new look emotions we see as negative may be our best friends (opposite to the script!)

Take new look emotions we see as negative may be our best friends (opposite to the script!) Tony Robbins - emotions Take new look emotions we see as negative may be our best friends (opposite to the script!) How do people deal? 1. They avoid them try not to feel them. a. Rejection 2. I ll endure

More information

You want us to do everything?! RETHINKING COMMUNICATION AROUND GOALS OF CARE

You want us to do everything?! RETHINKING COMMUNICATION AROUND GOALS OF CARE You want us to do everything?! RETHINKING COMMUNICATION AROUND GOALS OF CARE Michael D. Barnett, MD, MS, FAAP, FAAHPM UAB Center for Palliative & Supportive Care OBJECTIVES 1. Gauge patient/family understanding

More information

Choosing Life: Empowerment, Action, Results! CLEAR Menu Sessions. Substance Use Risk 2: What Are My External Drug and Alcohol Triggers?

Choosing Life: Empowerment, Action, Results! CLEAR Menu Sessions. Substance Use Risk 2: What Are My External Drug and Alcohol Triggers? Choosing Life: Empowerment, Action, Results! CLEAR Menu Sessions Substance Use Risk 2: What Are My External Drug and Alcohol Triggers? This page intentionally left blank. What Are My External Drug and

More information

The Recovery Journey after a PICU admission

The Recovery Journey after a PICU admission The Recovery Journey after a PICU admission A guide for families Introduction This booklet has been written for parents and young people who have experienced a Paediatric Intensive Care Unit (PICU) admission.

More information

Learn how to more effectively communicate with others. This will be a fun and informative workshop! Sponsored by

Learn how to more effectively communicate with others. This will be a fun and informative workshop! Sponsored by Assertiveness Training Learn how to more effectively communicate with others. This will be a fun and informative workshop! Sponsored by Lack of Assertiveness Examples Allowing others to coerce you into

More information

Problem Situation Form for Parents

Problem Situation Form for Parents Problem Situation Form for Parents Please complete a form for each situation you notice causes your child social anxiety. 1. WHAT WAS THE SITUATION? Please describe what happened. Provide enough information

More information

I don t want to be here anymore. I m really worried about Clare. She s been acting different and something s not right

I don t want to be here anymore. I m really worried about Clare. She s been acting different and something s not right I just can t take what s happening at home anymore Clare 23 mins Instagram When your friend is thinking about suicide I don t want to be here anymore... I m really worried about Clare. She s been acting

More information

Value of emotional intelligence in veterinary practice teams

Value of emotional intelligence in veterinary practice teams Vet Times The website for the veterinary profession https://www.vettimes.co.uk Value of emotional intelligence in veterinary practice teams Author : MAGGIE SHILCOCK Categories : Vets Date : February 17,

More information

Motivation Series. Emotional Self-Awareness. Emotional Self-Awareness is the ability to recognize your. Emotional Intelligence.

Motivation Series. Emotional Self-Awareness. Emotional Self-Awareness is the ability to recognize your. Emotional Intelligence. Motivation Series Intelligence + 15 EQ Areas Self-Perception Self-Regard Self-Actualization Self-Expression Expression Assertiveness Independence Interpersonal Interpersonal Relationships Empathy Social

More information

HEPATITIS C LESSONS PART 4

HEPATITIS C LESSONS PART 4 PURPOSE To help group members understand who they should tell and who they may want to tell about their condition. Also includes strategies for telling people. FACTS ABOUT TELLING PEOPLE YOU HAVE HEPATITIS

More information

Thoughts on Living with Cancer. Healing and Dying. by Caren S. Fried, Ph.D.

Thoughts on Living with Cancer. Healing and Dying. by Caren S. Fried, Ph.D. Thoughts on Living with Cancer Healing and Dying by Caren S. Fried, Ph.D. My Personal Experience In 1994, I was told those fateful words: You have cancer. At that time, I was 35 years old, a biologist,

More information

The Needs of Young People who have lost a Sibling or Parent to Cancer.

The Needs of Young People who have lost a Sibling or Parent to Cancer. This research focussed on exploring the psychosocial needs and psychological health of young people (aged 12-24) who have been impacted by the death of a parent or a brother or sister from cancer. The

More information

Having suicidal thoughts?

Having suicidal thoughts? Having suicidal thoughts? Information for you, and for family, whänau, friends and support network Prepared by skylight for the New Zealand Guidelines Group CONTENTS Having Suicidal Thoughts? 1 Asking

More information

WICKING DEMENTIA RESEARCH & EDUCATION CENTRE. Prof. Fran McInerney RN, BAppSci, MA, PhD Professor of Dementia Studies and Education

WICKING DEMENTIA RESEARCH & EDUCATION CENTRE. Prof. Fran McInerney RN, BAppSci, MA, PhD Professor of Dementia Studies and Education WICKING DEMENTIA RESEARCH & EDUCATION CENTRE Prof. Fran McInerney RN, BAppSci, MA, PhD Professor of Dementia Studies and Education Wicking Dementia Research & Education Centre Engaging families in a palliative

More information

Hope Begins with You. Jeff Morris, Presenter

Hope Begins with You. Jeff Morris, Presenter Hope Begins with You. Jeff Morris, Presenter What do you want to learn? How to help someone who is depressed. How to help family members of a depressed person. How to identify students who are high-risk.

More information

SOS Signs of Suicide. Some Secrets SHOULD be Shared

SOS Signs of Suicide. Some Secrets SHOULD be Shared SOS Signs of Suicide Some Secrets SHOULD be Shared Let s talk for a moment about Depression True or False? Depression is more than just feeling sad. True! Feeling depressed means you might feel some or

More information

A caregiver s guide to. Immuno-Oncology. Things you may want to know as you care for someone receiving cancer immunotherapy.

A caregiver s guide to. Immuno-Oncology. Things you may want to know as you care for someone receiving cancer immunotherapy. A caregiver s guide to Immuno-Oncology Things you may want to know as you care for someone receiving cancer immunotherapy Your logo Table of contents 4 Figuring out your role as a caregiver 8 Helping your

More information

Psychological wellbeing in heart failure

Psychological wellbeing in heart failure Patient information Struggling to cope? Can trelax? Psychological wellbeing in heart failure Stressedout? Trouble sleeping? Feelinglow? i Living with heart failure can be challenging mentally as well as

More information

POsitive mental health for young people. What you need to know about Children and Adolescent s Mental Health Services (CAMHS) in Buckinghamshire

POsitive mental health for young people. What you need to know about Children and Adolescent s Mental Health Services (CAMHS) in Buckinghamshire POsitive mental health for young people What you need to know about Children and Adolescent s Mental Health Services (CAMHS) in Buckinghamshire 1 CONTENTS PAGE 3 AND 4 When to ask for help PAGE 5 AND 6

More information

Some Important Concepts in EFT

Some Important Concepts in EFT Measuring Intensity Some Important Concepts in EFT Measuring intensity is extremely important because it gives a benchmark of the progress made. It also indicates when the problem has gone, and it is important

More information

Empathy Experiment. Reprinted with permission from FINCA (FINCAImpact.com)

Empathy Experiment. Reprinted with permission from FINCA (FINCAImpact.com) Empathy Experiment Reprinted with permission from FINCA (FINCAImpact.com) Empathy Perceiving the Unique Human Needs of Another MERRIAM-WEBSTER DEFINITION OF EMPATHY The ability to perceive and connect

More information

Critical Conversations

Critical Conversations Critical Conversations TIPS FOR TALKING WHEN STAKES ARE HIGH Agenda 1. Basics of Communication 2. Crucial Conversations defined 3. Before the conversation: setting the stage 4. During the conversation:

More information

4/3/2014. Dame Cicely Sanders : Born in England Nursing Degree Social Work Degree Doctor Opened 1 st Stand Alone Hospice 1967

4/3/2014. Dame Cicely Sanders : Born in England Nursing Degree Social Work Degree Doctor Opened 1 st Stand Alone Hospice 1967 Catherine Hausenfluke Independent Consultant 512-966-4955 Know More about Dying and Grief Come to Terms with Your Own Morality Understand Grief and What are the Rules Understand the Dying Process Relating

More information

Suicide Prevention Training for Youth

Suicide Prevention Training for Youth CHHS One Nation Suicide Prevention Training for Youth Provided by the Jordan School District Jordan School District School Psychologists & School Counselors Icebreaker Activities Tennis Ball Activity Trace

More information

Conflict It s What You Do With It!

Conflict It s What You Do With It! Conflict It s What You Do With It! Luc Bégin, Ombudsman Department of Canadian Heritage Presented to: Financial Management Institute of Canada November 27 th, 2013 True or False Sometimes the best way

More information

MOTIVATIONAL INTERVIEWING

MOTIVATIONAL INTERVIEWING MOTIVATIONAL INTERVIEWING Facilitating Behaviour Change Dr Kate Hall MCCLP MAPS Senior Lecturer in Addiction and Mental Health School of Psychology, Faculty of Health, Deakin University. Lead, Treatment

More information

Emotional Intelligence and NLP for better project people Lysa

Emotional Intelligence and NLP for better project people Lysa Emotional Intelligence and NLP for better project people Lysa Morrison @lysam8 Copyright 2015 Lysa Morrison Reasons projects fail Three of the most common causes of project failure according to the National

More information

ADDITIONAL CASEWORK STRATEGIES

ADDITIONAL CASEWORK STRATEGIES ADDITIONAL CASEWORK STRATEGIES A. STRATEGIES TO EXPLORE MOTIVATION THE MIRACLE QUESTION The Miracle Question can be used to elicit clients goals and needs for his/her family. Asking this question begins

More information

The Wellbeing Course. Resource: Mental Skills. The Wellbeing Course was written by Professor Nick Titov and Dr Blake Dear

The Wellbeing Course. Resource: Mental Skills. The Wellbeing Course was written by Professor Nick Titov and Dr Blake Dear The Wellbeing Course Resource: Mental Skills The Wellbeing Course was written by Professor Nick Titov and Dr Blake Dear About Mental Skills This resource introduces three mental skills which people find

More information

Navigating Conflict with Families

Navigating Conflict with Families Navigating Conflict with Families Gordon J. Wood, MD, MSCI, FAAHPM Winter Workshop, Coleman Palliative Medicine Training Program February 28, 2014 With thanks to Bob Arnold, Elizabeth Weinstein and Jonathan

More information

Course Notes for Difficult Interactions in the Office Setting

Course Notes for Difficult Interactions in the Office Setting for Difficult Interactions in the Office Setting Presented by Dr. Dennis Boyle Physician Risk Manager COPIC Copyright 2013 by COPIC. All rights reserved. Page 2 Introduction to this course Hello, I m Dr.

More information

BATTLE BUDDY CHECKS. CONDITIONS: Discussion Question based.

BATTLE BUDDY CHECKS. CONDITIONS: Discussion Question based. TASK: Recognize warning signs, being aware of the suicide risk factors and how to help/speak up about helping battle buddies in crisis. CONDITIONS: Discussion Question based. STANDARDS: Soldiers will understand

More information

2018 Texas Focus: On the Move! Let s Talk: Starting the Mental Health Conversation with Your Teen Saturday, March 3, :45-11:15 AM

2018 Texas Focus: On the Move! Let s Talk: Starting the Mental Health Conversation with Your Teen Saturday, March 3, :45-11:15 AM Texas School for the Blind & Visually Impaired Outreach Programs www.tsbvi.edu 512-454-8631 1100 W. 45 th St. Austin, TX 78756 2018 Texas Focus: On the Move! Let s Talk: Starting the Mental Health Conversation

More information

Motivational Interviewing

Motivational Interviewing Motivational Interviewing By: Tonia Stott, PhD What is Motivational Interviewing? A client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence

More information

SEARCH AND RESCUE Supporting a colleague with a mental health problem

SEARCH AND RESCUE Supporting a colleague with a mental health problem SEARCH AND RESCUE Supporting a colleague with a mental health problem Blue Light Programme Supporting a colleague with a mental health problem This is a guide for search and rescue staff and volunteers

More information

Leadership Beyond Reason

Leadership Beyond Reason 1-Values... 2 2-Thoughts... 2 Cognitive Style... 2 Orientation to Reality... 2 Holding Opposing Thoughts... 2 Adapting to New Realities... 2 Intuition... 2 Creativity... 3 Cognitive Distortions... 3 Observe

More information

18 INSTRUCTOR GUIDELINES

18 INSTRUCTOR GUIDELINES STAGE: Ready to Quit You are a community pharmacist and have been approached by a 16-year-old girl, Nicole Green, who would like your advice on how she can quit smoking. She says, I never thought it would

More information

Distress Tolerance Handout 11 (Distress Tolerance Worksheets 8 9a 5)

Distress Tolerance Handout 11 (Distress Tolerance Worksheets 8 9a 5) 9 3 1 9 3. p p Distress Tolerance Handout 11 (Distress Tolerance Worksheets 8 9a 5) ; «Radical Acceptance (When you cannot keep painful events and emotions from coming your way.) What Is Radical AccePTance?

More information

VNAA Blueprint for Excellence PATHWAY TO BEST PRACTICES

VNAA Blueprint for Excellence PATHWAY TO BEST PRACTICES VNAA Blueprint for Excellence PATHWAY TO BEST PRACTICES Patient and Caregiver Engagement: Artful Conversations VNAA Best Practice for Hospice and Palliative Care Case Study Mr. G is an 88 yo man with end-stage

More information

Coaching Patients If I could choose just one thing

Coaching Patients If I could choose just one thing Coaching Patients If I could choose just one thing Patty Fredericks, MS Essentia Health Heart and Vascular Wellness Program Coaching Patients If I could choose just one thing Patty Fredericks, MS Essentia

More information

L I S T E N. When I ask you to listen to me and you say I shouldn t feel that way,

L I S T E N. When I ask you to listen to me and you say I shouldn t feel that way, L I S T E N When I ask you to listen me and you start to give me advice, You have not done what I asked. When I ask you to listen to me and you say I shouldn t feel that way, You are trampling on my feelings

More information

5 Quick Tips for Improving Your Emotional Intelligence. and Increasing Your Success in All Areas of Your Life

5 Quick Tips for Improving Your Emotional Intelligence. and Increasing Your Success in All Areas of Your Life 5 Quick Tips for Improving Your Emotional Intelligence and Increasing Your Success in All Areas of Your Life Table of Contents Self-Awareness... 3 Active Listening... 4 Self-Regulation... 5 Empathy...

More information

Unit 3: EXPLORING YOUR LIMITING BELIEFS

Unit 3: EXPLORING YOUR LIMITING BELIEFS Unit 3: EXPLORING YOUR LIMITING BELIEFS Beliefs and Emotions Bring to mind a negative belief you hold about money. Perhaps it is I don t believe I can win with money or Money is hard to come by. While

More information

ORIENTATION SAN FRANCISCO STOP SMOKING PROGRAM

ORIENTATION SAN FRANCISCO STOP SMOKING PROGRAM ORIENTATION SAN FRANCISCO STOP SMOKING PROGRAM PURPOSE To introduce the program, tell the participants what to expect, and set an overall positive tone for the series. AGENDA Item Time 0.1 Acknowledgement

More information

Improving Your Sleep Course. Session 4 Dealing With a Racing Mind

Improving Your Sleep Course. Session 4 Dealing With a Racing Mind Improving Your Sleep Course Session 4 Dealing With a Racing Mind Session 4 Dealing With a Racing Mind This session will: Help you to learn ways of overcoming the mental alertness, repetitive thoughts and

More information

Look to see if they can focus on compassionate attention, compassionate thinking and compassionate behaviour. This is how the person brings their

Look to see if they can focus on compassionate attention, compassionate thinking and compassionate behaviour. This is how the person brings their Compassionate Letter Writing Therapist Notes The idea behind compassionate mind letter writing is to help people engage with their problems with a focus on understanding and warmth. We want to try to bring

More information

Unit 3: Mental & Emotional Health

Unit 3: Mental & Emotional Health Name: _Class Period: _ Unit 3: Mental & Emotional Health You will need to bring this to class every day. DO NOT LOSE THIS PACKET! YOU WILL BE VERY SAD IF YOU DO. Each day, you have the opportunity to earn

More information

We admitted that we were powerless over alcohol that our lives had become unmanageable.

We admitted that we were powerless over alcohol that our lives had become unmanageable. Step One We admitted that we were powerless over alcohol that our lives had become unmanageable. Alcoholics Anonymous (AA) (2001, p. 59) Before beginning this exercise, please read Step One in Twelve Steps

More information

Changes to your behaviour

Changes to your behaviour Life after stroke Changes to your behaviour Together we can conquer stroke Because there is so much to deal with after a stroke, it s normal for your behaviour to change in some way. In this booklet we

More information

We admitted that we were powerless over alcohol that our lives had become unmanageable. Alcoholics Anonymous (AA) (2001, p. 59)

We admitted that we were powerless over alcohol that our lives had become unmanageable. Alcoholics Anonymous (AA) (2001, p. 59) Step One 22 istockphoto.com/qingwa We admitted that we were powerless over alcohol that our lives had become unmanageable. Alcoholics Anonymous (AA) (2001, p. 59) Before beginning this exercise, please

More information

COPING WITH A CANCER DIAGNOSIS. Tips for Dealing with What Comes Next

COPING WITH A CANCER DIAGNOSIS. Tips for Dealing with What Comes Next COPING WITH A CANCER DIAGNOSIS Tips for Dealing with What Comes Next Copyright 2012 Alliance Health Networks www.alliancehealth.com About half of all men and a third of all women in the United States will

More information

Psychological preparation for natural disasters

Psychological preparation for natural disasters Disaster Preparedness Psychological preparation for natural disasters Being psychologically prepared when a disaster is threatening can help people feel more confident, more in control and better able

More information

Activities for Someone in Early in Dementia

Activities for Someone in Early in Dementia Diamonds Still Clear Sharp - Can Cut Hard - Rigid - Inflexible Many Facets Can Really Shine Activities for Someone in Early in Dementia Diamond Characteristics Know Who s in Charge Respect Authority Can

More information

Unseen and unheard: women s experience of miscarriage many years after the event

Unseen and unheard: women s experience of miscarriage many years after the event Unseen and unheard: women s experience of miscarriage many years after the event The Forbidden in Counselling and Psychotherapy Keele Conference 2012 Lois de Cruz The wide mouth frog effect Aim Of my PhD

More information

9 INSTRUCTOR GUIDELINES

9 INSTRUCTOR GUIDELINES STAGE: Ready to Quit You are a clinician in a family practice group and are seeing 16-yearold Nicole Green, one of your existing patients. She has asthma and has come to the office today for her yearly

More information

Risk Assessment and Motivational Interviewing. Tracy Salameh MSN, APRN, FNP-BC

Risk Assessment and Motivational Interviewing. Tracy Salameh MSN, APRN, FNP-BC Risk Assessment and Motivational Interviewing Tracy Salameh MSN, APRN, FNP-BC Today's Presentation Performing a risk assessment Principals of motivational interviewing Unique prevention measures Treatment

More information

MS the invisible war on emotion

MS the invisible war on emotion MS the invisible war on emotion So you have been diagnosed with Multiple Sclerosis. Like every other serious health diagnosis, the news is really hard to take in, especially if you are feeling relatively

More information

Sexual Feelings. Having sexual feelings is not a choice, but what you do with your feelings is a choice. Let s take a look at this poster.

Sexual Feelings. Having sexual feelings is not a choice, but what you do with your feelings is a choice. Let s take a look at this poster. Sexual Feelings It may be your first instinct to deny that your child will ever have sexual feelings. You may even do everything in your power to suppress those feelings if they do surface. You won t succeed

More information

Mastering Emotions. 1. Physiology

Mastering Emotions. 1. Physiology Mastering Emotions Emotional mastery is the key to living a life that you direct. The ability to have absolute direct power over what you feel in every single moment no matter what happens around you is

More information

Anxiety. Top ten fears. Glossophobia fear of speaking in public or of trying to speak

Anxiety. Top ten fears. Glossophobia fear of speaking in public or of trying to speak Glossophobia fear of speaking in public or of trying to speak Forget heights and sharks. Public speaking often makes it to the top of the Top Fears List, higher even than death. Think about that. That

More information

Module 2 Mentalizing

Module 2 Mentalizing Module 2 Mentalizing It is thought that the human brain is essentially made up of three different brain structures: the brainstem, the limbic system and the cortex. 1. The brainstem: The reptilian or primitive

More information

Managing Other Medical Conditions

Managing Other Medical Conditions Managing Other Medical Conditions When Dementia is Part of the Picture Terms You Will NEED to Know - Advanced directives - Living Will - DNR orders - Durable HC-POA - Palliative care - Hospice care - Comfort

More information

Lesson 8 STD & Responsible Actions

Lesson 8 STD & Responsible Actions Lesson 8 STD & Responsible Actions Overview This lesson reinforces taking care of sexual health by teaching responsible actions around STD prevention. After discussing the responsibilities of a person

More information

What Stimulates Change? Translating Motivational Interviewing Theory into Practice

What Stimulates Change? Translating Motivational Interviewing Theory into Practice Influential Person Exercise What Stimulates Change? Translating Motivational Interviewing Theory into Practice! Bring to mind someone in your life who isn t particularly helpful! What are their qualities?!

More information

A Guide to Understanding Self-Injury

A Guide to Understanding Self-Injury A Guide to Understanding Self-Injury for Those Who Self-Injure What is Non-Suicidal Self-Injury? Non-Suicidal Self-Injury (NSSI), also referred to as self-injury or self-harm, is the deliberate and direct

More information

Welcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational

Welcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational Welcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational interviewing. 1 The goals for this session are listed on

More information

JUST THE FACTS: Physical Injury Dealing with Others

JUST THE FACTS: Physical Injury Dealing with Others Service members who have been injured or disabled may find that they need to learn new skills or new ways of dealing with others to get what they need or to avoid undesirable reactions. Some situations

More information

Coaching, a scientific method

Coaching, a scientific method Coaching, a scientific method ROSELYNE KATTAR I. What is coaching? II. What is The Scientific Method in coaching? What are the phases of this process? III. How does a coach help his client? This article

More information

CBT+ Measures Cheat Sheet

CBT+ Measures Cheat Sheet CBT+ Measures Cheat Sheet Child and Adolescent Trauma Screen (CATS). The CATS has 2 sections: (1) Trauma Screen and (2) DSM5 sx. There are also impairment items. There is a self-report version for ages

More information

Converting change fatigue into workplace success

Converting change fatigue into workplace success Converting change fatigue into workplace success Dr. William Howatt 2018 Greetings from Dr. Bill 25+ years of experience Author: Certified Management Essentials (CME), 10-course program Pathway to Coping

More information

If you would like to find out more about this service:

If you would like to find out more about this service: Step by Step Information for parents and carers This guidance forms part of Samaritans Step by Step resources for communities working with and supporting young people. Step by Step is a Samaritans service

More information

The New York State Cessation Center Collaborative Statewide Conference Call. Jonathan Fader, PhD

The New York State Cessation Center Collaborative Statewide Conference Call. Jonathan Fader, PhD Motivational Interviewing & the Five R s: Helping Clients Who Aren t Ready to Quit The New York State Cessation Center Collaborative Statewide Conference Call Jonathan Fader, PhD September 2, 2009 Disclosure

More information

Managing Your Emotions

Managing Your Emotions Managing Your Emotions I love to ask What s your story? (pause) You immediately had an answer to that question, right? HOW you responded in your mind is very telling. What I want to talk about in this

More information

Dealing with Traumatic Experiences

Dealing with Traumatic Experiences Dealing with Traumatic Experiences RECOGNIZING THE SIGNS POST INCIDENT STRESS AND HOW TO COPE WITH IT Some of the stress symptoms that individuals can experience after traumatic incidents are listed below.

More information

Motivational Interviewing Engaging clients in a conversation about change

Motivational Interviewing Engaging clients in a conversation about change Motivational Interviewing Engaging clients in a conversation about change 16 th Annual Social Work Conference University of Southern Indiana March 2nd, 2018 Chad Connor, MSSW, LCSW So what is Motivational

More information

Section 1: Goals and Attitudes

Section 1: Goals and Attitudes Are you ready to lose weight? Find out how ready you are by taking the questionnaire below and see where your responses fall. Lifestyle changes begin with a person willing and able to make necessary changes.

More information

QPR Suicide Prevention Training for Refugee Gatekeepers

QPR Suicide Prevention Training for Refugee Gatekeepers QPR Suicide Prevention Training for Refugee Gatekeepers 1 By the end of the training participants will be able to: Define suicide and describe how it is viewed within refugee communities. Identify risk

More information