Client

Two Crucial Facts About K2

Two Crucial Facts About K2

New strategies for substance use assessment will help us master the needed skills, so we can continue to do the best work possible for our patients and clients, helping with relapse prevention, promoting full recovery, paying attention to integrated care, lessening fragmented care, and feeling gratified, as we continue to do this challenging though noble work.

What Causes Addiction?

What Causes Addiction?

Contrary to popular belief, while personal efforts can contribute to one’s attendance to appointments, groups, and to one taking medications as prescribed, addiction or substance use disorders are caused by a combination of bio-psycho-social and cultural factors, and the treatment also requires the same multidimensional approach. As clinicians, it is our role and duty to follow this framework in our assessment, treatment, and approach with our patients and clients, and especially in how we communicate with them and talk about them and about addiction, as a whole.

Steps to Integrate Substance Use Treatment and Mental Health Services

Steps to Integrate Substance Use Treatment and Mental Health Services

Split treatment remains a challenge and has been shown to be detrimental to our patients and clients. This becomes more significant when it involves a patient population with several comorbidities. Patients with both mental health and substance use treatment needs are particularly vulnerable to split treatment, and integrating substance use treatment and mental health services is not only advised but also essential if we are to make meaningful changes.

Borderline Personality Disorder: The Role of the Agency and the System

Borderline Personality Disorder: The Role of the Agency and the System

A lack of purpose and direction in treatment has been one of the factors contributing to feeling drained when working with patients and clients suffering from Borderline Personality Disorder. This draining propensity is rather common; it adds to negative countertransference and leads to clinician resistance to working with these patients and clients.

Borderline Personality Disorder: Clinicians’ Responsibility

Borderline Personality Disorder: Clinicians’ Responsibility

Prior to learning the skills, exploring the reasons why of the skills helps put things into context and helps prepare the terrain for a successful implementation. Strong Countertransference, Draining Propensity, and Splitting Ability are the three reasons why it is crucial for us as clinicians to learn and master the skills for working with patients and clients suffering from Borderline Personality Disorder.

How do I talk with my patient or client about … ? (Part II)

How do I talk with my patient or client about … ? (Part II)

“I have been talking with Peter about diabetes, and we were working on starting an exercise regimen. He recently started to talk about his migraine medication.”  Kate eagerly articulated these words to Roger, who then responded, “We will get to talk about medications. But before we do so, let us discuss the remaining 7 of the 12 most common physical health conditions.”

Basic Integrated Care Skills for the Non-Medical Staff: 5 Reasons Why

Basic Integrated Care Skills for the Non-Medical Staff: 5 Reasons Why

Peter received home health care resident visits from multiple providers, including, nursing care, the care coordinator, and the diabetic educator, in addition to visits from Kate, the social worker.  He began sharing medical concerns and complaints with Kate that he was not sharing with the rest of the staff. However Kate was limited in her understanding and ability to best support Peter.

5 De-escalation Principles to Master

5 De-escalation Principles to Master

“What are you laughing about; why are you laughing at me?” Castro asked these questions during his visit with Jack in the ER. He started to raise his voice, then he got up, made a fist, and as the situation escalated, he ended up in restraints.

De-escalation Skills: 5 Reasons Why Patients and Clients are likely to escalate

De-escalation Skills: 5 Reasons Why Patients and Clients are likely to escalate

“How dare you tell me I can’t leave; who do you think you are?  How dare you?”  Harry spoke these words loudly and in anger to Nate, a forensic social worker, who was meeting with him for the first time, for an evaluation.  

De-escalation skills: 6 Reasons Why

De-escalation skills: 6 Reasons Why

“I went to look for help, and now I am going to jail. What do I need to live for?” Matthew said in anger to the medical student conducting the initial interview. Two days later, he was found tying the bed sheet around his neck. His roommate arrived soon enough, and he was placed on “one-to-one” monitoring for suicide watch. After discharge, Matthew found himself in jail, waiting for trial. Three days later, he was found once again, with his bed sheet around his neck, this time, unconscious.

5 tips to help engage your patients and clients

5 tips to help engage your patients and clients

Patient and client engagement is a challenge across all aspects of clinical care and more so in mental health, especially for those who feel forced into treatment. There is no single best definition for patient or client engagement, but I usually describe it as the active patient and client involvement in his or her care for best outcomes. 

Symptom Contextualization: Introducing a New and Key Concept

Symptom Contextualization: Introducing a New and Key Concept

Arianna’s dream was to become a researcher.  “My older brother has been sick and suffering a lot, and I want to help him and also help stop suffering in the world.”  She often said these words to herself, as a way to remember that keeping her promise alive meant hard work, keeping up with great grades, and maintaining her extracurricular activities.  Arianna wanted to be sure she was doing all the right things to get ready for college and in preparation for graduate school.  At age 15; however, Arianna suddenly developed some unusual and disturbing symptoms…

CBT and Cognitive Distortions: 3 more

CBT and Cognitive Distortions: 3 more

“Talking about these cognitive distortions has been helpful. What are some of the other ones?" Vladimir, a colleague who previously did not think much about CBT, has now become a believer.

After providing the background on CBT and an overview of cognitive restructuring and automatic thoughts, I then started to talk with him about cognitive distortions. Here we discuss 3 more...

Social Determinants of Health

Social Determinants of Health

Common to most community health clinics, waiting areas are usually crowded with patients to be seen, and it was no different this time for staff psychiatrist, Dr. Davidman. Though newly recruited, he managed to quickly develop a “well-liked” reputation with patients, generally greeting everyone waiting to be seen. "I notice many things in this waiting area, but one thing catches my attention the most: many clients and patients often stop me to ask for food." This was the doctor’s personal reflection about complex issues that needed direct attention.

Engaging Challenging Patients and Clients – Wood Did It Best

Engaging Challenging Patients and Clients – Wood Did It Best

“I’m here because of Mr. Wood. For the first time, I felt like someone listened to me, treated me with respect and like a human being.” Jose said this to Danie at the front desk, when he arrived for his first follow up visit with Wood.

How do I talk with my patient or client about … ?

How do I talk with my patient or client about … ?

“I have been talking with Peter about diabetes, and we were working on starting an exercise regimen. He recently started to talk about his migraine medication.”  Kate eagerly articulated these words to Roger, who then responded, “We will get to talk about medications. But before we do so, let us discuss the remaining 7 of the 12 most common physical health conditions.”

Basic Integrated Care Skills for the Non-Medical Staff

Basic Integrated Care Skills for the Non-Medical Staff

Peter received home health care resident visits from multiple providers, including, nursing care, the care coordinator, and the diabetic educator, in addition to visits from Kate, the social worker.  He began sharing medical concerns and complaints with Kate that he was not sharing with the rest of the staff. However Kate was limited in her understanding and ability to best support Peter.

Skills for Working with Clients with Borderline Personality Disorder (agency and system’s perspective)

Skills for Working with Clients with Borderline Personality Disorder (agency and system’s perspective)

A lack of purpose and direction in treatment has been one of the factors contributing to feeling drained when working with patients and clients suffering from Borderline Personality Disorder. This draining propensity is rather common; it adds to negative countertransference and leads to clinician resistance to working with these patients and clients.

Skills for Working with Clients with Borderline Personality Disorder (Clinician’s Perspective)

Skills for Working with Clients with Borderline Personality Disorder (Clinician’s Perspective)

Prior to learning the skills, exploring the reasons why of the skills helps put things into context and helps prepare the terrain for a successful implementation. Strong Countertransference, Draining Propensity, and Splitting Ability are the three reasons why it is crucial for us as clinicians to learn and master the skills for working with patients and clients suffering from Borderline Personality Disorder.

 K2: The 2 Additional Facts all Clinician Needs to Know

 K2: The 2 Additional  Facts all Clinician Needs to Know

New strategies for substance use assessment will help us master the needed skills, so we can continue to do the best work possible for our patients and clients, helping with relapse prevention, promoting full recovery, paying attention to integrated care, lessening fragmented care, and feeling gratified, as we continue to do this challenging though noble work.