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NSG221-Clinical-IPR
Mental Health Nursing (NSG221)
Herzing University
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Interpersonal Process Recording: Sarah Christopher Eliff Herzing University NSG 221: Mental Health Nursing Professor Swiderski June 2, 2024
Interpersonal Process Recording: Sarah Patient Description/Introduction to Interaction On Monday, 5/13, I engaged in a therapeutic interaction with Sarah, a 24-year-old voluntary admission at Lake Behavioral Hospital. Sarah presented with alcohol intoxication and reported symptoms of depression, including poor appetite, as well as cocaine use. Sarah is volleyball coach at a local high school in the Kenosha area. She was admitted Sunday, 5/12 in the afternoon on a 5-day voluntary admission. Stage of Growth and Development According to Erikson's psychosocial theory, Sarah is likely in the stage of young adulthood, which typically spans from around ages 18 to 40. This stage is characterized by the psychosocial crisis of intimacy versus isolation. During this period, individuals strive to develop intimate relationships with others while also maintaining a sense of independence and identity (Orenstein & Lewis, 2022). In Sarah's case, her substance use, and emotional distress may significantly impact her ability to navigate this stage effectively. Substance abuse can interfere with the development of healthy relationships, as it may lead to social withdrawal, impaired communication, and conflict within interpersonal connections (Gates et al., 2016). Sarah's reported symptoms of depression and poor appetite further suggest that she may be struggling to establish meaningful connections and experiences feelings of isolation or detachment from others. Additionally, the presence of substance use, and mental health issues may contribute to feelings of low self-esteem and identity confusion, which are key aspects of Erikson's stage of young adulthood (Gates et al., 2016). Sarah's reliance on substances as a coping mechanism may hinder her ability to develop a strong sense of self and engage in fulfilling relationships, thereby exacerbating feelings of isolation and emotional distress.
"You need to stop using alcohol and drugs if you want to get better." "I know, but it's really hard for me." Patient looks down, voice softens. Non-therapeutic (Sharma & Gupta, 2023) "I understand that stopping is challenging. Let's explore some steps you can take to reduce your use and find healthier coping strategies." I realize that my initial statement may have sounded judgmental and not supportive, which could hinder Sarah's willingness to open up. "Have you considered seeking support from friends or family during this difficult time?" "I'm not sure they would understand. I feel like I'm burdening them with my problems." Patient continues to look down. Therapeutic (Sharma & Gupta, 2023) "It's common to feel hesitant about reaching out, but your loved ones likely care about you and want to help. Let's brainstorm ways to communicate your needs to them." I want to encourage Sarah to utilize her support network while addressing her concerns about burdening others. "Would you be open to exploring other coping strategies besides drinking?" "I'm willing to try, but I'm not sure what else would help." Patient nods slightly, appearing unsure. Therapeutic (Sharma & Gupta, 2023) "That's understandable. Let's discuss some alternative coping mechanisms and see what resonates with you." I want to help Sarah in identifying and implementing alternative coping strategies.
Summary Alternative Communication Technique # 1 An alternative communication technique could involve using motivational interviewing to help Sarah explore her uncertainty about stopping substance use. For example, "What are some of the things you like and dislike about using alcohol and drugs?" This technique can help Sarah articulate her reasons for change and build her motivation (Gates et al., 2016). Alternative Communication Technique # 2 Another alternative could be providing Sarah with positive reinforcement for her willingness to seek help and explore treatment options. For instance, "It's really commendable that you've taken this step to come here and seek support. You should build on this progress while you are here." This approach can help bolster Sarah's self-esteem and reinforce her commitment to recovery (Sharma & Gupta, 2023). Conclusion Interpersonal Strengths and Weaknesses Strengths: Demonstrated empathy, active listening, and an understanding approach. Weaknesses: Initial non-therapeutic response that may have sounded judgmental and could hinder open communication. Lessons Learned I learned the importance of using supportive and non-judgmental language when addressing sensitive topics like substance use. Reflecting on this interaction, I recognize the need to continuously improve my communication skills to ensure they are therapeutic and conducive to building trust and rapport with clients.
NSG221-Clinical-IPR
Course: Mental Health Nursing (NSG221)
University: Herzing University
