Your SlideShare is downloading. ×
0
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Coping With Symptoms
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Coping With Symptoms

766

Published on

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
766
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
11
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  1. Coping with Symptoms Buddy Garfinkle, MSW
  2. <ul><li>Definition of coping </li></ul><ul><li>“ To contend or strive especially </li></ul><ul><li>on even terms or with success” </li></ul><ul><li>Changing coping strategies may reduce stress </li></ul>Why coping?
  3. The Stress Vulnerability Model of Schizophrenia
  4. Common Symptoms Associated With Mental Illness
  5. <ul><li>Negative symptoms </li></ul><ul><li>Absence of expression, drive, emotion, thought </li></ul><ul><li>  </li></ul><ul><li>Social Withdrawal </li></ul>Negative Symptoms-Lack of Interest or Pleasure
  6. Psychotic Symptoms
  7. <ul><li>Shift topics, usually unrelated and without logical sense </li></ul><ul><li>  </li></ul><ul><li>Difficulty in perceiving what is real </li></ul>Loose Associations
  8. <ul><li>Medications </li></ul><ul><li>Social skills training </li></ul><ul><li>Cognitive Behavioral therapy </li></ul><ul><ul><li>Originally developed for residual symptoms, developed mainly for anxiety and depression </li></ul></ul><ul><ul><li>Up to 60% of individuals taking prescribed medication still have persistent symptoms </li></ul></ul>Treatment
  9.  
  10. <ul><li>Understanding persons experience irrespective of its connection to reality </li></ul><ul><li>Interest in the person’s experience </li></ul>Developing a Therapeutic Alliance
  11. <ul><li>What appears to be a void, in fact, has a cognitive component of contemplation and observation </li></ul>Reduction of Negative Symptoms
  12. <ul><li>May be biological in nature, or </li></ul><ul><li>May be reaction to past trauma </li></ul><ul><li>May be a learned behavior, emotional blunting </li></ul>Affective Flattening
  13. Avolition
  14. <ul><li>Positive symptoms may be connected to aberrant thought process </li></ul><ul><li>Personalizing bias </li></ul><ul><li>Jumping to conclusions </li></ul><ul><li>Cognitive rigidity </li></ul>Reduction of Positive Symptoms
  15. Behavioral Basis of Treatment
  16. <ul><li>Behavioral Response </li></ul><ul><li>Go for a walk, listen to relaxing music </li></ul><ul><li>Socialization </li></ul><ul><li>Medication </li></ul>Hallucinations-Auditory
  17. <ul><li>Distraction </li></ul><ul><li>Focusing: allow the voice to exist and relax with it </li></ul><ul><li>Rational Responding </li></ul><ul><li>Anxiety or anger reducing techniques </li></ul><ul><li>Induce the voice for time limited period </li></ul><ul><li>Normalizing techniques, “this is my illness </li></ul><ul><li>Confronting the omnipotence of the voices-they are only voices and you don’t have to act upon them. </li></ul><ul><li>Assertiveness with the voices-develop a dialogue with them </li></ul>Cognitive Response
  18. <ul><li>Focus on the effects of stress, or sleep deprivation, rather than the etiology of symptoms </li></ul><ul><li>Voice diary </li></ul><ul><ul><li>Ties voices and intensity to time of day triggers </li></ul></ul><ul><ul><li>Identifies patterns, triggering coping strategies Affective responses (anger, anxiety) may lead to unhelpful behaviors </li></ul></ul>Elicit the details of the experience
  19. Patterns identified can lead to engaging the voices constructively
  20. Generate coping strategies
  21. Social skills training <ul><li>Relaxation techniques </li></ul><ul><li>Breathing </li></ul><ul><li>Progressive muscle relaxation </li></ul><ul><li>Guided imagery </li></ul>
  22. <ul><li>Teach the connections between thoughts and feelings </li></ul><ul><li>Examine the evidence supporting the thoughts </li></ul><ul><li>Challenge and modify beliefs not supported by evidence </li></ul><ul><li>Explain automatic thoughts (biased thoughts) </li></ul><ul><li>Teach to challenge thoughts or develop coping strategies </li></ul>Cognitive Re-Structuring
  23. Activity Scheduling-Frontline Intervention For Depression
  24. <ul><li>With the mastery </li></ul><ul><li>of a skill, </li></ul><ul><li>developing a coping strategy for </li></ul><ul><li>symptom management the cognitive </li></ul><ul><li>mind-set will improve. </li></ul>Mastery and Pleasure Techniques
  25. <ul><li>Observable </li></ul><ul><li>Self-report </li></ul><ul><li>Reduction of stress </li></ul><ul><li>Attainment of recovery goals </li></ul>How do we know when a person has mastered a coping strategy?

×