best advice

[cyberlizard]

my name is steve and I work as a nurse on an acute psychiatric ward in the UK. My caseload is mixed and includes psychosis and personality disordered patients.

please can people tell me what they have found to be most helpful both overall and from a christian perspective.


many thanks

Steve

 

[warrrior4him007]

well here in the usa there is a treat meant tittled dbt thrue marsah lineham that has workd excellent iam liveing proofi use to livein adult foster care home for2years and i udse to frequent the houspital at least once a month that was 10 years ago i still struggle dont get me wrong i just have the proper tootls to help me recover

 

[madison1101]

Cognitive Behavioral Therapy has worked with me. My therapist was excellent at limit setting and helping me rethink my behavior and my situations so that I began to think in a more realistic, mature way about things.\

Are you looking for information on how you should work with your patients, or to recommend for your patients for aftercare when they leave the hospital?

 

[cyberlizard]

madison1101 asked what was I looking for - in answer better technique, styles, methods, etc. On an acute ward we do not often get time to provide fully structured cdbt/dbt programmes and so what have other people found helpful in the immediate short term?


Steve

 

[madison1101]

madison1101 asked what was I looking for - in answer better technique, styles, methods, etc. On an acute ward we do not often get time to provide fully structured cdbt/dbt programmes and so what have other people found helpful in the immediate short term?


Steve

Definite consistency. Borderline patients will try staff splitting and manipulating to get their way. Say what you mean and mean what you say. Strong boundaries. Be aware of the strong transference and your countertransference.

I do group therapy in a psychiatric hospital and I try to teach coping skills for negative affect as much as possible. Borderlines rarely learn to self-soothe when they are upset, so that results in the acting out behaviors. Deep breathing, meditation, journaling, exercise are all coping skills that have worked for me, and I try to encourage all of my patients to implement them.