Process Recording - Delusions and Paranoia

Name: Process Recording Diagnosis: Delusions & Paranoia Verbatim Record SN: Hello! How are you today? SN: Therapeutic/ NonTherapeutic Communication Technique Broad opening MK: I’m good. How about you? SN: I’m good too, thank you! I’m Jamie, a nursing student from Adelphi University. What’s your name? MK: I believe that there is someone higher than us but each one of us creates our own God within us. This God we create is inside and always present within us. This is why we uphold ourselves to our own standards. Doesn't that make you feel like you have a sense Analysis Feeling nervous that patient may not want to speak with me. Patient was smiling and looked fine. Introducing self in hopes patient will be willing to stay and chat. Broad opening --- Patient is friendly and showed etiquette. Asking if patient was interested in speaking with me. Offering lead MK: Sure! I have a question for you if you don't mind me asking, what is your religion? SN: I'm unsure of my religion. I believe there is a God, but not too sure who or which one to believe in. How about you? Patient: Defense Mechanisms Used --- MK: My name is M.K., nice to meet you (Hand out to shake my hand). SN: (Shakes hand) It’s nice to meet you too. If you don’t mind, would you like to chat a little bit? Date: Patient Initials: --- Seems to be interested in religion? Quickly put focus back to patient after offering self. Offering self & Focusing --- Seems very interested and occupied with religion/spirituality. It was interesting listening to patient’s theory. of power? SN: I'm really awed by your theory and thoughts on this subject. Your way of thinking about religion and spirituality seems positive and uplifting. It does feel a little powering. You seem very interested in this subject. When did you become interested in this? Active listening & Exploring MK: Oh, many years ago. I spoke with a lot of different people online all over the world, family, and friends. You see, this is why they thought I was having delusions because of the people I talk with online did not exist. SN: When you say “they,” whom are you referring to? The doctors? MK: Yes. But, I can understand why they Actively listening and provided feedback. Asked question to seem more information. --- Patient understands reason for admittance. Clarifying MK: Yes, the doctors here and my daughter too. I want to get in touch with the people I talk with online to prove they exist, but they’re busy and are all around the world. SN: Oh, I see. The doctors think you are delusional because you speak of these people you communicate with online but since they’re online you can’t prove they are real and prove that you’re not really having delusions? --- To clarify what patient meant. Rationalization Paraphrasing I’m unsure if what patient saying is true or real delusions. Wants to prove her friends exist but says they’re busy and all over the world. Paraphrasing what patient said to confirm what was communicated. think that way because there’s no proof. You are an example too. After you leave, and when I tell them that I spoke with you, they will think I was having delusions and I will have no proof that I really did talk to you and I was not standing here by myself talking to nobody. SN: I can see why you think that way. Remember to tell them my name and that I am a nursing student from Adelphi! Rationalization Showing acceptance MK: Haha, okay. Thank you! But I know they will still think I had delusions of talking with you. Can see why people think patient is delusional and gives own reason and interpretation. Agreeing with patient, showing acceptance to show my interest and nonjudgmental attitude. --- SN: Ohh…… Silence MK: Do you have some more time? I want to show you a book. I did not know how to respond. --- SN: Yeah, sure! I have time. --MK: Okay. Thank you. Hold on. Leaves to go to room to get book. --- MK: This is John Sexton’s Baseball as a Road to God: Seeing Beyond the Game. I really like this book. Read this page. SN: I read the page. MK: What I just told you about before is --- --- Patient is interested in religion. what is written here. There is a hierophant that’s the higher up and teaching us. You are the effable because you are learning right now. SN: Ohh, I see. I’m learning from the hierophant, which makes me the effable? --- Paraphrasing MK: Yes. I believe in all religions and I think everyone should too. We should learn more about each other and accept other people’s religions too. SN: It’s wonderful that you think that way! The world would be a lot more peaceful. --- Recognition MK: Yes. I need to make a call. I want to say good luck to you finding that inner presence and with your classes (Holds my hand). SN: (Holds hand) It was really nice talking with you. It really opened up a new perspective and I want to wish you good luck too! If you want, we can chat some more later? Paraphrasing what patient said to confirm what was communicated. Agreeing with patient, showing recognition to show my interest and nonjudgmental attitude. --- Touch & Recognition Touch communicates caring and provides comfort. MK: Sure maybe! Thank you again. Bye! SN: You’re welcome. Bye-bye! Seems open and optimistic ---