Patient Psychoeducation Workbook - MemberClicks · 9.12.2018 · Medication Side Effects are...
Transcript of Patient Psychoeducation Workbook - MemberClicks · 9.12.2018 · Medication Side Effects are...
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Funded by the American Medical Association Alliance Health Education Initiative
JaneHamilton,Ph.D.BerniceYau,M.D.AliaWarner,Ph.D.
PatientPsychoeducation
Workbook
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TableofContents
MyMentalHealthHistory 3RetracingYourSteps MomentofReflectionQuestionsorConcerns
BasicsofMentalHealth 7IntroductiontoMentalIllnessandMentalHealthCausesofMentalIllnessSymptomsofMentalIllnessStressStressVulnerabilityModelImportanceofLifestyleChanges
BasicsofTreatment 14TypesofTreatmentLifestyleChangesPsychotherapyMentalHealthMedicationsMedicationDiaryCommonSideEffectsofPsychiatricMedicationsSocialNetworkBarrierstoCare
TakingChargeofMyMentalHealthJourney 23SharedDecisionMakingMyValuesMyPreferencesMyGoals
TherapeuticActivities 28ReferencesandFurtherResources 45
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MyMentalHealthHistory
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Retracingyoursteps…Wheredidyoucomefrom?
FillinthesteppingstoneswiththeeventsleadinguptoyourHCPChospitalization.
HCPC
Commonreasonsforpsychiatrichospitalization:-feelingsuicidal-stoppingmedications-familyconflict-substanceuse-increasedsymptoms
AuthoredbyJaneHamilton,Ph.D.andBerniceYau,B.S.A.
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Howwouldyoudescribeyourfeelings,thoughts,andbehaviorspriortoyouradmissiontoHCPC?
Howwouldyoudescribeyourfeelingstoday?
Whatwouldyouliketochangeaboutyourthoughts,feelings,andbehaviorswhileyouareatHCPC?
MomentofReflection…
5AuthoredbyAshleyStratton,LMSW,JaneHamilton,Ph.D.,andBerniceYau,B.S.A.
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Whatquestionsorconcernsdoyouhave?
Fillintheblanksordrawapicture
6AuthoredbyBerniceYau,B.S.A.
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BasicsofMentalHealth
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IntroductiontoMentalIllnessandMentalHealth
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Whatismentalillness?v AccordingtotheNationalInstituteofMentalHealth(NIMH),mentalillnessis
amental,behavioral,oremotionaldisorderthatcanimpactyourdailyactivities(working,housework,hygiene).
v Nearlyoneinfivepeoplehaveamentalillness.v Affectspeopleofanyage,ethnicity,orbackground.v Oftenrequireslong-termself-managementandtreatment.
Whatismentalhealth?
AccordingtotheWorldHealthOrganization,mentalhealthis“astateofwell-beinginwhicheveryindividualrealizeshisorherownpotential,cancopewiththenormalstressesoflife,andcanworkproductivelyandfruitfully,andisabletomakeacontributiontoherorhiscommunity.”
Therearedifferenttypesofmentaldisorders…
MoodDisorders(DepressionandBipolarDisorder)
AnxietyDisorders(PanicDisorder,Post-TraumaticStressDisorder,Obsessive-CompulsiveDisorder)
PsychoticDisorders(schizophrenia,schizoaffectivedisorder)
SubstanceUseDisordersPersonality
Disorders
AuthoredbyBerniceYau,B.S.A.andJaneHamilton,Ph.D.https://www.nimh.nih.gov/health/topics/index.shtml
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HumanBrainCells
NeurotransmittersGenetics
Poverty
UnemploymentHomelessnessCommunityViolence
ThoughtsFeelingsBehaviors
LifestyleFactorsCoping
Mechanisms
Manyfactorscancausementalillness.Thesefactorsaregenerallygroupedintobiological,psychological,andsocialcategories.
Fillinthecircleswithotherfactorsthatcancausementalillness.
CausesofMentalIllness
Social
Adaptedfrom:https://ppss.cumbria.nhs.uk/patients/patient-resources/what-to-expect-from-our-service
AuthoredbyJaneHamilton,Ph.D.andBerniceYau,B.S.A.
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SymptomsofMentalIllnessHerearesomesymptomsthatpeoplemayexperience.Circlesymptomsyouhaveexperienced.
Feelingsad Feelingangry Feelinglikeyouhavetoomuchenergy
Sleepingmoreorlessthannormal
Eatingmoreorlessthanusual
Feelingguilty Feelingunsafe Hearingvoices
Seeingthingsthatarenot
there
Yourthoughtsarebeingcontrolled
Thoughtsofwantingtohurt
yourself
Thoughtsofwantingtohurt
others
Movingortalkingveryfast
Movingortalkingslow
Whatsymptomsconcernyouthemost?
Notkeepingupwithdailyhygiene
Panic
AuthoredbyBerniceYau,B.S.A.
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StressEveryoneexperiencesstresssometimes.Stresscanbefrombigchanges,suchasmovingorchangingjobs.Stresscanalsobedailythings,suchascrowdedtransportation,argumentsathome,orfeelingrushedatwork.
Fillintheboxesbelowwiththestressorsthatstickouttoyouthemost.
1. E.g.,Havingargumentsathome…2.3.4.5.
Peoplereacttostressdifferently.Stresscanaffectyouphysicallyandemotionally.Forexample,manypeopleexperiencesleepproblems,increasedheartrate,chestpain,digestionproblems,anxiety,and/ordepressionwhentheyarestressed.
Whatsignsofstressdoyouexperience?
PhysicalSignsofStress EmotionalSignsofStress• E.g.,Increasedheartrate • E.g.,Anxiety• • • • • • • •
AuthoredbyAliaWarner,Ph.D.
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Stress-VulnerabilityModel
Thestress-vulnerabilitymodelisonewaytounderstandmentalillness.
Everyonehasageneticriskfordevelopingmentalillness.However,somepeoplehaveahigherriskthanothers.
Stresscanchangethehumanbrain.Whensomeoneisstressed,thiscancausementalillnesssymptomstooccur.
Youcanloweryourriskofdevelopingsymptoms,bydoingthethingsbelow!
Adaptedfrom:Zubinetal.1977byJaneHamilton,Ph.D.
TakePsychiatricMedications
AvoidDrugandAlcohol
Use
SeekSocialSupport
UtilizeCopingSkills
DecreaseBiologicalVulnerability
DecreaseStressVulnerability
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ImportanceofLifestyleChangesPeoplewithmentalillnessaremorelikelytohavechronicdiseasessuchasdiabetes,highbloodpressure,andheartdisease.
Unhealthylifestylebehaviorssuchassmoking,drinkingalcohol,druguse,poordiet,andlackofexerciseincreasechronicdiseaserisk.
Tostaywell,itisimportanttoincreasehealthybehaviorsandavoidunhealthybehaviors.
Beingapatientinamedicalhomewhereyouobtainregularcheck-upsandscreeningsforchronichealthconditionsisveryimportant.
YoucanbereferredtoamedicalhomepriortoHCPCdischarge.
AuthoredbyJaneHamilton,Ph.D.
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BasicsofTreatment
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ImprovingYourMentalHealthMentalhealthtreatment,lifestylechanges,andsocialsupportcanimproveourmentalhealth.
Intheboxesbelow,pleasedescribeanyexperiencesyouhavehadusingtheseapproachestoimproveyourmentalhealth.
LifestyleChanges
Psychotherapy
Medications
SocialSupport
Reference:https://www.samhsa.gov/treatment
Let’sgoovereachofthetreatmentoptionsinmoredetailonthenextfewpages.
AuthoredbyBerniceYau,B.S.A.
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LifestyleChanges
Ourdailyhabitscanaffectourmentalhealth.Brainstormsomehealthylifestylehabitsbelow.
Howcanyougetagoodnight’ssleep?
Howcanyoumaintainahealthydiet?
Whatdoyouliketodoforexercise?
Arethereanydrugsoralcoholhabitsthatyouwouldliketoworkon?
Whataresomeotherpositivedailyhabits?
Doyouneedhelpquittingsmoking?
AuthoredbyBerniceYau,B.S.A.andJaneHamilton,Ph.D.
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Psychotherapy
Psychotherapy“talktherapy”canimprovementalhealth.Belowarejustafewexamplesofdifferenttypesofpsychotherapy.
Formoreinformation:http://www.apa.org/helpcenter/understanding-psychotherapy.aspxhttps://www.nami.org/Learn-More/Treatment/Psychotherapy
CognitiveBehaviorTherapy(CBT) DialecticalBehaviorTherapy(DBT)
SeekingSafety
Therapyfocusesontheconnectionbetween
emotions,thoughts,andbehaviors.People
workonchangingtheirthoughtsandbehaviorstoimprovetheiremotions.
Is a treatment for individuals with post-traumatic stress disorder (PTSD) andsubstanceusedisorders.SeekingSafetycanhelppeoplestopusingsubstances,let go of unhealthy relationships, and gain more control over emotions andsymptoms.With this treatment,people learnhow touse safecoping skillsandimprovetheirviewoftheworldandthemselves.
Therapyprovidesskillstrainingforpeopletogaincontrolovertheiremotions,toleratedistress,andimprovetheirrelationships.EffectivetreatmentforBorderlinePersonalityDisorder
If you thinkpsychotherapy is right foryou,discusswithyour treatment teamwhat type of psychotherapy would be helpful for your specific problems ormental illness. You can also ask your team for more details aboutpsychotherapyandhowitworks.
Herearesomeexamplesofwaysyoucanengageinpsychotherapy:
IndividualPsychotherapy
GroupPsychotherapy FamilyTherapy
Occurs between just youand your psychotherapist.This type of therapy canhelp you address moresensitivemattersonadeeperlevel.
YoucanparticipateinCBT/DBTinagroupandlearncopingskillsandlearnfromothermembers’experiences.
Familiesreceivetherapytogethertoimproverelationshipsandreduceconflict.Whenprovidedwithindividualpsychotherapy,canteachfamiliesaboutmentalillnessandtohelpfamilieslearnhowtobesthelpyou.
thoughts
behaviorsemotions
https://nsightrecovery.com/treatment/cognitive-behavioral-therapy/
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MentalHealthMedications
https://www.nimh.nih.gov/health/topics/mental-health-medications/index.shtml
Therearemanydifferentmedicationsthattreatdifferentsymptomsanddisorders.Differentmedicationstargetchemicalsinthebrainthatareassociatedwithaparticularsymptomordisorder.Themedicationsbelowarejustafewexamples.
SelectiveSerotoninReuptakeInhibitors(SSRIs)
Fluoxetine/Prozac Citalopram/Celexa Sertraline/Zoloft Paroxetine/Paxil Escitalopram/Lexapro
Serotonin-NorepinephrineReuptakeInhibitors(SNRIs)
Venlafaxine/Effexor Duloxetine/Cymbalta Desvenlafaxine/Pristiq
Antidepressants–medicationsthathelpwithdepression.
Bupropion/Wellbutrinisanothermedicationusedfordepression(andsmokingcessation)thatisconsideredaNorepinephrine-DopamineReuptakeInhibitor(NDRI).Manyanti-depressantsalsoreduceanxiety.
Antipsychotics–medicationsthathelpwithpsychosissymptoms(delusions,hallucinations).Thesecanbepillsorlong-acting(depot)injections.
SecondGenerationAntipsychoticMedications
Risperidone/Risperdal Ziprasidone/Geodon Aripiprazole/Abilify Quetiapine/Seroquel
Olanzapine/Zyprexa Lurasidone/Latuda Paliperidone/Invega Clozapine/Clozaril
FirstGenerationAntipsychoticMedications
Chlorpromazine/Thorazine Haloperidol/Haldol Perphenazine/Trilafon Fluphenazine Prolixin
MoodStabilizers–medicationsthathelpwithbipolardisorder.MoodStabilizers
Lamotrigine/Lamictal Depakote Lithium Carbamazepine/Tegretol
Circlethenamesofmedicationsyouarecurrentlytakingorhavetakeninthepast.
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MedicationDiary(AskUnitStaffforHelp)
Medication Form Dose Whatisthismedicationusedfor?
Sideeffects
Haloperidol PillInjection
1pill(2mg)twiceaday
Forpsychosis(thevoices)
Restlessness,rigidity,constipation,tremor
Reviewyourmedicationdiarybeforeyoudischarge.Doyouhaveanyquestionsforyourdoctoraboutyourmedications?
AuthoredbyBerniceYau,B.S.A.
Forexamp
le
Fillinyour
medshere
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CommonSideEffectsofPsychiatricMedicationsMedicationSideEffectsareeffectsorproblems,oftenunwanted,thatoccurinadditiontotheintendedordesiredeffectsofamedication.Sideeffectsdependonwhatmedicationyouaretakingandtwopeopletakingthesamemedicationmayresponddifferently.
Somesideeffectscanbemildandmanagedathome.Thesesideeffectstypicallyincludenausea,dizziness,drymouth,tiredness.
Othersideeffectscanbemoreseriousandshouldbediscussedwithyourdoctorrightaway.Thesesideeffectscanincludeshaking,fainting,rash,musclepainandrigidity,confusion,suicidalthoughts,seizures.
MedicationSideEffectsPlan
(FillinTableBelow)
Medication MildSideEffect SeriousSideEffect
Zyprexa(olanzapine)drowsiness;drymouthshaking;fainting;confusion_______________ ________________ __________________________________ ________________ __________________________________ ________________ __________________________________ ________________ __________________________________ ________________ __________________________________ ________________ ___________________
Planforwhatyoushoulddoifyouexperienceaserioussideeffect.____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Substancesormedicationsyoushouldavoidwhiletakingyourmedications._____________________________________________________________________________________________________________________________________________________________________________________________
AuthoredbyBerniceYau,B.S.A.andJaneHamilton,Ph.D.Adaptedfrom:http://brss-tacs-decision-tool.samhsa.gov/DA_files/LearnMore_Medication_AntipsychoticMed.html
Askyourtreatmentteamforhelp!
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SocialNetwork
me
MentalHealthisateamsport.HavingastrongsupportnetworkafteryouleaveHCPCcanhelpyoutostaywell.
Fillinthecircleswithnamesofpeoplewhoyoutrustandsupportyourrecovery.
Peoplewhodon’tknowyouaswell,butyoutrustenoughtoreachouttothemifneeded,orpeopleyouwanttogettoknowbetter.
Peoplewhoyouknowyouthebestandsupportyourrecovery.
Talkingwithotherpeoplewhostrugglewithmentalillnesscanbehelpful.Talktoyourtreatmentteamaboutjoiningamentalhealthsupportgroup:________________________________________________________________________
AuthoredbyJaneHamilton,Ph.D.andBerniceYau,B.S.A.
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BarrierstoCareFactorsnotdirectlyrelatedtomedicaltreatmentcanalsoaffectourabilitytoobtainhealthcareafteryouleaveHCPC.Examplesincludeyourabilitytopayformedications,healthinsurance,transportationtoclinics,conflictingworkschedules,anddisagreementswithfamilymembers.
Listmajorchallengesyoufaceinpursuinghealthcareintheboxesbelow.Discussthesechallengeswithyourtreatmentteam,whocanhelpyoufigureoutsomesolutions.
Challenges Solutions
Resourcesarelistedattheendofthisbooklet
AuthoredbyBerniceYau,B.S.A.
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TakingChargeofMyMentalHealthJourney
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SharedDecisionMakingYouandyourtreatmentteamwillworktogethertomakedecisionsaboutyourmentalhealthtreatmenttomakesureyouareatthecenterofthesedecisions.
Oftenthereisnorightmentalhealthtreatment;thereisonlythetreatmentyouchoosethatismostconsistentwithyourownvalues,preferences,andgoals.
AsapatientatHCPC,yourvalues,preferences,andgoalsformentalhealthtreatmentareviewedasimportantandshouldbediscussedwithyourtreatmentteam.
Values:one'sjudgmentaboutwhatisimportantinlife.(Example:havinghealthyrelationshipsorgettingajob).
Preferences:likingoneoptionoverothers.(Example:preferringonemedicationoverotherstotreatdepression).
Goals:thedesiredresultofmentalhealthtreatment.(Example:reducingsymptomsofdepression).
YourHCPCtreatmentteamwillexplainyourtreatmentoptionsandhelpyouclarifywhatismostimportanttoyoutohelpyoumakethebestdecisionsaboutyourmentalhealthtreatment.
AuthoredbyJaneHamilton,Ph.D.
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MyValuesDescribetheimportanceofthreeofyourvaluesintheboxesbelow.Yourvaluesmightincludehavinghealthysocial/familyrelationships,spirituality,beinghealthy,havinganactivelifestyle,gettingajob,enrollinginschool,orbeingabletoliveonyourown.
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1.
3.
2.
AuthoredbyJaneHamilton,Ph.D.
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MyPreferences
Describeyourpreferencesformentalhealthtreatmentintheboxesbelow(e.g.lifestylechanges,psychotherapy,medications,andsocialsupport).
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1.
3.
2.
AuthoredbyJaneHamilton,Ph.D.
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MyGoalsDescribeyourmentalhealthtreatmentgoalsintheboxesbelow(e.g.feelingbetter,reducingsymptoms,improvingfunctioning,improvingphysicalhealth,quittingdrugs).
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1.
3.
2.
AuthoredbyBerniceYau,B.S.A.andJaneHamilton,Ph.D.
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TherapeuticActivities
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DailyAffirmationsAffirmationsareshort,powerfulpositivestatementsaboutyourself.
Youcansayorthinkanaffirmationtoimproveyourthoughtsaboutyourself,yourabilities,oryoursituation.
ExampleAffirmations:Ibelieveinmyself!Iamacreativeperson!Iamcapableofgettingbetter!Mytreatmentteamrespectsmyfeelingsandvalues!Myfamilyandfriendsloveme!Icandothis!Ideservetogetwell!Iliveeachdaytothefullest!
Imagineyouarethetreasurechestbelow.Writeoneaffirmationoneachofthefourgoldcoins.
Challenge:Writefouraffirmationsadayuntilyourtreasurechestisfullofpositivestatementsaboutyourself!
AuthoredbyJaneHamilton,Ph.D.
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CopingwithStressTherearemanywaystocopewithstress.Itmighttakeafewtriestofigureoutwhichcopingskillsworkbestforyou.Theexamplesbelowarecopingskillsotherpeoplehavefoundhelpful.Noteverycopingskillworksforeveryone,sotryafew!Itcanbedifficulttoremembercopingskillsthatworkwhenyoufeelupset.It’shelpfultopracticecopingskillswhenyoudon’tneedthemsoyouarepreparedtousethemwhenyou’restressed!
Circlethecopingskillsthatworkforyousoyoucanrememberthemlaterwhenneeded.
TalkingwithSomeone PositiveThoughts JournalingWhocouldyoutalkto? Remindyourselfofwhen Writedownyour
1. yougotthroughsomething thoughts;write2. Similarorgiveyourselfencouraging poems3. words
Findsomethingthatmakes ListentoMusic EnjoyableActivitiesyoulaugh(TV,movies, Whatdoyouliketodo?comics,books,otherpeople)
Exercise Contribute Relaxation Volunteerorfocuson Lookatthenextpage makingsomeone’sday forsomeideas
AuthoredbyAliaWarner,Ph.D.
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Relaxationtechniquescanhelpreducestress,andcanhelpwithmentalhealthsymptomsthatareaffectedbystress(e.g.,voices,anxiety,depression).Justlikethecopingskillsreviewedearlierinthisworkbook,differentpeoplewillfinddifferentlevelsofsuccesswithrelaxationtechniques,sotryafewofthemtoseewhatworksforyou!
Therearemanyrelaxationexercises.ThisworkbookfocusesonMindfulness,Imagery,andActivities.
RelaxationTechniques
AuthoredbyAliaWarner,Ph.D.
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Mindfulness
Mindfulnessisapracticethatimprovesmanypeople’ssymptomsandwell-being.Mindfulnessisaboutexperiencinglifeasitis,inthepresentmoment,withoutjudgment,withpurposefulattention.Youcanusemindfulnessinmanydailyactivities,suchaswashingthedishes,walking,andsitting,bybeingmindfulyoursenses(hearing,feeling,tasting,smelling,andseeing).Hereisanexampleofabreathingtechnique:Sitinacomfortableposition.Allowyourbodytobecomestill,andbringyourawarenesstoyourbreath.Don’ttrytochangeyourbreathing,justnoticeit.Noticewhereyoufeelyourbreathinyourbody.Youmightnoticeitinyournose.Yourbreathmaybeinyourshoulders,neck,belly,orsomewhereelse.Continuetobreatheinandout,payingattentiontoyourbreath.Noticehowyourstomachgraduallyriseswitheverybreath,andhowyourstomachfallswhenyouexhale.Ifyouexperiencedistractingthoughts,acknowledgethem.Noticeyourthoughtscomeandgo.Letyourthoughtsbewithoutjudgment,andbringyourawarenessbacktoyourbreath.Continuetobreathewithawarenessfor5minutes.
Ifyouwantmoremindfulnesstechniquestoreducestress,seeAMindfulness-BasedStressReductionWorkbookbyBobStahlandElishaGoldstein.
AuthoredbyAliaWarner,Ph.D.
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ImageryYoucanuseimageryinmanyways.Somepeopleuseimagerybyimaginingaplacewheretheyfeelsafe,arelaxingplacelikethebeach,and/orimaginingthefuturethattheyhopefor.Getintoacomfortablepositionandcloseyoureyes.Allowyourselftorelaxandtakeafewslowdeepbreaths.Imagineyourselfwalkingdownapleasantpath.Itisanicedayoutandyoucanfeelthesunshinewarmingyourskin.Afteryouwalkforabit,youcomeacrossagardenandwalkintothegatetoexploreit.Thegardenisfullofallyourfavoritethings.Theremightbemusic,birds,flowers,maybeevenaseesaw.Takeamomenttolookatyourgarden…lookatalltheobjectsinthegarden,noticethecolors…theshapes…lookatthesky,theground,andallaroundyou.Nowtakeamomenttoexperiencetheobjectsinyourgarden.Someobjectsmaybecoolorwarm,maybesoftorhard.Feelthewarmsunshineonyourfaceasitpeeksthroughthetrees.Inyourgarden,takeyourshoesoffandfeelthewarm,softgroundwithyourfeet.Listentothepeacefulsoundsinthegarden,theremightbebirdssinging,waterrunningdownastream,oraslightbreezeyoucanhear.Spendasmuchtimeinyourgardenasyouwouldlike.Whenyouareready,walkbacktowardthegateanddownthepath.Rememberthatyoucanalwaysreturntoyourprivategardenanytimeyouwishtorelaxorfeelcomforted.Nowopenyoureyesasyouarereadytoresumeyourdaywithpeace.
AuthoredbyAliaWarner,Ph.D.
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RelaxationActivities
Takeawarmbath Takeawalkoutside Drinksomethingwarm
Stretchordoyoga Read
Inadditiontomindfulnessandimagery,manydifferentactivitiescanhelpyoufeel relaxed. Whatactivitieshaveyoudoneinthepastthatmadeyoufeelrelaxed? 1.
2.
3.
4.
5.
Herearesomerecommendations – circlethestrategies youwould liketouseorfinduseful:
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BeforeItriedtheexercise AfterItriedtheexercise12345678910 12345678910
12345678910 12345678910
CopingwithVoices
Look,Point,NameHearingvoicescanbestressful.Luckily,therearemanyskillsyoucanpracticetocopewithvoiceswhentheymakeyouupset!Thefirstskilliseasyandyoucanpracticeitanywhere-Look,Point,Name.
Lookaroundtheroomthatyouarein,andpointtoallthethingsintheroomandsaywhattheyare.Forexample,youmayseethesetypesofitems:
“sofa” “picture” “table”
Trytonameasmanyobjectsintheroomasyoucan.Youcanalsotrylookingaroundtheroomyouareinandnamingallthecolorsyousee.Forexample,youmightseethesetypesofcolors:
“blue” “brown”“green” “purple”
Tryitout!Rateyourdistressbeforeandaftertryingtheskill.Onascalefrom1–10,with10beingtheworst,howisyourmood?
AuthoredbyAliaWarner,Ph.D.
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WeakentheVoicesManyvoice-hearerscanreducethevolumeoftheirvoices,whichcanmakethemlessdistressing.Trytheseskillsandcirclewhichonesworkforyou.Youcanrateyourstressrelatedtothevoicesbeforeandafteryoutrytheskillsoyoucanrememberwhichskillsworkbestforyou!
Earplugs Talkingwithothers Listentomusic
WatchTV Keepingbusy
Takingmedications
asprescribed
Recordhowhelpfultheseskillsareforyou.Ratethevoicesbeforeandaftertheskillonascalefrom1–10,with10beingtheworstthevoiceshavebeen.
Skill Voicesbeforeskill Voicesafterskill
12345678910 12345678910
12345678910 12345678910
12345678910 12345678910
12345678910 12345678910
AuthoredbyAliaWarner,Ph.D.
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De-StressingYourLifeImagineyourlevelofstressasawaterbucket.Weallhavecertainstressorsinourlifethatfillourstressbuckets(blueboxes).Wecantakeactiontode-stressourlives(greenboxes)andkeepourstressbucketsfromoverflowing.
Fillintheboxesbelowwithyourcurrentstressorswaysyoucanmakehealthychangestode-stressyourlife.
Whathappenswhenyouhavetoomuchstress?Whatpositivechangescanyoumakeinyourlifetodecreasestress?
Whatstressorsarefillingyourbucket?
StressorsHealthy
De-stressors
Whatpositivechangesinyourlifecanyoumaketoemptyyourstressbucket?
AuthoredbyBerniceYau,B.S.A.andJaneHamilton,Ph.D.
ThisPhotobyUnknownAuthorislicensedunderCCBY-NC-ND
stress
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MentalHealthMatchingGame–Part1
Directions:Drawalinematchingthewordinthelefthandcolumntothecorrectdefinitionintherighthandcolumn
Word DefinitionCognitiveBehavior
Therapy
UnhealthyLifestyleBehaviors
Intherapy,peopleworkonchangingtheirthoughtsandbehaviorstoimprovetheiremotions
Smoking,drinkingalcohol,druguse,poordiet,andlackofexercise
Astateofwell-beinginwhicheveryindividualrealizeshis/herownpotential,cancopewiththenormalstressesoflife,canworkproductivelyandfruitfully,andcontributestohis/hercommunity
Stress-VulnerabilityModel
CopingSkills
Listeningtomusic,journalingLaughing,positivethoughts,exercising,talkingwithsomeone,relaxation
MentalHealth
Biologicalandstressvulnerabilitiesincreasetheriskformentalillnessandsymptomrelapse
AuthoredbyJaneHamilton,Ph.D.
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MentalHealthMatchingGame–Part2
Directions:Drawalinematchingthewordinthelefthandcolumntothecorrectdefinitionintherighthandcolumn
Word Definition
AmoodstabilizermedicationusetotreatpatientswithBipolarDisorderMindfulness
Thepracticeofexperiencinglifeinthepresent,nonjudgmentally,withpurposefulattention
One'sjudgmentaboutwhatisimportantinlife
Values
Thetreatmentteamandpatientsworktogethertomakedecisionsaboutmentalhealthtreatment.
Haloperidol“Haldol”
Afirst-generationantipsychoticmedicationusedtotreatpatientswithschizophrenia
Valproate“Depakote”
AuthoredbyJaneHamilton,Ph.D.
SharedDecisionMaking
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Ifeelgood.Whataresomesignsandsymptomsthatyouarefeelinggood?
Ifeelok.Whataresomewarningsigns/mentalhealthsymptomsthatyouarefeelingworse?
Ifeelbad.Whataresomewarningsigns/mentalhealthsymptomsthattellyouneedtotalkwithyourdoctorortherapist?
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MyMentalHealthDiary
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Listyourmentalhealth
maintenanceplanhere!
Whatchanges
canyou
makewheny
oufeellike
youarerel
apsing?
Whatisyourplanwhen
youstartfeelingbad?
AuthoredbyBerniceYau,B.S.A.andJaneHamilton,Ph.D.
Trytocompleteyourdiarydaily!
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MyMentalHealthJourneyMental health recovery is about taking things one step at a time! Fill in the stepping stones with steps you will take after leaving HCPC to stay well and continue treatment.
HCPCHCPC
AuthoredbyJaneHamilton,Ph.D.andBerniceYau,B.S.A.
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MyMentalHealthPlan
ContactInfo
- Hospital__________________- Doctor____________________- Pharmacy__________________
- Trustedfriendorfamilymember__________________
- SocialWorker_________________
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Myfollowupappointments:
Appointment1:
Withwhichprovider:___________________ Where:________________
Date_________ Time____________Transportation______________
Paymentforappointment__________________
Appointment2:
Withwhichprovider:___________________ Where:________________
Date_________ Time____________Transportation______________
Paymentforappointment__________________
Appointment3:
Withwhichprovider:___________________ Where:________________
Date_________ Time____________Transportation______________
Paymentforappointment__________________
Let’sputtogetheralltheinformationintoamentalhealthplanpersonalizedforyou!Youcanreviewthiswithyourtreatmentteam.
Referbackto
yourcirclesof
support!(p.18)
Mymedications
WhatpharmacywillIpickupmymedicationsat______________________
WhendoIneedtopickupmymedicationsby________________________
Transport________________ Paymentformeds_______________
HowoftendoIneedtopickuprefills?______________________________
AuthoredbyBerniceYau,B.S.A.
Referbackto
barriersof
care!(p.19)
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WaystoTrackYourProgress
Day1Rateyourmoodtoday:(worst) 0 1 2 3 4 5 6 7 8 9 10(best)Howmanyhoursdidyousleep?_____________Whatsymptomsdidyouhavetoday?__________________________________________Whatmedications,supportgroups,appointments,etc.didyouhavetoday?____________________________________________________________________________________________________________________________________________________Howwereyourdailyactivitiestoday?______________________________________________________________________________________________________________________________________________________________________________________________________________________________Mygoalsfortoday:____________________________________________________________________________________________________________________________________________________
Day2Rateyourmoodtoday:(worst) 0 1 2 3 4 5 6 7 8 9 10(best)Howmanyhoursdidyousleep?_____________Whatsymptomsdidyouhavetoday?__________________________________________Whatmedications,supportgroups,appointments,etc.didyouhavetoday?____________________________________________________________________________________________________________________________________________________Howwereyourdailyactivitiestoday?______________________________________________________________________________________________________________________________________________________________________________________________________________________________Mygoalsfortoday:____________________________________________________________________________________________________________________________________________________
Adaptedfrom:https://blackdoginstitute.org.au/docs/default-source/psychological-toolkit/19-dailymoodchart.pdf
Keeptrackofyourprogressdaily.
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Day3Rateyourmoodtoday:(worst) 0 1 2 3 4 5 6 7 8 9 10(best)Howmanyhoursdidyousleep?_____________Whatsymptomsdidyouhavetoday?__________________________________________Whatmedications,supportgroups,appointments,etc.didyouhavetoday?____________________________________________________________________________________________________________________________________________________Howwereyourdailyactivitiestoday?______________________________________________________________________________________________________________________________________________________________________________________________________________________________Mygoalsfortoday:____________________________________________________________________________________________________________________________________________________
Day4Rateyourmoodtoday:(worst) 0 1 2 3 4 5 6 7 8 9 10(best)Howmanyhoursdidyousleep?_____________Whatsymptomsdidyouhavetoday?__________________________________________Whatmedications,supportgroups,appointments,etc.didyouhavetoday?____________________________________________________________________________________________________________________________________________________Howwereyourdailyactivitiestoday?______________________________________________________________________________________________________________________________________________________________________________________________________________________________Mygoalsfortoday:____________________________________________________________________________________________________________________________________________________
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Adaptedfrom:https://blackdoginstitute.org.au/docs/default-source/psychological-toolkit/19-dailymoodchart.pdf
WaystoTrackYourProgressKeeptrackofyourprogressdaily.
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ReferencesAuthierJ.(1977).ThePsychoeducationModel:Definition,ContemporaryRootsandContent.CanadianJournalofCounsellingandPsychotherapy(12)1:15-22.
BroussardB.,RadkinsJ.B.(2012).DevelopingVisuallyBased,Low-LiteracyHealthEducationToolsforAfricanAmericanswithPsychoticDisordersandTheirFamilies.CommunityMentalHealthJournal(2014)50:629-636.
CenterforMentalHealthServices,SubstanceAbuseandMentalHealthServicesAdministration(2010).SharedDecision-MakinginMentalHealthCare:Practice,Research,andFutureDirections.HHSPublicationNo.SMA-09-4371.Rockville,MD.
ElwynG,FroschD,ThomsonR,etal.(2012)SharedDecisionMaking:AModelforClinicalPractice.JournalofGeneralInternalMedicine.27(10):1361-1367.doi:10.1007/s11606-012-2077-6.
Engel,G.L.(1977).TheNeedforaNewMedicalModel:AChallengeforBiomedicine.Science(196)4286:129-136.
HamiltonJE,SrivastavaD,WomackD,etal.(2018)TreatmentretentionamongpatientsparticipatinginCoordinatedSpecialtyCareforfirstepisodepsychosisamixed-methodsanalysis.JournalofBehavioralHealthServicesandResearch(InPress).
SmithL,NathanP,JuniperU,etal.(2003).CognitiveBehavioralTherapyforPsychoticSymptoms:ATherapist’sManual.Perth,Australia:CentreforClinicalInterventions.
ZubinJ.,SpringB.(1977).Vulnerability—ANewViewofSchizophrenia.JournalofAbnormalPsychology(86)2:103-126.
SubstanceAbuseandMentalHealthServicesAdministration(SAMHSA)https://www.samhsa.gov
AmericanPsychiatricAssociation(APA)https://www.psychiatry.org
NationalInstituteofMentalHealth(NIMH)https://www.nimh.nih.gov
NationalAllianceonMentalIllness(NAMI)https://www.nami.org
AlcoholicsAnonymous(AA)https://www.aa.org
TheHarrisCenter(formerlyknownasMHMRA)https://theharriscenter.org/
NationalSuicidePreventionLifeline(available24hoursaday)1-800-273-8255
GoodRx(searchforpharmacieswithaffordablemedications)https://www.goodrx.com
SAMHSAcomputer-baseddecisionaidtohelpyouconsidertheroleofantipsychoticmedicationsinyourrecoveryplan.http://brss-tacs-decision-tool.samhsa.gov
U.S.InstitutesofHealth:
http://www.ninds.nih.gov/disorders/brain_basics/know_your_brain.htm
HowYourBrainWorksfromHowStuffWorks.com:http://health.howstuffworks.com/brain.htm
HowYourBrainWorksfromMayoFoundationforMedicalEducationandResearch:http://www.mayoclinic.com/health/brain/BN00033
FurtherResources