Therapeutic Communication MENTAL HEALTH SEMINAR
Therapeutic Communication MENTAL HEALTH SEMINAR
• Seeking Clarification
• Similar to active listening, asking patients for clarification when they say something
confusing or ambiguous is important. Saying something like “I’m not sure I understand.
Can you explain it to me?” helps nurses ensure they understand what’s actually being
said and can help patients process their ideas more thoroughly.
• Placing the Event in Time or Sequence
• Asking questions about when certain events occurred in relation to other events can
help patients (and nurses) get a clearer sense of the whole picture. It forces patients to
think about the sequence of events and may prompt them to remember something they
otherwise wouldn’t.
• Making Observations
• Observations about the appearance, demeanor, or behavior of patients can help draw
attention to areas that might pose a problem for them. Observing that they look tired
may prompt patients to explain why they haven’t been getting much sleep lately;
making an observation that they haven’t been eating much may lead to the discovery of
a new symptom.
• Encouraging Descriptions of Perception
• For patients experiencing sensory issues or hallucinations, it can be helpful to ask about
them in an encouraging, non-judgmental way. Phrases like “What do you hear now?” or
“What does that look like to you?” give patients a prompt to explain what they’re
perceiving without casting their perceptions in a negative light.
• Encouraging Comparisons
• Often, patients can draw upon experience to deal with current problems. By
encouraging them to make comparisons, nurses can help patients discover solutions to
their problems.
• Reflecting
• Patients often ask nurses for advice about what they should do about particular
problems or in specific situations. Nurses can ask patients what they think they should
do, which encourages patients to be accountable for their own actions and helps them
come up with solutions themselves.
• Focusing
• Sometimes during a conversation, patients mention something particularly important.
When this happens, nurses can focus on their statement, prompting patients to discuss
it further. Patients don’t always have an objective perspective on what is relevant to
their case; as impartial observers, nurses can more easily pick out the topics to focus
• Voicing Doubt
• Voicing doubt can be a gentler way to call attention to the incorrect or delusional ideas
and perceptions of patients. By expressing doubt, nurses can force patients to examine
their assumptions.
• Summarizing
• It’s frequently useful for nurses to summarize what patients have said after the fact. This
demonstrates to patients that the nurse was listening and allows the nurse to document
conversations. Ending a summary with a phrase like “Does that sound correct?” gives
patients explicit permission to make corrections if they’re necessary.
• QOUTE:
Effective communication is the best way to solve problems.