Patient Psychoeducation Workbook - MemberClicks · 9.12.2018 · Medication Side Effects are...

Funded by the American Medical Association Alliance Health Education Initiative

JaneHamilton,Ph.D.BerniceYau,M.D.AliaWarner,Ph.D.

PatientPsychoeducation

Workbook

TableofContents

MyMentalHealthHistory 3RetracingYourSteps MomentofReflectionQuestionsorConcerns

BasicsofMentalHealth 7IntroductiontoMentalIllnessandMentalHealthCausesofMentalIllnessSymptomsofMentalIllnessStressStressVulnerabilityModelImportanceofLifestyleChanges

BasicsofTreatment 14TypesofTreatmentLifestyleChangesPsychotherapyMentalHealthMedicationsMedicationDiaryCommonSideEffectsofPsychiatricMedicationsSocialNetworkBarrierstoCare

TakingChargeofMyMentalHealthJourney 23SharedDecisionMakingMyValuesMyPreferencesMyGoals

TherapeuticActivities 28ReferencesandFurtherResources 45

MyMentalHealthHistory

Retracingyoursteps…Wheredidyoucomefrom?

FillinthesteppingstoneswiththeeventsleadinguptoyourHCPChospitalization.

Commonreasonsforpsychiatrichospitalization:-feelingsuicidal-stoppingmedications-familyconflict-substanceuse-increasedsymptoms

AuthoredbyJaneHamilton,Ph.D.andBerniceYau,B.S.A.

Howwouldyoudescribeyourfeelings,thoughts,andbehaviorspriortoyouradmissiontoHCPC?

Howwouldyoudescribeyourfeelingstoday?

Whatwouldyouliketochangeaboutyourthoughts,feelings,andbehaviorswhileyouareatHCPC?

MomentofReflection…

5AuthoredbyAshleyStratton,LMSW,JaneHamilton,Ph.D.,andBerniceYau,B.S.A.

Whatquestionsorconcernsdoyouhave?

Fillintheblanksordrawapicture

6AuthoredbyBerniceYau,B.S.A.

BasicsofMentalHealth

IntroductiontoMentalIllnessandMentalHealth

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

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

SymptomsofMentalIllnessHerearesomesymptomsthatpeoplemayexperience.Circlesymptomsyouhaveexperienced.

Feelingsad Feelingangry Feelinglikeyouhavetoomuchenergy

Sleepingmoreorlessthannormal

Eatingmoreorlessthanusual

Feelingguilty Feelingunsafe Hearingvoices

Seeingthingsthatarenot

Yourthoughtsarebeingcontrolled

Thoughtsofwantingtohurt

yourself

Thoughtsofwantingtohurt

others

Movingortalkingveryfast

Movingortalkingslow

Whatsymptomsconcernyouthemost?

Notkeepingupwithdailyhygiene

AuthoredbyBerniceYau,B.S.A.

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.

Stress-VulnerabilityModel

Thestress-vulnerabilitymodelisonewaytounderstandmentalillness.

Everyonehasageneticriskfordevelopingmentalillness.However,somepeoplehaveahigherriskthanothers.

Stresscanchangethehumanbrain.Whensomeoneisstressed,thiscancausementalillnesssymptomstooccur.

Youcanloweryourriskofdevelopingsymptoms,bydoingthethingsbelow!

Adaptedfrom:Zubinetal.1977byJaneHamilton,Ph.D.

TakePsychiatricMedications

AvoidDrugandAlcohol

SeekSocialSupport

UtilizeCopingSkills

DecreaseBiologicalVulnerability

DecreaseStressVulnerability

ImportanceofLifestyleChangesPeoplewithmentalillnessaremorelikelytohavechronicdiseasessuchasdiabetes,highbloodpressure,andheartdisease.

Unhealthylifestylebehaviorssuchassmoking,drinkingalcohol,druguse,poordiet,andlackofexerciseincreasechronicdiseaserisk.

Tostaywell,itisimportanttoincreasehealthybehaviorsandavoidunhealthybehaviors.

Beingapatientinamedicalhomewhereyouobtainregularcheck-upsandscreeningsforchronichealthconditionsisveryimportant.

YoucanbereferredtoamedicalhomepriortoHCPCdischarge.

AuthoredbyJaneHamilton,Ph.D.

BasicsofTreatment

ImprovingYourMentalHealthMentalhealthtreatment,lifestylechanges,andsocialsupportcanimproveourmentalhealth.

Intheboxesbelow,pleasedescribeanyexperiencesyouhavehadusingtheseapproachestoimproveyourmentalhealth.

LifestyleChanges

Psychotherapy

Medications

SocialSupport

Reference:https://www.samhsa.gov/treatment

Let’sgoovereachofthetreatmentoptionsinmoredetailonthenextfewpages.

LifestyleChanges

Ourdailyhabitscanaffectourmentalhealth.Brainstormsomehealthylifestylehabitsbelow.

Howcanyougetagoodnight’ssleep?

Howcanyoumaintainahealthydiet?

Whatdoyouliketodoforexercise?

Arethereanydrugsoralcoholhabitsthatyouwouldliketoworkon?

Whataresomeotherpositivedailyhabits?

Doyouneedhelpquittingsmoking?

AuthoredbyBerniceYau,B.S.A.andJaneHamilton,Ph.D.

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/

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.

MedicationDiary(AskUnitStaffforHelp)

Medication Form Dose Whatisthismedicationusedfor?

Sideeffects

Haloperidol PillInjection

1pill(2mg)twiceaday

Forpsychosis(thevoices)

Restlessness,rigidity,constipation,tremor

Reviewyourmedicationdiarybeforeyoudischarge.Doyouhaveanyquestionsforyourdoctoraboutyourmedications?

Forexamp

Fillinyour

medshere

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!

SocialNetwork

MentalHealthisateamsport.HavingastrongsupportnetworkafteryouleaveHCPCcanhelpyoutostaywell.

Fillinthecircleswithnamesofpeoplewhoyoutrustandsupportyourrecovery.

Peoplewhodon’tknowyouaswell,butyoutrustenoughtoreachouttothemifneeded,orpeopleyouwanttogettoknowbetter.

Peoplewhoyouknowyouthebestandsupportyourrecovery.

Talkingwithotherpeoplewhostrugglewithmentalillnesscanbehelpful.Talktoyourtreatmentteamaboutjoiningamentalhealthsupportgroup:________________________________________________________________________

BarrierstoCareFactorsnotdirectlyrelatedtomedicaltreatmentcanalsoaffectourabilitytoobtainhealthcareafteryouleaveHCPC.Examplesincludeyourabilitytopayformedications,healthinsurance,transportationtoclinics,conflictingworkschedules,anddisagreementswithfamilymembers.

Listmajorchallengesyoufaceinpursuinghealthcareintheboxesbelow.Discussthesechallengeswithyourtreatmentteam,whocanhelpyoufigureoutsomesolutions.

Challenges Solutions

Resourcesarelistedattheendofthisbooklet

TakingChargeofMyMentalHealthJourney

SharedDecisionMakingYouandyourtreatmentteamwillworktogethertomakedecisionsaboutyourmentalhealthtreatmenttomakesureyouareatthecenterofthesedecisions.

Oftenthereisnorightmentalhealthtreatment;thereisonlythetreatmentyouchoosethatismostconsistentwithyourownvalues,preferences,andgoals.

AsapatientatHCPC,yourvalues,preferences,andgoalsformentalhealthtreatmentareviewedasimportantandshouldbediscussedwithyourtreatmentteam.

Values:one'sjudgmentaboutwhatisimportantinlife.(Example:havinghealthyrelationshipsorgettingajob).

Preferences:likingoneoptionoverothers.(Example:preferringonemedicationoverotherstotreatdepression).

Goals:thedesiredresultofmentalhealthtreatment.(Example:reducingsymptomsofdepression).

YourHCPCtreatmentteamwillexplainyourtreatmentoptionsandhelpyouclarifywhatismostimportanttoyoutohelpyoumakethebestdecisionsaboutyourmentalhealthtreatment.

MyValuesDescribetheimportanceofthreeofyourvaluesintheboxesbelow.Yourvaluesmightincludehavinghealthysocial/familyrelationships,spirituality,beinghealthy,havinganactivelifestyle,gettingajob,enrollinginschool,orbeingabletoliveonyourown.

MyPreferences

Describeyourpreferencesformentalhealthtreatmentintheboxesbelow(e.g.lifestylechanges,psychotherapy,medications,andsocialsupport).

MyGoalsDescribeyourmentalhealthtreatmentgoalsintheboxesbelow(e.g.feelingbetter,reducingsymptoms,improvingfunctioning,improvingphysicalhealth,quittingdrugs).

TherapeuticActivities

DailyAffirmationsAffirmationsareshort,powerfulpositivestatementsaboutyourself.

Youcansayorthinkanaffirmationtoimproveyourthoughtsaboutyourself,yourabilities,oryoursituation.

ExampleAffirmations:Ibelieveinmyself!Iamacreativeperson!Iamcapableofgettingbetter!Mytreatmentteamrespectsmyfeelingsandvalues!Myfamilyandfriendsloveme!Icandothis!Ideservetogetwell!Iliveeachdaytothefullest!

Imagineyouarethetreasurechestbelow.Writeoneaffirmationoneachofthefourgoldcoins.

Challenge:Writefouraffirmationsadayuntilyourtreasurechestisfullofpositivestatementsaboutyourself!

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

Relaxationtechniquescanhelpreducestress,andcanhelpwithmentalhealthsymptomsthatareaffectedbystress(e.g.,voices,anxiety,depression).Justlikethecopingskillsreviewedearlierinthisworkbook,differentpeoplewillfinddifferentlevelsofsuccesswithrelaxationtechniques,sotryafewofthemtoseewhatworksforyou!

Therearemanyrelaxationexercises.ThisworkbookfocusesonMindfulness,Imagery,andActivities.

RelaxationTechniques

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.

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.

RelaxationActivities

Takeawarmbath Takeawalkoutside Drinksomethingwarm

Stretchordoyoga Read

Inadditiontomindfulnessandimagery,manydifferentactivitiescanhelpyoufeel relaxed. Whatactivitieshaveyoudoneinthepastthatmadeyoufeelrelaxed? 1.

Herearesomerecommendations – circlethestrategies youwould liketouseorfinduseful:

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?

WeakentheVoicesManyvoice-hearerscanreducethevolumeoftheirvoices,whichcanmakethemlessdistressing.Trytheseskillsandcirclewhichonesworkforyou.Youcanrateyourstressrelatedtothevoicesbeforeandafteryoutrytheskillsoyoucanrememberwhichskillsworkbestforyou!

Earplugs Talkingwithothers Listentomusic

WatchTV Keepingbusy

Takingmedications

asprescribed

Recordhowhelpfultheseskillsareforyou.Ratethevoicesbeforeandaftertheskillonascalefrom1–10,with10beingtheworstthevoiceshavebeen.

Skill Voicesbeforeskill Voicesafterskill

12345678910 12345678910

De-StressingYourLifeImagineyourlevelofstressasawaterbucket.Weallhavecertainstressorsinourlifethatfillourstressbuckets(blueboxes).Wecantakeactiontode-stressourlives(greenboxes)andkeepourstressbucketsfromoverflowing.

Fillintheboxesbelowwithyourcurrentstressorswaysyoucanmakehealthychangestode-stressyourlife.

Whathappenswhenyouhavetoomuchstress?Whatpositivechangescanyoumakeinyourlifetodecreasestress?

Whatstressorsarefillingyourbucket?

StressorsHealthy

De-stressors

Whatpositivechangesinyourlifecanyoumaketoemptyyourstressbucket?

ThisPhotobyUnknownAuthorislicensedunderCCBY-NC-ND

stress

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

MentalHealthMatchingGame–Part2

Directions:Drawalinematchingthewordinthelefthandcolumntothecorrectdefinitionintherighthandcolumn

Word Definition

AmoodstabilizermedicationusetotreatpatientswithBipolarDisorderMindfulness

Thepracticeofexperiencinglifeinthepresent,nonjudgmentally,withpurposefulattention

One'sjudgmentaboutwhatisimportantinlife

Values

Thetreatmentteamandpatientsworktogethertomakedecisionsaboutmentalhealthtreatment.

Haloperidol“Haldol”

Afirst-generationantipsychoticmedicationusedtotreatpatientswithschizophrenia

Valproate“Depakote”

SharedDecisionMaking

Ifeelgood.Whataresomesignsandsymptomsthatyouarefeelinggood?

Ifeelok.Whataresomewarningsigns/mentalhealthsymptomsthatyouarefeelingworse?

Ifeelbad.Whataresomewarningsigns/mentalhealthsymptomsthattellyouneedtotalkwithyourdoctorortherapist?

MyMentalHealthDiary

Listyourmentalhealth

maintenanceplanhere!

Whatchanges

canyou

makewheny

oufeellike

youarerel

apsing?

Whatisyourplanwhen

youstartfeelingbad?

Trytocompleteyourdiarydaily!

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

MyMentalHealthPlan

ContactInfo

- Hospital__________________- Doctor____________________- Pharmacy__________________

- Trustedfriendorfamilymember__________________

- SocialWorker_________________

Myfollowupappointments:

Appointment1:

Withwhichprovider:___________________ Where:________________

Date_________ Time____________Transportation______________

Paymentforappointment__________________

Appointment2:

Appointment3:

Let’sputtogetheralltheinformationintoamentalhealthplanpersonalizedforyou!Youcanreviewthiswithyourtreatmentteam.

Referbackto

yourcirclesof

support!(p.18)

Mymedications

WhatpharmacywillIpickupmymedicationsat______________________

WhendoIneedtopickupmymedicationsby________________________

Transport________________ Paymentformeds_______________

HowoftendoIneedtopickuprefills?______________________________

Referbackto

barriersof

care!(p.19)

WaystoTrackYourProgress

Day1Rateyourmoodtoday:(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.

Adaptedfrom:https://blackdoginstitute.org.au/docs/default-source/psychological-toolkit/19-dailymoodchart.pdf

WaystoTrackYourProgressKeeptrackofyourprogressdaily.

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

Patient Psychoeducation Workbook - MemberClicks · 9.12.2018 · Medication Side Effects are...

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