BIPOLAR DISORDER

Patient’s Response Rationale of

Analysis of Nurse’s
Nurse’s Patient’s Statement
Statement Verbal Non-Verbal Response(To (To include
include Defense Therapeutic
Mech. Used) Communication
Technique used)

Hi, Jenny. Much. Absence of Ignoring the Greeting the

Good eye nurse. patient to
morning. contact. build
Jenny, Hi. Just rapport.
How are you sitting
doing and
today? reading
the book.
She was
covered by
a blanket.

Are you It’s hard. She Sublimation Exploring –

okay? Is I can’t do suddenly – instead of encouraging
there this stands up showing to the client to
something and lay the nurse open up her
that you down to her true feelings.
would like the couch feeling of
to talk as she sadness she
about? Are closed her just said
you feeling eyes. She that it was
okay Jenny? was hard to sit
What covered by and read the
happened? a blanket. book.
It seems
like you’re
down.

Okay, well, No. I need She was Denial Clarification

you seem space. still
down. You lying down
seem more with her
down than eyes
yesterday. closed.
Is there She was
something covered by
that a blanket.
happened
that you
would like
to talk
about?

You must be You’re so She was Displacement Exploring

feeling stupid. still
really lying down
lonely. with her
What makes eyes
you say closed.
that? She was
covered by
a blanket.

What makes I’m tired. She was Suppression Exploring

you say still
these lying down
things? Is with her
there eyes
something closed.
that She was
actually covered by
happened a blanket.
today that
made you
feel this
way?

Alright. You’re just Sublimation Clarification

You seem stupid.
really
really
downer
maybe
upset?

Challenging –
What makes My Opening up the nurse
you say boyfriend forcing the
that? called. client to
justify her
answer.

Your She just Disagreeing Paraphrasing

boyfriend moved her
called and head for
were you saying no.
able to
talk to
him?

No? So you She just Agreeing Probing

missed his nodded her
phone call? head for
saying
yes.

Oh I see. I You don’t With the Projection Offering of

understand. understand. same self
So you, you position
feel really and low
down tone of
because you voice.
missed
talking to
him? Uhm.
What do you
think you
can do in
order to
make
yourself
feel
better?

Only he’s I need to With the Sharing of Clarification

the one talk to same though
that can him. position
understand and low
so you tone of
don’t want voice.
to talk to
me about
it?

Okay. So She just Agreeing Offer of self

how about nodded
let’s work with eye
on this contact.
together. I
can go
ahead and
get the
phone from
the nurse’s
station and
I can go
ahead and
bring that
to you so
that you
can talk to
him. Would
that make
you feel
better?

Okay so
I’ll go
ahead and
get that
right now
and I’ll be
right back.

Hey. Good I’m She was Sublimation Closed ended

morning building sitting questions
Jenny. Hi the phone. while
Jenny. How fixing the
are you? remote and
she was
answering
with
medium
tone of
voice and
without
eye
contact.

You’re I don’t She had an Denial Restating

trying to have your upset tone
build the phone. I’m of voice.
phone? building my
phone.
.

Oh, I find I’ve done She had an Intellec- Voicing doubt

that a it before. upset tone tualization
little of voice.
doubtful And there
because was no eye
this is the contact as
TV remote she was
control. continuing
what she
was doing.

You seem a Can you let She was Regression Making

little bit me do it? tense and observation
tense. continues
to fix the
remote
control.

How about Hello? As she put Fantasy Offering of

you put Hello? the remote self
that down on her ear
okay? Let’s and She
go sit on just
the couch. ignored
the nurse.
Jenny? Can Can you She was Fantasy Asking
I get your talk to offering
attention him? the remote
please? to the
nurse.

Okay. This I need to She was Intellec- Presenting

is a TV talk to my talking tualization reality
remote boyfriend. with eye
control. I contact as
understand if she was
that this eager to
is a remote talk to
for the TV. her
boyfriend.

Okay let’s I need to She was

go ahead. talk to my looking
Let’s sit boyfriend. the nurse
on the as she was
couch. saying
these.

Would My She was Intellec- Active

discuss boyfriend following tualization listening
that. Can calls and I the nurse
we talk missed his to the
about what call. couch.
happened?
Let’s go
sit over
here. Okay,
so tell me,
tell me
what
happened?

Okay, and I was busy. She was Rationali- Active

then? I was busy. putting zation listening
He’s gonna her pals
think I’m as her
mad at him. face and
I’m not mad fixing her
at him. hair a
little
bit.

I Yeah, no. Her hands Rationali- Clarification

understand he’s gonna between Zation
that. So think I’m her knees
you’re mad at him. and rub it
upset altogether
because you
missed his
call and….

Has he ever No. he’s She was Rationali- Exploring

got mad at gonna think rubbing Zation
you before? I’m her palm
ignoring at her
him. I’m leg.
not
ignoring
him.
Okay. So No. I She was Rationali- Exploring
have you talked to fixing her Zation
been able him hair under
to talk to yesterday the hood
him but I need of her
recently? to talk to hoodie
him. He jacket.
called and
I missed
his call.

Okay. So You give me She looked Compensation Offering of

how about a phone? excited. self
let’s work
on this
together?
You know I
doubt it
that you
can make a
phone out
of these
items but
what I can
do is I can
go to the
nurse’s
station.
I’ll get a
working
phone for
you and…

Aha. And I need to She was Solving her Offering of

bring it talk to eager to problem self
back too him. I want talk to
and you can him to know her
go ahead that I’m boyfriend.
and call not mad at
your him and not
boyfriend ignoring
so that you him.
can feel a
little bit
more
relaxed. So
do you
think this
would help
you get
reduced
your
behavior?

Okay. I,I Will you She was Expressing Offering of

understand talk to him smiling a her feelings self
that so too? Will little bit
I’ll bring you tell while
the phone him that I rubbing
to you. was busy? her palms
on her
thigh.

Well, let’s Okay. Okay She was Expressing Offering of

go ahead. thankyou. smiling at her self
We’ll work the nurse. gratitude
on it
together.
So I’ll
bring my
phone first
to you so
that you
can talk to
him and
make sure
that we can
try to get
him on the
line so
that we can
go ahead
and get
you…