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SANDIPANI ACADEMY

PENDRI (MASTURI), BILASPUR (C.G.)


CLASS TEACHING

SUBJECT: - MENTAL HEALTH NURSING


TOPIC: - MENTAL HEALTH AND MENTAL ILLNESS

SUBMITTED TO, SUBMITTED BY,


MRS. SRISHTI CHOURASIA MS. MADHULATA
ASSISTANT PROFESSOR M.Sc. NURSING 1ST YEAR
PRESENTED ON,
CLASS TEACHING

Subject : Mental health nursing


Topic : Mental health and mental illness
Name of the Guide : Mrs. Srishti Chourasia
Name of the student teacher : Ms. Madhulata
Duration : 15 minute
Medium of language : English
Date :
Time :
Venue : B.Sc. Nursing 3nd year
Method of teaching : Lecture cum discussion
A.V. Aids used : Chart, LCD, Flash card, Overhead projector, Hand outs
Previous Knowledge : The participates may have less knowledge regarding topic mental health and mental illness.
GENERAL OBJECTIVES: - At the end of the class B.Sc. nursing 3nd year students will understand about mental health and mental illness.

SPECIFIC OBJECTIVES: - At the end of the class the students of B.Sc. nursing 3nd year will able to:
1. Define the mental health
2. Determine the components.
3. Explain the concepts of mental health.
4. Determine the indicators of mental health.
5. Illustrate the characteristics of mental health.
6. Explain the factors of mental health.
7. Define the mental illness.
8. Illustrate the characteristics of mental health.
9. Explain the factors of mental health.
10. Explain the role of nurse.
11. Conclude the topic of mental health and mental illness.
SANDIPANI ACADEMY
PENDRI (MASTURI), BILASPUR (C.G.)
CLASS TEACHING

SUBJECT: - MENTAL HEALTH NURSING


TOPIC: - ACUPUNCTURE AND ACUPRESSURE

SUBMITTED TO, SUBMITTED BY,


MRS. SRISHTI CHOURASIA MS. MADHULATA
ASSISTANT PROFESSOR M.Sc. NURSING 1ST YEAR
PRESENTED ON,
CLASS TEACHING

Subject : Mental health nursing


Topic : Acupuncture and acupressure
Name of the Guide : Mrs. Srishti Chourasia
Name of the student teacher : Ms. Madhulata
Duration : 15 minute
Medium of language : English
Date :
Time :
Venue : B.Sc. Nursing 3nd year
Method of teaching : Lecture cum discussion
A.V. Aids used : Chart, LCD, Flash card, Overhead projector, Hand outs
Previous Knowledge : The participates may have less knowledge regarding the topic of acupressure and acupuncture.
GENERAL OBJECTIVES: - At the end of the class B.Sc. nursing 3nd year students will understand about acupressure and acupuncture.

SPECIFIC OBJECTIVES: - At the end of the class the students of B.Sc. nursing 3nd year will able to:
1. Define the topic of acupuncture.
2. Explain the principles of acupuncture.
3. Determine the indication.
4. Explain the benefits of acupuncture.
5. Explain the disadvantages of acupuncture.
6. Define the topic of acupressure.
7. Illustrate the techniques of acupressure.
8. Explain the pressure points.
9. Determine the uses of acupressure.
10. Illustrate the advantages of acupressure.
11. Explain the disadvantages of acupressure.
12. Conclude the topic of acupressure and acupuncture.
SANDIPANI ACADEMY
PENDRI (MASTURI), BILASPUR (C.G.)
CLASS TEACHING

SUBJECT: - MENTAL HEALTH NURSING


TOPIC: - ANTIDEPRESSANTS AGENTS

SUBMITTED TO, SUBMITTED BY,


MRS. SRISHTI CHOURASIA MS. MADHULATA
ASSISTANT PROFESSOR M.Sc. NURSING 1ST YEAR
PRESENTED ON,
CLASS TEACHING

Subject : Mental health nursing


Topic : Antidepressant agents
Name of the Guide : Mrs. Srishti Chourasia
Name of the student teacher : Ms. Madhulata
Duration : 15 minute
Medium of language : English
Date :
Time :
Venue : B.Sc. Nursing 3nd year
Method of teaching : Lecture cum discussion
A.V. Aids used : Chart, LCD, Flash card, Overhead projector, Hand outs
Previous Knowledge : The participates may have less knowledge regarding topic antidepressants agents.
GENERAL OBJECTIVES: - At the end of the class B.Sc. nursing 3nd year students will understand about antidepressant agents.

SPECIFIC OBJECTIVES: - At the end of the class the students of B.Sc. nursing 3nd year will able to:
1. Define the antidepressant agents.
2. Explain the classification of antidepressant.
3. Determine the indication of antidepressant agents.
4. Explain the pharmacokinetics.
5. Illustrate the mechanism of action.
6. Determine the side effects of antidepressants.
7. Explain the contraindication.
8. Nurses responsibility.
9. Conclude the topic of antidepressants.
BIBLIOGRAPHY:-
1. B.T. Basavanthappa, Psychology For Nursing, First Edition, Published By Jitendre P. Vij, Jaypee Brothers Medical Publisher (P) 2010.
Page No. 278-280.
2. Debr’s Elakkuvana Bhaskara Raj, Mental Health ( Psychiatric) Nursing, First Edition, Published By Manjunath And Hegde.
Page No. 308-310.
3. Kp Neerja, Essential Of Menatal Health And Psychiatric Nursing, First Edition, Jaypee Brothers Medical Publisher (P) Ltd 2008.
Page No. 236-238.
4. Marry C. Townsend, Psychiatric Mental Health Nursing, Conceptual Of Care In Evidence Based Practice, Second Edition, Jaypee Brothers Publications.
Page No. 247-250.
5. R. Sreevani Forward K. Reddemma, A Guide To Mental Health And Psyichiatric Nursing Forth Edition Jaypee Brothers Medical Publisher.
Page No. 192-194.
6. Ravinder Kaur Manu Kohli, Text Book Of Mental Health Nursing Second Edition, Published By Rajinder Kapoor Lotus Publishers.
Page No. 285-287.
7. S. Nambi, Psychiatric For Nurses, Second Edition, Jaypee Brothers Publication.
Page No. 193-198.
8. https://journals.lwww.com.>fulltext
9. https://onlinedegrees.bradley.edu.
10. https://www.healthine.com.
S. TIME SPECIFIC CONTENT LEARNING TEACHING A.V. EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY AIDS
1 1 min. Define the Definition:- Discussion Listening LCD What you mean
antidepressants “Antidepressants are those drugs, which about mood
agents. are used for the treatment of depressive illness. elevators?
These are also called as mood elevators or
thymoleptics.”

“Drugs which enhance the alertness and


may result in an increased output of behavior.
The purpose of antidepressants is to increase
the neurotransmitters in the synapse.”

2 3 min. Explain the Classification:- Lecture cum Listening LCD What are the
classification of discussion dopaminergic
antidepressant.  Tricyclic antidepressants (TCAs) antidepressants?
- Imipramine
- Clomipramine

 Selective serotonin reuptake inhibitors


(SSRIs)
- Fluoxetine
- Sertraline

 Dopaminergic antidepressants
- Fluvoxamine

 Atypical antidepressants
- Amineptine

 Monoamine oxidase inhibitors (MAOIs)


- Trazodone
- Isocarboxazid
S. TIME SPECIFIC CONTENT LEARNING TEACHING A.V. EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY AIDS
3 1 min. Determine the Indication:- Lecture Listening FLASH What you
indication of CARD understand about
antidepressant  Depression agoraphobia?
agents. - Depressive episode
- Dysthymia
- Reactive depression
- Secondary depression
- Abnormal grief reaction

 Childhood psychiatric disorders


- Enuresis
- Separation anxiety disorder
- School phobia
- Night terrors

 Other psychiatric disorders


- Panic attack
- Agoraphobia, social phobia
- OCD with or without
- Post traumatic disorder

 Medical disorders
- Chronic pain
- Migraine
- Peptic ulcer disease

4 1 min. Explain the Pharmacokinetics:- Discussion Understanding LCD How to metabolized


pharmacokinetic in the liver?
s. Antidepressants are highly lipophilic
and protein – bound. The half life is long
and usually more than 24 hours. It is
predominantly metabolized in the liver.
S. TIME SPECIFIC CONTENT LEARNING TEACHING A.V. EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY AIDS
5 3 min. Illustrate the Mechanism of action:- Lecture cum Questioning and Chart How to increasing
mechanism of discussion understanding the levels at the
action.  The exact mechanism is unknown. receptor site?
 The predominant action is increasing
catecholamine levels in the brain.
 TCAs are also called as monoamine
reuptake inhibitors (MARIs).
 The mode of action is by blocking the
reuptake of norepinephrine (NE) and
serotonin (5-HT) at the nerve
terminals
 Thus increasing the NE and 5-HT
levels at the receptor site.
S. TIME SPECIFIC CONTENT LEARNING TEACHING A.V. EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY AIDS
 MAOIs instead act on MAO, which
is responsible for the degradation of
catecholamines after reuptake.
 The final effect is the same, a
functional increase in the NE and 5-
HT levels at the receptors site.
 The increase in brain amine levels is
probably responsible for the
antidepressant action.
 It takes about 5 to 10 days for MAOIs
and 2 to 3 weeks for TCAs to bring
down depressive symptoms.
 SSRIs act by inhibiting the re-uptake
of serotonin and increasing its levels
at the receptors.

6 2 min. Determine the Side effects:- Lecture cum Discussion and LCD What are the effects
side effects of Discussion questioning of antidepressants
antidepressants a) Autonomic side effects agents?
- Dry mouth, constipation, urine
retention, delirium, orthostatic
hypotension.

b) CNS effects
- Sedation, tremor, withdrawal
syndrome, seizures.

c) Cardiac side effects


- Tachycardia, ECG changes,
arrhythmias.
S. TIME SPECIFIC CONTENT LEARNING TEACHING A.V. EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY AIDS

d) Allergic side effects


- Agranulocytosis, cholestatic
jaundice, skin rashes, systematic
vasculitis.
e) Metabolic and endocrine side
effects
- Weight gain.

f) Special effects of MAOI drugs


- Hypertensive crisis, severe
hepatic necrosis, hyperpyrexia.

7 2 min. Explain the Contraindication:- Lecture Questioning OHP What you mean
contraindication. about concomitant?
 Seizure disorders
 Suicidal ideation
 Hepatic disease
 Anorexia
 Sleep disturbance
 Pregnancy
 Patient with urine retention
 The concomitant use of various
medications
S. TIME SPECIFIC CONTENT LEARNING TEACHING A.V. EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY AIDS
8 2 min. Nurses Nurses responsibility:- Lecture Questioning LCD What is the
responsibility. responsibility of
 Patient on MAOIs should be warned nurses for giving
against the danger of ingesting antidepressant
tyraminerich foods which can result agents?
in hypertensive crisis.
 Report promptly if occipital
headache, nausea, vomiting, chest
pain, these can herald the onset of
hypertensive crisis.
 Instruct the patient not to take any
medication without prescription.
 Caution the patient to change his
position slowly to minimize
orthostatic hypotension.
 Strict monitoring of vitals, especially
blood pressure is essential.

9 Conclusion:-

Depression is a chronic condition and


antidepressant: are effective in acute
depression, prevent relapse, help contact
a chemical imbalance.
It is safe and effective for the
treatment of major depression. MAO
inhibitors are effective for the treatment
of atypical depression. Psychotic
depressed patients usually require ECT.
QUESTIONS
Q. 1 Antidepressants is to increase the neurotransmitters in the __________?

a) Reuptake transporter b) Synapse c) Receptors

Q. 2 Antidepressants are highly lipophilic and__________?

a) Tryptophan b) Protein bound c) serotonin

Q. 3 Increasing the _______ levels in the brain?

a) Dopaminergic b) Monoamine oxidase c) Norepinephrine d) Catecholamine

Q. 4 which is responsible for the degradation of catecholamines after reuptake?

a) MAOIs AND SSRI b) MAOIs AND MAO c) MAOIs and TCAs

Q. 5 these drug is given for the__________?

a) Anorexia b) Sleep disturbance c) Dysthymia d) tachycardia


S. TIME SPECIFIC CONTENT LEARNING TEACHING A.V. EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY AIDS
1 1 min. Define the ACUPUNCTURE Lecture Listening LCD What you mean
acupuncture? Definition:- about therapeutic?
“Acupuncture is the procedure of
inserting and manipulating filform needle
into various points on the body to relive pain
or for therapeutic purpose.”
“It is a technique in which very thin
needles of varying lengths are inserted
through the skin to treat a variety of
conditions.”

2 2 min. Explain the Principles of the five elements:- Discussion Understanding LCD What are the five
principles of elements?
acupuncture  The five elements refers to wood, fire,
earth, metal, and water in Eastern
philosophy.

 They are used to interpret the relationship


between the physiology and pathology of
the human body and the natural
environment.

 When the fire element is in balance, the


heart is strong and healthy, the mind is
calm and sleep is sound.

 When the fire element is imbalance, we


may either lack joy, or have an excess of
joy.
S. TIME SPECIFIC CONTENT LEARNING TEACHING A.V. EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY AIDS
3 1 min. Determine the Indication:- Lecture Listening Flash What is hemiplegia?
indication. questioning card
 Post traumatic and post operative
ileus
 Sprains and contusions
 Urinary incontinence, retention
(neurogenic, eczema, psoriasis)
 Sequel of stroke syndrome (aphasia,
hemiplegia)
 Severe hypertension
 Dysmenorrheal, pelvic pain
 Headache (migrane, vertigo)
 Muscle spasms, tremors, tics.

4 1 min. Explain the Benefits:- Lecture cum Understanding and OHP What is
benefits of discussion questioning microcirculation?
acupuncture.  Acupuncture is a non invasive
treatment
 Improvement of microcirculation
 Relaxation of muscles
 Improvement is the complete blood
cell it provides relief from both
physical and mental problems
S. TIME SPECIFIC CONTENT LEARNING TEACHING A.V. EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY AIDS
5 1 min. Explain the Disadvantages:- Discussion Listening LCD Which patient should
disadvantages of not give this?
acupuncture.  Acupuncture can eliminate the cause of
certain diseases and provide relief from pain.
 Acupuncture might not be advisable for
patients suffering from certain bleeding
disorder and for patient on blood thinners.
 Patient could experience a little amount of
soreness post treatment.
 If needle used are not sterile or are reused, it
could result in patient suffering from
infectious disease.

6 1 min. Define the topic ACUPRESSURE Lecture Listening LCD How to promote
of acupressure. blood circulation?
Definition:-

It is an ancient healing art using the fingers and


other parts of the body to skillfully press key
points, which stimulates the body’s natural self-
curative abilities.

When these triggers points are pressed, they


release muscular tension and promote circulation
of blood, and the body’s life force energy to aid
healing.
S. TIME SPECIFIC CONTENT LEARNING TEACHING A.V. EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY AIDS
7 3 min Illustrate the Techniques:- Lecture cum Listening and LCD What are the 3
techniques of discussion questioning techniques?
acupressure. a) Shiatsu therapy, the traditional Japanese
from of acupressure, can be quite vigorous,
with deep pressure applied to each point for
three to five second.
b) Brisk rubbing uses friction to stimulate the
blood and lymph. Rub the skin lightly to
relive chilling, swelling and numbness by
increasing circulation, as well as to benefit
the nerves and tone of the skin.
c) Quick tapping with fingertips stimulates
muscles on unprotected, tender areas of the
body such as the face. For larger areas of
the body, such as the back or buttocks, use a
loose fist. This can improve the functioning
of nerves and sluggish muscles in the area.

8 2 min. Explain the Pressure points:- Discussion Understanding CHART How to dissolve any
pressure points. obstruction?
In acupressure, the fingers, thumbs, palms or
elbows are used to apply pressure to the
acupoints.
This pressure is thought to dissolve any
obstructions in flow of healing energy and to
restore the body to a healthier functioning.
S. TIME SPECIFIC CONTENT LEARNING TEACHING A.V. EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY AIDS
9 1 min. Determine the Uses:- Lecture Listening Flip What are the uses for
uses of book acupressure?
acupressure.  Prevention and as a treatment for
many health conditions.
 Reduce stress, stimulates the immune
system.
 Improve circulation.
 It stimulates a healthy digestive
function
 Improve energy level and
concentration.

10 1 min. Illustrate the Advantages:- Discussion Understanding flannel What are the
advantages of board advantages?
acupressure.  Relief of tension
 Improvement in the circulation of
blood.
 Balancing the body to attain lasting
good physical as well as mental
health.

11 1 min. Explain the Disadvantages:- Discussion Listening and LCD What are the
disadvantages of questioning disadvantages?
acupressure.  Too much force during the
treatment.
 An untrained person performing the
treatment may tend to apply the
pressure too abruptly.
 Require a greater amount of care
because of the pain that they could
cause if damaged to a certain extent.
12 Conclusion: -
Acupuncture is the practice of penetrating the skin with thin, solid, metallic needles which are then activated through gentle and specific movements
of the practitioner’s hands or with electrical stimulation. Acupuncture is part of the ancient practice of traditional Chinese medicine.
Acupuncture and acupressure may have a role with reducing pain, increasing satisfaction with pain management and reduced use of pharmacological
management.
Questions
Q. 1 Acupuncture is given for the treatment of?

a) Blood loss b) Decrease energy level c) Muscle Spasms

Q. 2 Which techniques use for the numbness and chilling?

a) Shiatsu Therapy b) Brisk rubbing c) Quick tapping

Q. 3 What is true for acupressure?

a) Increase pain level b) Improving blood circulation c) Inserting needle

Q. 4 Acupuncture is ------ treatment

a) Non-invasive b) Therapeutic c) Invasive

Q. 5 Which element is imbalance and they cause depression and mania?

a) Fire b) Earth c) Metal


S. TIME SPECIFIC CONRENT TEACHING LEARNIN AV EVALUATION
NO OBJECTIVE ACTIVITY G AIDS
. ACTIVITY
(A) MENTAL HEALTH
Lecture Listening LCD What are spiritual
1 Definition:-
1 min. Define the qualities of a
mental health person?
Mental health is a happy blending of intellectual,
emotional, physical, social & spiritual qualities of a
person.

(According to Karl Manninger [1947])


Defines mental health as, “An adjustment of
human beings to the world and to each other with a
maximum of effectiveness and happiness.”

(According to American Psychiatric Association


[2003])
Define as “The successful performance of
mental functions shown by productive activities,
fulfilling relationships with other people, and the
ability to adopt to change and to cope with adversity.”

(According to H. S. Hayman)
Defines health as “A state of feeling sound in
body, mind and spirit with a sense of reserve power.”

Components of Mental Health:-


2 1 min. Determine the Lecture cum Listening Flip What are the
components. The components of mental health include- discussion book components of
 The ability to accept self mental health?
 The capacity to feel right towards others.
 The ability to fulfill life’s tasks
S. TIME SPECIFIC CONRENT TEACHING LEARNING AV EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY AIDS
3 1 min. Explain the Concept of Mental Health:- Lecture Listening and LCD What are the
concepts of questioning concepts for
mental health. Mental health is a sound, efficiency mind and maintain mental
controlled emotions. health?
Body and mind are working together efficiently
and harmonious manner.
Whose behavior is determined in integrated way
by both physical and emotional factors.
If a person is well adjusted, he has good
physical health and desirable social and moral
values.
Discussion Understanding Flash What you mean
4 1 min. Determine the card about autonomy?
Indicators of Mental Health:-
indicators of
mental health.
 A positive attitude towards self
 Growth, development and the ability for self
actualization
 Integration
 Autonomy
 Perception of reality
 Environmental mastery
5 2 min. Illustrate the Lecture Listening OHP What are the
characteristics of Characteristics of Mental Health:- characteristics of
mental health. mental health?
 He has an ability to make adjustment.
 They solve his problems.
 Has a philosophy of living.
 Enjoyment of play, leisure and spare time
activity.
 He can give and accept love.
 Ability to accept criticism or blame.
 Shows emotional maturity.
 Develop a capacity to tolerate frustration.
 He has a sense of responsibility.
 He lives in a world of reality rather than fantasy.

S. TIME SPECIFIC CONRENT TEACHING LEARNIN AV EVALUATION


NO. OBJECTIVE ACTIVITY G AIDS
ACTIVITY
6 2 min. Explain the Factors influencing of Mental Health:- Discussion Listening and Flannel How to decrease
factors of mental questioning board factors influencing
health.  Nutrition of mental health?
 Play
 Perinatal care
 Happy home/ parenting
 Good community services
 Adequate school
 Early prevention
 Treatment of physical illness
 Life style
 Right man for right job
 Marital relationship
 Guidance and counseling
 Interpersonal relationship with society.

Other factors :-

Individual factor

Socio cultural factors Interpersonal


factors
S. TIME SPECIFIC CONRENT TEACHING LEARNING AV EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY AIDS
(B) MENTAL ILLNESS

Definition:-
7 1 min. Define the Lecture cum Understanding LCD What you mean
mental illness. discussion about mental
(According to World Health Organization, 2001) illness?
“Mental and behavioral disorders are
understood as clinically significant conditions
characterized by alteration in thinking, mood
(emotions) or behavior associated with personal
distress and impaired functioning.”

(According to DSM- IV)

“A mental disorder should be a manifestation


of behavioral, psychological and biological
dysfunction in that person.”

Characteristics of Mental Illness:-


8
2 min. Illustrate the Discussion Listening LCD How to improve
characteristics of  These changes in behavior cause distress and maladaptive
mental health. suffering to the individuals or others or both. behavior?
 Disturbance day to day activity.
 Social and vocational dysfunction.
 Changes in ones feeling, memory, perception
and thinking.
 Deviation from societal norms.
 As maladaptive behavior.
S. TIME SPECIFIC CONRENT TEACHIN LEARNING AV EVALUATION
NO. OBJECTIVE G ACTIVITY AIDS
ACTIVITY
9 2 min. Explain the Factors contributing to Mental Illness:- Lecture Understanding LCD What are the
factors of mental and factors to affect the
health. a) Biological factors- questioning biological?
- Genetic illness history
- Chromosome defect
- Infection
- Neurochemical changes
- Metabolic causes
- Adoption defect

b) Psychological factors-
- Mother infant interaction
- Lack of relationship
- Insecurity feeling
- Intolerance failure
- Excessive anxiety
- Personality factors

c) Sociocultural factors-
- Socio economic status
- Cultural factors
- Crisis intervention
- Group problem
- War
- Technical problem
- Withdrawal from society
S. TIME SPECIFIC CONRENT TEACHING LEARNING AV EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY AIDS
10 2 min. Explain the role Role of Mental Health Nurse In Various LCD
of nurse. Settings:-

 Mental health nursing practice encompasses


various roles in different settings like
community, hospital, varied agencies, therapies,
etc.
 Mental health nurse can work in psychiatric
hospitals, community mental health centers,
psychiatric units, in general hospitals.
 Private practice, day care centers, foster care
centers, home health agencies.
 Primary care and in family practice settings as a
consultant, psychotherapist and nurse managers.
 Their service has to be recognized in a wider
manner.

11. Conclusion:-
Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel, and act. It also helps determine how we handle
stress, related to others, and make healthy choices. Mental health is important at every stage of life, from childhood and adolescence through adulthood. While
mental health is always there and may be positive or negative, mental illness affects a person’s ability to function over a long period of time.

Questions
Q. 1 Mental health that means-

a) Illness b) Well being c) Physically ill

Q. 2 Sign of mental illness?

a) Abnormal changes in thinking, perception b) Abnormal changes in behavior towards others c) Both A & B

Q. 3 Which one is factors of mental illness?

a) Happy Home b) Neurological changes c) Better life style

Q. 4 A mentally healthy individual has?

a) Suffering from mental illness b) Positive attitude c) Maladaptive behavior

Q. 5 which one is not involved in mental illness?

a) Changes in brain b) Rheumatic fever c) Hereditary

S. TIME SPECIFIC CONRENT TEACHING LEARNIN AV EVALUATION


NO. OBJECTIVE ACTIVITY G AIDS
ACTIVITY
1. 1 min. Define the INDIVIDUAL THERAPY Lecture Discussion LCD What you mean
individual about the
therapy. Definition:- psychotherapy?
Individual therapy is defined as “A
method of bringing in a person by exploring his or
her feelings, attitudes, thinking and behavior.” It
establishes one to one relationship between the
therapist and the patient.
“Promote positive personality growth and
development. Psychotherapy is the use of
techniques that facilitate or allow people to modify
their feelings, attitudes and behaviors.

2. 1 min. Determine the Principles:- Lecture Questioning LCD What are the
principles of 1. Establishing a therapeutic therapist-patient principles?
individual relationship.
therapy. 2. Providing an opportunity for the patient to
release tension.
3. Providing an opportunity to practice new skills.
4. Reinforcing an appropriate behavior as it
occurs.
5. Provide consistent emotional support.

3. 1 min. Illustrate the Indication:- Lecture cum Questioning FLIP What you mean
indication.  Stress related disorders. discussion and CARD about neurotic
understanding disorder.
 Alcohol and drug dependence
 Sexual disorders
 Marital disorder.
 Neurotic disorder
S. TIM SPECIFIC CONRENT TEACHIN LEARNIN AV EVALUATIO
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. E ACTIVITY ACTIVITY
4. 2 min. Explain the Stages/ Phases:- Discussion Questioning Flash What is
stages of The three stages of individual therapy- card introductory stage.
individual
therapy.
INTRODUCTORY
STAGE

WORKING
STAGE

TERMINATI
ON STAGE

a) Introductory stage:
In this stage the client and therapist meet and
being to work together. This stage usually
involves taking a history of the client’s life,
including and medical problems and current
medications.

b) Working stage:
In this stage, the patient is able to become
more trusting, to disclose and to being exploring
with the therapist the thoughts, feeling and
behaviors to problems.
c) Termination stage:
For this stage, patient behavior modified or
remove the maladaptive symptoms, if it is not
changed allow the next session for the treatment.

5. 1 min. Enlist the types Types of individual therapy:- Lecture Listening and Chart What is abreaction
of individual understanding paper therapy.
therapy.
1) Hypnosis: -

Hypnosis utilizes ones’ mind to reduce


the various psychological issues. It utilizes
intense state of relaxation and concentration to
achieve a state of consciousness.

2) Abreaction therapy: -

Abreaction therapy helps to desensitize


and stop the emotional reaction in response to
painful situation experienced by individual.

3) Reality therapy: -

It focuses on current issues of the


patient instead of the past experiences. It helps
to solve the problems, renovate connections
and work towards a finer future.

4) Insight therapy: -

Insight therapy helps the patient to


understand the connection between past
experiences and current mindset.
6. 1 min. Explain the role Role of nurse in Individual therapy:- Lecture Discussion LCD What are the
of a nurse. responsibility of
 The success in the therapy is based on the stability psychiatric nurse?
of the relationship.
 Nurses formulate therapeutic relationship with the
patients and prepares comfortable environment
for them to ventilate.
 Nurses formulate trust worthy relationship with
the patient to actively gain the therapy goals.
 Nurses with expertise can observe for the
techniques used by the patient during the therapy.
 Nurses help the patient to explore the causes of
problems and how to manage them effectively.

7. 1 min. Define the GROUP THERAPY Lecture Discussion LCD How to provide
group therapy. group therapy?
Definition:-

“It is therapeutic procedure in which the


therapist carefully selects a homogeneous group (8-
12) who are emotionally ill and suffering with similar
type of problem. The therapist fixes the sessions and
formulates the group activities which are guided by
skilled persons. The group members assist each other
under the guidance of the therapist to bring the
expected behavioral changes.”

“It is a treatment method in which clients


meet at planned times with a qualified therapist to
focus on becoming self aware and self understanding,
improving IPR, making behavioral changes or all
three.”
-(According to Haber)

8. 1min. Illustrate the Indication:- Lecture Understanding OHP What you mean
indication of  Personality disorder about personality
group therapy.  Adjustment disorders related to adolescents disorder?
 Relationship problems
 Substance dependence
 Communication and social skill deficits
 Anxiety disorders

9. 1 min. Determine the Contraindication:- Lecture cum Questioning LCD What is


contraindication X. Antisocial patient discussion contraindication of
. X. Acute or severe ill cases like suicidal tendency group therapy?
where individual attention is required
X. Patient with delusions.

10. 1 min. Determine the Components:- Discussion Understanding Flanne What you know
components. l board about
The components of therapeutic group are: communication?

a) Group size:- The preferred size of group is 8-10


members.
b) Length of sessions:- The optimum length of
session in 45-60 minutes.
c) Communication:- One of the group leaders
primary tasks is to observe and analyze the
communication within the group.
d) Patient composition:- Most therapist suggested
that to ensure maximal interactions group should
be heterogeneous.
e) Group roles:- Each member in a group assumes
some specific roles in the group.
f) Norms:- Norms are the standers of behavior.
g) Cohesion:- Cohesiveness is defined as the
attraction of group members towards the group.

11. 1 min Explain the Advantages:- Lecture understanding Flash What are the
advantages of card advantages?
group therapy.
 More affordable as the therapists time is shared
with other patients.
 Allow participants to receive support and
encouragement from other group members.
 Patient can explore the way they communicate in
a safe environment.
 Learn problem solving techniques from other
members.

12. 1 min. Explain the Disadvantages:- Lecture Discussion Flip How to improve
disadvantages of book through the
group therapy. disadvantages?
 Confidentiality in violated.
 Patient may be shy or believe they lack the skills
to communicate effectively.
 Group therapy is not beneficial if the therapist
conducts the groups individual therapy.

13. 1 min Explain the role Role of a nurse:- Discussion Questioning LCD What are the
of nurse. responsibilities of
 Assist the therapist in conducting therapy and psychiatrist nurse?
structuring the group.
 Nurses should have ability to control the group
and observe how very person responds to others
and behave in social situation.
 Nurses provide safe and comfortable environment
to the group members so that they can ventilate
their feelings freely.
 As the co-therapist nurse should have assertive
communication to convey the messages.
14. Conclusion:-
Individual and group therapy are important components of a comprehensive developmental counseling programme. Individual and group therapy are
ways to help students who are facing problems that interfere with their personal, social, career, or academic development. Group therapy could easily be
considered more useful that individual psychotherapy. Group therapy provides insight into ones problems because they are able to see how others are dealing
with their problems.

15. Summary:-
Individual therapy is a general term for treating mental health problems by talking with a psychiatrist, therapies, or other mental health provider. During
psychotherapy. Group therapy is a treatment of psychological problems in which two or more patients interact with each other on both an emotional and
cognitive level in the presence of therapist.
BIBLIOGRAPHY:-
1. B.T. Basavanthappa, Psychology For Nursing, First Edition, Published By Jitendre P. Vij, Jaypee Brothers Medical Publisher (P) 2010.
Page No. 337-349.
2. Debr’s Elakkuvana Bhaskara Raj, Mental Health ( Psychiatric) Nursing, First Edition, Published By Manjunath And Hegde.
Page No. 308-310.
3. Kp Neerja, Essential Of Menatal Health And Psychiatric Nursing, First Edition, Jaypee Brothers Medical Publisher (P) Ltd 2008.
Page No. 367-372.
4. Marry C. Townsend, Psychiatric Mental Health Nursing, Conceptual Of Care In Evidence Based Practice, Second Edition, Jaypee Brothers Publications.
Page No. 297-314.
5. R. Sreevani Forward K. Reddemma, A Guide To Mental Health And Psyichiatric Nursing Forth Edition Jaypee Brothers Medical Publisher.
Page No. 366-372.
6. Ravinder Kaur Manu Kohli, Text Book Of Mental Health Nursing Second Edition, Published By Rajinder Kapoor Lotus Publishers.
Page No. 285-287.
7. S. Nambi, Psychiatric For Nurses, Second Edition, Jaypee Brothers Publication.
Page No. 193-198.
8. https://journals.lwww.com.>fulltext
9. https://onlinedegrees.bradley.edu.
10. https://www.healthine.com.
SANDIPANI ACADEMY
PENDRI (MASTURI), BILASPUR (C.G.)
CLASS TEACHING

SUBJECT: - MENTAL HEALTH NURSING


TOPIC: - INDIVIDUAL THERAPY AND GROUP THERAPY

SUBMITTED TO, SUBMITTED BY,


MRS. SRISHTI CHOURASIA MS. MADHULATA
ASSISTANT PROFESSOR M.Sc. NURSING 1ST YEAR
PRESENTED ON,
CLASS TEACHING

Subject : Mental health nursing


Topic : Individual therapy and group therapy
Name of the Guide : Mrs. Srishti Chourasia
Name of the student teacher : Ms. Madhulata
Duration : 15 minute
Medium of language : English
Date :
Time :
Venue : GNM 2nd year
Method of teaching : Lecture cum discussion
A.V. Aids used : Chart, LCD, Flash card, Overhead projector, Hand outs
Previous Knowledge : The participates may have less knowledge regarding topic of individual therapy and group therapy.
GENERAL OBJECTIVES: - At the end of the class GNM 2nd year students will understand about individual therapy and group therapy.

SPECIFIC OBJECTIVES: - At the end of the class the students of GNM 2nd year will able to:
1. Define the individual therapy
2. Determine the principles of individual therapy
3. Illustrate the indication
4. Explain the stages of individual therapy
5. Enlist the types of individual therapy
6. Explain the role of a nurse.
7. Define the group therapy
8. Illustrate the indication of group therapy
9. Determine the contraindication
10. Determine the components
11. Explain the advantages
12. Explain the disadvantages
13. Explain the role of a nurse.
14. Conclude the topic of mental health and mental illness.

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