Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

involves evaluating what would most likely happen if the client’s 2. the client to evidence and logic that effectively test the valid-ity of the dysfunctional thinking. Therapy focuses on changing “automatic thoughts” that occur spontaneously and contribute to the distorted affect. Examples of “automatic thoughts” in depression include the following: 1. automatic thoughts were true. Implications of the consequences are then discussed.dysfunctional patterns of thinking and behaving, and to guide 3. inferences is then reviewed with the client. Another technique 4. and disputes the automatic thought. The logic underlying the following: 1. 2. 3. 4. seems not to be working. There is no single technique that PersonalizingAny dummy could have gotten them right.”The client is asked to describe evidence that both supports Examples of “automatic thoughts” in mania include the Mind reading: Personalizing: important.”Clients should not become discouraged if one technique All or nothing: Discounting negatives: All or nothing: Mind reading: Discounting positives: : “I’m the only one who failed.”“She thinks I’m wonderful.”“She’s this happy only when she’s with me.”“He thinks I’m foolish.”“Everything I do is great.”“I’m a complete failure.”“The other questions were so easy. “None of those mistakes are really APPENDIX F ●^579
2506_Appendix_F_570-579.indd 579 2506 _AppendixF 570 - 579 has been shown to be an effective treatment for mood disor-intervention.and client may explore these possibilities. Cognitive therapy .are a number of techniques that may be used, and both therapist works with all clients. He or she should be reassured that there ders, particularly in conjunction with psychopharmacological indd 579 10/1/10 9:30:43 AM 10 / 1 / 10 9 : 30 : 43 AM