#MedicalCase

For psychologists and psychiatrists: How to start treatment of unmotivated client? (Psychologist/ Counsellor)

Dr. Mehwish Mursaleen., MASTERS IN CLINICAL PSYCHOLOGY, MPHIL IN CLINICAL PSYCHOLOGY, PHD IN CLINICAL PSYCHOLOGY

 

Medical Case Details:

How to start treatment of unmotivated client (patient with psycotic / delusional symptoms). The family is disturbed because they can't bring him for treatment due to his aggressive outbursts and unwillingness towards treatment.

 


    Discussions


    Dr. Anil Kumar
    Psychiatrist

    Psychotherapy is effective only when the patient cooperative. So initially the patient may need medicines to control agression, psychosis.
    thankd

    ▲ 1
    28.Apr, 12:04pm

    Dr. Deepti Bhandari
    Psychotherapist

    Yes to mentally orient the person it is necessary that right medication is ingested to the patient. In extreme cases, the patient does not want to have medicines too. The only option then is to hospitalize them and administer the course of medicines required for stabilization.

    28.Apr, 12:17pm

    Dr. Arooj Najmussaqib
    Psychologist Counsellor

    Agree with Dr. Anil Kumar. As far as psychotic patients are concerned, they are not in a phase to understand psychotherapy or motivational discussions. We have to take medical help first till his / her symptoms are normalized to the state where he can listen and understand the problem he is suffering.

    Best comment
    28.Apr, 12:17pm

    Dr. Prashant Gohil
    Psychiatrist

    Hello there, patients with psychosis are difficult to treat as they don't believe they have illness and mostly refuse to take medications. For uncooperative patient, the best option for family members is to get patient admitted in Psychiatry hospital and to start on antipsychotics. Once patient recovers then psychotherapy can be started. In this case the best option is to admit the patient.

    Best comment
    28.Apr, 12:17pm

    Dr. Mehwish Mursaleen
    Psychologist Counsellor

    Thank you so much doctors for your suggestions. I'm quite confident in this decision because most of the experts suggest rightly. The patient needs hospitalization at the initial stage to stabilize his psychotic symptoms.

    ▲ 3
    30.Apr, 03:45am

    Dr. Sushma Shah
    HIV AIDS Specialist

    HELLO,

    DR. THE PATIENT WITH PSYCHOLOGICAL DISORDER, THE HOSPITALIZATION IS VERY DIFFICULT, I HAD SEEN THE PATIENT RUN AWAY SO BETTER START MEDICINE AT HOME LIKE PROLAN-AZ WIX WITH DAL, SABJI IN FINE POWDER FORM.
    I HAVE SEEN IT IS PALATABLE. WHEN PATIENT CALM DOWN THAN EASY TO HOSPITALIZED FOR FURTHER TREATMENT. O.K

    ▲ 1
    03.May, 01:10am

    Dr. Sandeep Singh
    General Practitioner

    Psychotherapy nd behaviour therapy gud options for starting... Win the Trust of patient thn strt wth definitive treatment

    ▲ 1
    04.May, 01:17am



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