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.
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.
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.
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.
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.
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