Identifying personal problems - BATHE: Background - areas of psychosocial problems Affect - feelings, anxieties and sensitive areas Trouble - how the problem troubles the patient Handling - methods of coping and support Empathy - acknowledge distress, legitimise feelings
Managing personal problems - SOAP: Support - make people feel normal Objectivity - feed back a realistic picture Acceptance and self-acceptance Present focus - focus on the present, not past/future
Changing behaviour: Dissatisfaction as the motivation for change An alternative strategy required Emotional commitment to change Practice and feedback Reinforce the new behaviour
Psychological treatments: Form relationship with the patient Talk and action by the patient Help and change in behaviour and feelings
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