Therapeutic Discussion with Malia regarding group therapy

Therapeutic Discussion with Malia regarding group therapy
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Storyboard Description

Malia has concerns with how she will benefit from attending group therapy. The nurse attempts to have a therapeutic conversation with Malia to help understand why Malia is hesitant to attend group therapy. Through developing rapport with Malia and offering support, active listening and suggestions, the nurse attempts to help Malia develop a different outlook on the effectiveness of group therapy.

Storyboard Text

  • I told you I am a private person, and I don't think listening to other people's problems is going to help me. I actually think it will make me more depressed. 
  • Malia,  I was wondering if we could discuss your hesitations around attending a therapy group.
  • I don't want to talk about it. All I know is I am feeling worse than usual. 
  • I appreciate your honesty. How have you been feeling recently?
  • I am sorry to hear you are feeling this way. If you need some space I can come back later and we can talk again if you would like. I am here to offer you support whenever you need. 
  • Okay, Thank you. 
  • I feel so isolated. It has gotten to the point where I feel helpless and think nothing will help me. I am worried that my negative mood will bring others down and vise versa if I attend group therapy. 
  • The nurse has suggested Malia attend group therapy for treatment, although Malia has expressed to the nurse that she does not feel group therapy will be beneficial to her.The nurse uses active listening as Malia expresses her opinion.
  • I notice that you are upset, I want to be able to help you, but I need to understand why you are upset. I know that you are a private person, but maybe I can help. 
  • The nurse takes a moment to address and attend to Malia's feelings and also validates Malia's willingness to express her thoughts. By addressing Malia's feelings, the nurse may be able to identify why Malia is hesitant to attend group therapy. Also, attending to Malia's feelings expresses the nurses genuine interest in attending to Malia's needs.
  • I guess I can give it a try... I have never done group therapy before. What happens if I just don't belong in a group though? 
  • Talking with others may provide you with some support. Group therapy should be a safe place where members support each other. I think listening to others stories will help you realize that you are not alone.  You just have to keep trying even when it seems impossible because I know you can do it. I am there for you, and your group members would be there for you too. 
  • The Nurse validates Malia's feelings and shows sincere empathy and lets Malia know that she is there for support. The nurse gives Malia some time to herself to process things. 
  • I like how you are honest and up front with me, it makes me feel like I might be able to trust you
  • Everyone has the capability of belonging to a group, we just have to find a group that is the right fit. It may take time, but with patience we will find the right group for you. Challenges may arise, but I will help you work through them.  
  • The nurse returns to Malia's room to find her crying and upset. The nurse decides to try again with developing rapport with Malia by helping Malia feel comfortable enough to open up about her hesitations.The nurse further tries to motivate Malia to open up about her feelings by instilling hope.
  • I still have some concerns about group therapy, but I am proud of myself for opening up to you.
  • I am glad to hear that you feel you can trust me. I also wanted to tell you how proud of you I am that you have been so open with your feelings. You seem less hesitant to participate in group therapy.
  • The nurse asks Malia if she can sit beside her to offer some support, develop rapport and show receptive body language. The nurse tries to instill some hope in Malia that she has the ability to be an effective member in group therapy and tries to offer some positive effects of group therapy to Malia.
  • I just don't know what to expect...
  • It is normal to feel some hesitations of group therapy as it is an unknown process to you. Would you like to discuss any other concerns you have?
  • The nurse attempts to reassure Malia that there is always a group available for someone. Every group is subjective, and certain characteristics may be beneficial to the group depending on the group dynamics. A characteristic that may not be beneficial to one group, may be very effective in another type of group (Yalom & Leszcz, 2005).
  • Although it was hard for me to open up, I am glad I did. 
  • Thank you for taking the time to talk to me Malia. I have seen great progress in you which makes me hopeful that you will be an effective member of group therapy. 
  • As Malia and the nurse build a stronger rapport, Malia starts to feel more comfortable opening up to the nurse. The nurse makes sure to congratulate Malia on her progress and helps Malia see  that she is making progress.
  • The nurse tries to help ease some of Malia's hesitations and further concerns regarding group therapy. The nurse makes sure to explain the process of group therapy,what to expect, and also reassures Malia that if any problems arise, they will be attended to right away. The nurse also makes sure to let Malia know that if any problems arise to come to her privately to discuss and try to figure things out.
  • The nurse ends the discussion with Malia making sure to once again reassure Malia and congratulate Malia on her progress.
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