Therapeutic Communication

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INTRODUCTION

Mental health nursing is commonly defined as the specialty of nursing that cares for people of all ages with mental illness or mental disorder. The American Psychiatric Association defines mental disorder as clinically significant behavior or psychological syndrome or pattern that occurs in an individual and is associated with present distress or disability. An individual is believed to have mental illness when he or she possesses these signs: he or she is not able to view him or herself clearly or has a distorted view of self; marked personality change; confused thinking; prolonged mood disturbance; excessive anxiety, fear and suspiciousness; withdrawal from society; abnormal self-centeredness; suicidal thinking; extreme anger or hostility; hallucinations and delusions; abuse of drugs and alcohol; denial of problems and resistance to help; inability to cope with the daily activities and the like.

There are many factors that contribute to the possibility of a person to acquire this illness and precise to say, this is often brought on by a crisis in life. This crisis results to an individual’s depression, pressure and stress. When one is faced on total depression with his or her problem, he or she cannot think of himself clearly and sometimes this may lead to sudden change in behavior and the person starts to show positive signs of mental illness. This may include illnesses like schizophrenia, bipolar disorder, psychosis, depression or dementia. There are also neuroses, psychoses, psychological and personality disorders.

Dealing with people having these illnesses is never an easy task for one should not only consider one corner of their lives but also their holistic being as an individual. Thus, Mental health nursing is considered to be one of the most tough and challenging areas of nursing. Statistically speaking, as many as one in three people are thought to suffer some form of mental health problem. The biggest challenge until today is the fact that dealing with the human mind and behavior is not an exact science.

One way to address the toughest challenge in mental health nursing is through establishing a therapeutic relationship between the nurse and the client. A therapeutic relationship between the mental health nurse and those with mental ill health is essential to successful mental health nursing. The satisfaction on helping people back to mental health is as valuable and satisfying as caring for those with a physical illness. However establishing therapeutic relationships between the nurse and mental health client is not an easy task. Certain aspects are taken into considerations in order to build a good therapeutic relationship. There are the barriers that need to be taken down before we can say that a nurse was able to have a good therapeutic relationship with the client and vice versa.

II. BARRIERS TO EFFECTIVE THERAPEUTIC RELATIONSHIP
The biggest barriers to the effective therapeutic relationship are trust, communication and environment. These aforementioned barriers are very significant pillars to mental health nursing that should never be neglected by nurses. Once these barriers are solve then creating good rapport and positive impression to the clients will not be a problem. TRUST

First and foremost is trust formation. Trust is defined as confidence in and reliance on good qualities, especially fairness, truth, honor or reliability. Trust can also be defined as responsibility for taking good care of somebody or something. Trust provides a nonthreatening interpersonal environment in which the client feels comfortable revealing his or her needs to the nurse. Trust can be considered the foundation of the therapeutic relationship. In a progressing therapeutic relationship, trust is one of the first positive connections between the nurse and the client. Once trust is established, a chance for the therapeutic relationship to develop is clear and possible. The future of the...
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