Week 12
Use psychodynamic technique
Case Scenario
Patient is a married female, aged 64, who has Major Depressive Disorder and Diabetes Type II. She is a non-smoker, but has a family history of depression, diabetes, hypertension and heart disease. She is normal weight, moderately active (walks her dog twice a day), but detests taking medications for her depression and diabetes. Patient voices she does not “feel†sick, somewhat depressed without any suicidal thoughts. Patient is guarded and is not convinced she needs medication to lower her blood sugar.
Goal: Work with patient to increase motivation to take her depression and her metformin as prescribed. Use reflective responses to reduce resistance about taking depressive and blood sugar medications.
MI is a powerful and empathetic conversational tool that allows PMHNPs to collaborate with patients to bring about positive behavioral changes that support better health. MI relies on open questions, affirmation, and reflective listening that includes restating patient answers without judgment.