How to Coach Yourself and Others Coaching and Counseling in Difficult Circumstances | Page 102

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Third domain. Patients who are DELUDED
3.1 If you want to just spend some time with a patient who is deluded, how do you go about doing
that?
3.2 How do you try to build a relationship with those patients?
3.3 Is there a way of talking with them that might reduce the extent of their delusions or their
preoccupation with them?
3.4 How about accomplishing some kind of task with such a person, say getting them to wash, or
go to bed, or eat a meal. How do you go about doing that?
3.5 Are there any other strategies you use or have tried with very deluded patients?
3.6 Is there anything you’ve seen others try, successfully or unsuccessfully?
3.7 Is there anything that shouldn’t be tried with people who are deluded?
3.8 Is there anything else you can tell us about working successfully with patients who are in this
state?
We are about half way through the interview now.

Fourth domain. Patients who are THOUGHT DISORDERED
4.1 If you want to just spend some time with a patient who is thou v