Your Emotional Anatomydialectical Behavioral Training

By Isaac Abraham, MSN, RN, Senior Consultant

  1. Dialectical Behavioral Therapy For Children
  2. Your Emotional Anatomydialectical Behavioral Training Programs
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Dialectical behavioral therapy definition

Dialectical Behavioral Therapy For Children

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In healthcare today, it is a reality that staff members who provide care in our health systems will encounter patients who have a psychiatric diagnosis. Hospitals across the nation are being challenged by rising volumes of behavioral health patients being treated in their facilities, and this is exacerbated by the increase in the numbers of patients with mental disorders, substance abuse problems, or both – a dual diagnosis – who present with acute problems. In addition to mental health conditions such as schizophrenia, mood or anxiety disorders, alcohol and drug disorders, and intent to self-harm, these patients often have other medical problems, including diabetes, liver disease, and various infections, that can sometimes be overlooked due to the presence of behavioral concerns.

This becomes a major challenge when staff members are not prepared to handle some of the behavioral problems that may be exhibited during hospitalization. For staff, this obstacle to providing appropriate patient care can be frustrating and unsatisfying. They may feel that these patients are taking up staff time and attention that could be spent on patients who are “really sick.” This lack of understanding can cause anger or resentment toward this patient population. While some staff members are comfortable in providing care for this population, others have expressed how uncomfortable and unprepared they are in working with behavioral health patients.

Your Emotional Anatomydialectical Behavioral Training Programs

Staff training and education on how to provide care in a safe and consistent manner will help staff members feel more prepared and will help them better understand how provide appropriate care to behavioral health patients. In addition to training in behavioral management and de-escalation techniques, special skills are needed to take assessment data and perform one-to-one interventions. Namely, most behavioral health patients may feel embarrassed to disclose their emotional problems to the staff. But when prepared with the proper training, staff can take the time and effort needed to help the patient feel comfortable and to determine what kind of care the patient needs now, in addition to any ongoing medical concerns.

Making a conscious effort to create an atmosphere of caring and concern helps both staff members and patients achieve the task at hand and maintain a safe environment. Staff communication styles – both verbal and nonverbal – contribute greatly to a patient’s sense of safety. Patients will react to verbal communication such as tone of voice, and they will notice if staff members seem to be hurrying through their questions so they can move on to their next task. Nonverbal communication, such as facial expressions, posture, and attentiveness, will also send a message to the patient being interviewed.

While most staff members have been taught about therapeutic communication methods in the past, it’s important for those working with any patient population, and especially the behavioral health patient population, to take some time before assessments or one-on-one patient conversations to remember that the initial impression is very important and can make a major difference in how patients respond throughout their entire care experience. Being an empathetic, non-judgmental listener can make a potentially problematic interview a safe and collaborative process that meets everyone’s goals for excellent provision of care.


Your emotional anatomydialectical behavioral training certification

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