Chapter 2.Engaging and Assessing
Sections
Excerpt
Engagement and maintenance of the patient relationship is fundamental to any psychotherapeutic intervention (Wright et al. 2006). If the patient is disengaged and can’t be reached, progress in psychotherapy is impossible. Some patients with severe mental illness who have difficulties engaging may walk out, refuse to talk to you, or only allow very superficial conversation. But, a collaborative CBT approach can help even the most paranoid or cognitively impaired patients work with you to meet the broad goals that they have for their lives. Building a therapeutic relationship with persons with severe mental illness often involves a step-by-step process. Initially, there may be a relatively superficial working relationship. However, continued efforts to promote collaboration can progressively allow for more interaction, disclosure, and change.
Access content
To read the fulltext, please use one of the options below to sign in or purchase access.- Personal login
- Institutional Login
- Sign in via OpenAthens
- Register for access
-
Please login/register if you wish to pair your device and check access availability.
Not a subscriber?
PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.
Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).
