Interviewing the Patient: Stress and Anxiety Reasons

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Questions Effectiveness
How are you, Jonathan? (B) This is a rather bad question, as it is very generic and does not invite the patient to share his emotions with the specialist. On the surface, the question itself is rather harmless; however, when considering it a bit deeper, especially in the given context, one must admit that asking a suicidal person about their wellbeing may trigger a major backlash. It could be suggested that the person asking questions should be more specific in their query, e.g., “Are you feeling better today, Jonathan?” The aforementioned question invites Jonathan not only to express his current emotions but also to analyze them.
How are you doing with the winter? Much like the question provided above, the given one does not do much to forward the conversation between the patient and the social worker; instead, it makes both foci on meaningless trivial. Since the question is very vague, the patient will be unable to focus and, therefore, may become easily irritable, which is highly undesirable for the outcomes of the session. Also, unlike the previous question, it can hardly be improved, since the question already presupposes asking the patient about their plans, i.e., it places the patient into a specific context.
How is your family? Are you close? This is a very good and important question. Not only does it provide background information on the relationships between the patient and his family, but also helps the patient identify the issues that he is currently facing in terms of communicating with family members. Seeing that this question makes the patient analyze the current problems in relationships with his family members, it allows for helping the patient locate the methods of reconciling with his family and winning their trust back. It should be borne in mind, though, that the negative response towards the question may upset the patient; therefore, it will be necessary to stream the communication in the right direction by asking the patient questions like “Why do you think you are not close?,” etc.
Do you have a plan? Or do you know when you plan on doing it? Even though it is already known that the patient is planning to take drugs, it will still be required to make him analyze his current position once again. Specifically, it will be necessary to make sure that Jonathan should not develop a dependence on drugs in the course of his recovery. Jonathan will need to realize that drugs are not his silver bullet and that he will eventually have to learn to handle his emotional issues. As a result, the patient will be able to see beyond the plan that he has created and learn to enjoy his life again.
Do you have family support if you go to the hospital? While this question has a lot in common with the third one, it can be considered as rather bad in the specified case. Seeing that the patient has made several attempts at committing suicide, as well as lost his job, it will be logical to suggest that his relationships with the family, if he has any, leaves much to be desired. Since he has tried to commit suicide, the support of the family members is either absent or no longer efficient, and bringing it up at the specified stage of the patient’s treatment is fraught with serious consequences.
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