I am currently working as a registered nurse in a psychiatric ward. I have been here for one and half year, and going to do a group counseling session.
The session is for depression patient. They are mostly 30-50ish from our outpatient depression clinic, follow up for several years in our hospital.
I never held this kind of session before, I just watched other people doing session for six months. Normaly 3-5 patients will came for each session.
Seven session will be held, and I will be a main counselor for 5th
First session will be done by the psychiatric doctor(He is the program manager). He is going to introduce consept of wrong reasoning for patient. 3rd
session is for forgiveness. People will talk about it and write letters for people who hurt themselves before. 4rd session is about meditation. 6th
session is some kind of art therapy, using clay and make things. 7th
session will be lead by the doctor, and he will finish.
Each session will be 90 minute and once a week, since it is for 7 weeks program.
Can someone give me any kind of hint?
I googled related books, documents about "therapeutic recreation" "group therapy"
Can someone recommend psychiatric nurse's 90 minute counseling example, or something similar?
If any nurse, supported group therapy before? What kind of group program?
I am the first nurse who joined this program. and I am very worried about result. (Unit manager also worried...) I have one month, so I ordered few books (for therapeutic recrean and group therapy...) but I feel like lost in nowhere. No focus in here.
Thank you for reading
*English is not my mother tongue, and I am trying to learn. If you feel hard to understand or found error from my post, please mention it. It will be very helpful for me. Thanks again!
Apr 2, '12
by Davey Do, ASN, RN
Quote from Whispera
The topics you're covering seem to be more along the line of group activities rather than therapy
I think 90 minutes is wayyyyyy too long for someone who's depressed to maintain focus.
While working at a Community Mental Health Center, I was given an Assignment to do a two hour Lecture, the first thing in the morning, from 8 to 10, without a break, to Court Ordered Substance Abusers. The Lecture was to focus on the Effects of Alcohol and Other Drugs on the Body Systems.
It was quite a challenge, but having had quite a bit of experience in giving Lectures, was generally a Success. I believe the Success was the result of being knowledgeable on the subject, loving the subject, and really wanting to motivate this Group of People.
I encourage you to be Innovative, hanasea, but most of all, be yourself.
Be Zen about this whole thing: Be the Group. You will find all sorts of information online and in books, but it will be you, and not the information, which will be leading this Group. Make it Personal. Immerse Yorself in this Subject. Find something
to love about this subject.
If I may, I'd like to relay to you a couple of examples that made my Lecture not only tolerable, but fun and interesting:
During the part of the Lecture where I was explaining Peristalsis, I poised a question: Could you drink if you were upside down? The General Consensus was "No". I would do an Audience Participation Type of Demonstration to explain Peristalsis. I would ask for two Volunteers to assist me in Standing on my Head. Then, I would drink from a small container of juice from a straw. I would speak so the Group knew I was not holding the juice in my mouth. Afterwards, I would request that the Group give a Round of Applause to the Volunteers, and explain the process of Peristalsis. It was Peristalsis, the wave-like action of my Esophagus, that allowed me to drink juice up
into my stomach. From there I could talk about Alcohol's effect on the Transitional Epithelium which lines the Alimentary Canal and so forth.
As Whispera pointed out, Attention Spans cannot usually hold out for Expanded Lengths of Time. When my Supervisor informed me that No Breaks were to be given during the Two Hour Lecture, I Improvised a bit:
In order to adequately explain the effect of the Brain's Naturally-Occurring Chemicals on the Body, the Group and I went for a walk. I would continue to Lecture, for example, about Endorphins. While walking, I talked about how Endorphins are sometimes secreted due to Aerobic Exercise. If Someone needed to use the Toilet on the way out of the building, we may talk about th Excretory Process of Waste Materials from The Body. Since we were ouside, and someone decided to fired up a cigarette, we'd have to talk about what smoke does to the Aveoli of the Lung, or how Nicotine affects the Heart.
What I'm trying to do here hanasea, is give you examples of how I put myself into The Process. Of Course, I did these Lectures twice a week for several weeks, so I was allowed to Fine Tune them. But you know what They say: "Practise provides opportunity for possible improvement."
Good Luck to you hanasea.
Last edit by Davey Do on Apr 2, '12