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Complex Mental Health, Trauma and Recovery

CHIME Recovery Process 1

Mental health recovery is a complex and highly personalised process that is needed to ensure wellbeing a complete recovery (Coloni-Terrapon et al., 2019). For Alex, the most suitable recovery processes will be insurance of hope and optimism about future and rebuilding connectedness. Hope and optimism are also an essential component as they are directly associated with recovery in mental health as it instils a will for improvement and encourages the individuals to take steps for the wellbeing of mental health (Malouff & Schutte, 2017). Hope and optimism about the future also help in defining purpose to living in an individual and thus promotes a healthy recovery from hopelessness and despair.

MH Nursing Interventions for the Consumer

Intervention 1: Cognitive Behavioural Therapy

Cognitive behavioural therapy should be provided to Alex as it will help in breaking the negative thought cycle (Malouff & Schutte, 2017). The therapy is considered as a cognitive restructuring tool and assists in instilling hope by providing an alternate perspective to the perceived problem in individual who feel hopelessness and experiences of negative thoughts (Ruini, 2017).

Therapy should begin immediately for Alexander before discharge to provide scope for its efficacy and evaluation. The application of intervention will require assistance from a therapist and should be ensured through a collaborative approach (Coloni-Terrapon et al., 2019).

Intervention 2: Self-Esteem Enhancement

Self-esteem enhancement should be done for Alex through counselling and enhanced communication (Coloni-Terrapon et al., 2019). Communication plays a critical role in nursing and through the promotion of self-esteem enhancement in Alex, it can be ensured that he is from the guilt of his past actions and is able to embrace a positive future ahead (Ruini, 2017).

This intervention should be applied in conjunction with the cognitive behavioural therapy for Alex to promote his self-esteem and worth, limit the thoughts of guilt and instil hope for a better future (Allenden et al., 2018). The application of this intervention will require assistance from a counsellor.

Intervention 3: Boosting Positive Future Imagery

One of the major concerns associated with Alex is his hopelessness. Therefore, positive imagery should be boosted for his future to ensure that the individual is able to develop hope and an optimistic outlook of the future without any negative thoughts (Allenden et al., 2018). Boosting of positive imagery is also beneficial in terms that it can have implications on both, the mental health and the physical health of an individual and promote their wellbeing through implications on mental health as well. The intervention should be applied immediately and should be used as a therapeutic approach via assistance of the care nurses, counsellors, and therapists involved (Segerstrom et al., 2017).

Critical Discussion Linking Interventions back to the CHIME Recovery Process 1

Application of cognitive behavioural therapy, improvement of self-esteem of Alex, and enhancement through positive future imagery can be of significant help in instilling hope and optimism. Alex at present complaints of feeling hopeless and is under immense guilt of having contemplated and attempted suicide. Alex also expresses to have not been able to manage his relationship with his wife and thus fears judgement. He exclaims that die doesn’t know if things will get better and expresses dire anxiety and sadness about the same. Cognitive behavioural therapy will help in altering the perception of thoughts experienced by Alex and make him develop a positive outlook towards life (Segerstrom et al., 2017). These interventions are also helpful in cessation programs and can help in alcohol cessation for Alex and promote holistic care with a focus on both, his physical as well as mental wellbeing (Ruini, 2017). Successful application of these interventions will thus not only promote psychological wellbeing but also enhance physical recovery and holistic improvement in the wellbeing of Alex (Coloni-Terrapon et al., 2019).

CHIME Recovery Process 2

Connectedness in mental health is a crucial aspect as it links the connection of individuals, promotes social interaction and prevents withdrawal (Watts et al., 2017). Connectedness is a critical component of mental health and wellbeing. The connectedness in an individual is characterised by closeness or mutual dependence with other people in proximity, common bonds established through sharing, valued relationships, involvement in social circle, and care and acceptance (Carhart-Harris et al., 2018). Connectedness is of prime importance in case of Alex has he admits to being once active socially and has not secluded himself from the environment and people.

MH Nursing Interventions for the Consumer

Intervention 1: Acknowledgement of Identity and Common Bond Enhancement

Alex exclaims that he was once active in musical theatrics, drama, soccer and volunteer work. He especially notes how musical theatre is also connected with his current relationship. Therefore, Alex needs to be guided to find time for the activities he once enjoyed and take a break from his overworked schedule as a researcher in pharmaceuticals. This intervention should be applied collaboratively with family-oriented care to include the involvement of Alex’s wife as well (Carhart-Harris et al., 2018). The intervention should be applied once the patient has completed cognitive behavioural therapy sessions to ensure healthy participation (Creaven et al., 2018).

Intervention 2: Person-Centered Care for Increased Care and Acceptance

Alex also claims that he has secluded from his aides as they will not be able to understand his mental care needs. Person-centred care should be applied for Alex to provide him with primary care and to ensure his wellbeing (Carhart-Harris et al., 2018). This will assure that Alex feels that he is being cared for and is included with social acceptance and support (Creaven et al., 2018).

Application of this intervention should be spontaneous and with the assistance of the care nurses and with people closely associated with Alex.

Intervention 3: Promote Social Involvement

Social involvement of Alex should be promoted with the enhancement of social engagement. This can be done by the inclusion of groups, network involvement, and promotion of companionship (Creaven et al., 2018). This will prevent Alex from feelings of despair and loneliness and promote healthy recovery of his mental health. The intervention should be applied spontaneously and encourage participation from the close aides of Alex including family and the friends (Watts et al., 2017).

Critical Discussion Linking Interventions back to the CHIME Recovery Process 2

Interventions that focus on social building and enhancing connectedness for Alex are of high significance in facilitating recovery. Patients with severe depression require prime attention and care as they may feel withdrawn from the community and have a fear of judgement. This hinders their participation and makes them secluded with their thought that can serve to be fatal (Watts et al., 2017). Since Alex asserts his increased participation in social life before his depressive phase, the connectedness can be enhanced through the ignition of the existing interests. Therefore, interventions like common bond enhancement with family through completing the activities of common interest can facilitate health improvement of Alex (Carhart-Harris et al., 2018). Person-centred care for Alex will ensure that he receives the requisite care and is catered on priority for his wellbeing preventing withdrawal and promoting connectedness. Social involvement will also help in engaging the patient and promote his overall recovery and management of severe depression (Creaven et al., 2018).

References for Psychedelics and Connectedness

Allenden, N., Boman, P., Mergler, A., & Furlong, M. J. (2018). Positive psychology constructs as predictors of depression in retirees. Ageing and Society, 38(5), 995-1017. http://search.proquest.com/openview/5de6433ebe9d61ad388d78bbe1d94cad/1?pq-origsite=gscholar&cbl=37022

Carhart-Harris, R. L., Erritzoe, D., Haijen, E., Kaelen, M., & Watts, R. (2018). Psychedelics and connectedness. Psychopharmacology, 235(2), 547-550. https://link.springer.com/article/10.1007/s00213-017-4701-y

Coloni-Terrapon, C., Favrod, J., Clément-Perritaz, A., Gothuey, I., & Rexhaj, S. (2019). Optimism and the psychological recovery process among informal caregivers of inpatients suffering from depressive disorder: A descriptive exploratory study. Frontiers in Psychiatry, 10. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6977103/

Creaven, A. M., Healy, A., & Howard, S. (2018). Social connectedness and depression: Is there added value in volunteering?. Journal of Social and Personal Relationships, 35(10), 1400-1417. https://journals.sagepub.com/doi/abs/10.1177/0265407517716786

Malouff, J. M., & Schutte, N. S. (2017). Can psychological interventions increase optimism? A meta-analysis. The Journal of Positive Psychology, 12(6), 594-604. https://www.tandfonline.com/doi/abs/10.1080/17439760.2016.1221122

Ruini, C. (2017). Hope, optimism, goals and passion: Their clinical implications. In Positive Psychology in the Clinical Domains (pp. 109-127). Springer, Cham. https://link.springer.com/chapter/10.1007/978-3-319-52112-1_5

Segerstrom, S. C., Carver, C. S., & Scheier, M. F. (2017). Optimism. In The happy mind: Cognitive contributions to well-being (pp. 195-212). Springer, Cham. https://link.springer.com/chapter/10.1007/978-3-319-58763-9_11

Watts, R., Day, C., Krzanowski, J., Nutt, D., & Carhart-Harris, R. (2017). Patients’ accounts of increased “connectedness” and “acceptance” after psilocybin for treatment-resistant depression. Journal of Humanistic Psychology, 57(5), 520-564. https://www.mdpi.com/2071-1050/11/3/878

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