Sim 1 Reflection

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Lake Superior State University *

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Psychology

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Feb 20, 2024

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Patient Interview SIM 1: Major Depressive Disorder Reflection Sim Debriefing This simulation experience was interesting because it is the first time I got to engage with a live patient, and I felt unprepared because I did not have resources to guide a formal intake assessment per that simulated facility and I did not know the rules of the simulated unit to relay to the patient. However, I felt I did a good job communicating therapeutically by asking the patient open-ended questions to help understand her situation, restating her information to let her know I was actively listening, and assuring her she was safe, I was there to help, and I was sorry for what she was going through. Overall, I felt comfortable engaging with a depressed patient and asking about her history and safety. Something I know I did “incorrectly” was stand for some of the time I was speaking to the patient. I know this can feel intimidating, so I will remain conscious of this going forward, but I also had to weigh other options and felt standing was the best choice in this situation. Because the patient and the two chairs were tucked behind the bed, I would not have had a clear exit path in the event of an emergency if I sat down. While I could have asked the patient to move and rearrange the room for my safety, the patient was already withdrawn and had been shuffled around all week, so I did not want to further distress her by making her move and changing her environment again. Mrs. A suggested squatting in situations like this, but I have been previously corrected by a patient for squatting while speaking to a patient because it is often how adults speak to children and it can feel infantilizing. This just goes to show that not every situation can have it all, and you must weigh everything according to the present circumstances.

Scenario Analysis Questions The priority problems I identified so Li Na Chen were depression, ineffective coping, isolation, and chronic pain. Potential safety interventions related to her suicide attempt include individual and group therapy for depression and attempted suicide, as well as substance abuse. Group therapy is effective because it shows the patient she is not alone which can enhance her coping behaviors and improve her priority problem of isolation. Li Na is in the Generativity versus Stagnation stage of Erikson’s stages of psychosocial development, and her emphasis is on stagnation because she is isolated and feels like she’s not a contributing member of her family and community. The therapeutic communication techniques that are effective for her are active listening, asking open-ended questions, and using open and relaxed body language. Concluding Questions While I felt unprepared, this experience was helpful because it felt like a more authentic way to get comfortable asking difficult questions such as suicide risk and self-harm behaviors. While I had experience asking these question to a mannikin, it is always more challenging to ask a real person and I feel more comfortable doing that now.

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