Anxiety & Fear
Depression & Hopelessness
Hallucinations & Delusions
Anger & Escalation
Boundaries & Ethics
100

A patient says, “I’m nervous about taking this medication.”

“The therapeutic response is: Can you tell me what concerns you about it?”

100

A patient says quietly, “Nothing really matters anymore.”

“The therapeutic response is: What’s been weighing on you lately?”

100

A patient says, “I hear voices telling me I’m bad.”

“The therapeutic response is: I don’t hear the voices, but I can see this is upsetting for you.”

100

A patient yells, “No one listens to me!”

“The therapeutic response is: I want to understand—tell me what’s frustrating you.”

100

A patient says, “You’re my favorite nurse—don’t tell anyone what I said.”

“The therapeutic response is: I care about you, but I may need to share information to keep you safe.”

200

A patient says, “I don’t like how this medication made me feel before.”

“The therapeutic response is: Tell me more about what you experienced last time.”

200

A patient says, “I feel like a burden to everyone.”

“The therapeutic response is: That sounds very painful—tell me more about that feeling.”

200

A patient says, “The TV is sending me messages.”

“The therapeutic response is: That must feel frightening—can you tell me more about it?”

200

A patient shouts, “Leave me alone!”

“The therapeutic response is: I’ll give you some space, but I’ll check back with you shortly.”

200

A patient asks, “Can I have your phone number?”

“The therapeutic response is: I’m here to support you during my shift, but I can’t share personal contact information.”

300

A patient says, “What if something bad happens after I take it?”

“The therapeutic response is: It sounds like you’re worried—let’s talk about that.”

300

A patient says, “I don’t see the point in trying.”

“The therapeutic response is: What’s making things feel so overwhelming right now?”

300

A patient says, “Everyone here is plotting against me.”

“The therapeutic response is: That must feel frightening—can you tell me more about it?”

300

A patient clenches fists and says, “I’m done with this place!”

“The therapeutic response is: I can see you’re upset—let’s talk about what’s going on.”

300

A patient says, “Promise you won’t tell the doctor.”

“The therapeutic response is: I can’t promise that, but I can explain what needs to be shared and why.”

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