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Navigating Challenging Consultations

MI experts show how the skill of reflection de-escalates client distress and anger by helping them feel understood.

From the course
MI-HEALTH-LIGHTER01 1.pngMotivational Interviewing in Health Care
We've covered quite a lot of examples about different forms of reflection used in different circumstances. But one scenario that we haven't addressed is how useful reflection is when the patient is angry or upset or worked up. The patient who is feeling angry, upset or withdrawn, when faced with reflection, feels understood. This helps you to move on. Take a look at what this looks like in practice. Because you can't run a system on time, can you? Right. Yeah. It you come in here wanting to be treated like an individual, and I guess you get to feel a little bit like you're on a conveyor belt. I don't come in here. I wanna be I come in here because you summons me. That's why I come in here. Right. Right. If I could just drop a note through the door and you can give me a repeat prescription, that would suit me fine. Thank you. That's what you do. Right. So whatever way you look at it, coming up to this clinic is not something you look forward to. It's an interference. I manage all these things. Alright? You're just wasting my time. Right. And and may I ask your permission to just give me a few minutes to chat to you this morning? Go on. Because it is your choice to be... No. No. I'm here now. Let's get on with it. Are you sure? I've said yes. Well, as I've been reassured on multiple occasions, it is very common. Mhmm. That's all anyone can really tell me. Yeah. It is common. It is common. You're tired of hearing that. Yeah. I get it. Everybody has it. We all have it. Great. Yeah. And then it's sort of what's next. I understand there's some medication changes. And by changes, I mean, I have to start taking medication. Mhmm. So there are medications that will keep it in check, I guess. I it's not even a there's no cure. So it is what it is. And I have will take something to just keep it in check and then I'll go back. I mean, nothing will change. That's all it's common. Everyone has it. I can keep my life. Mhmm. So... Mhmm. Okay. So that's as much as you understand. Medications and that's it. Yeah. Yeah. Okay. So leading up to this, was it a surprise to you when you got this diagnosis, or were you aware that something was going on? I don't.