Where client was when I met them: Client was on admission in Hospital when they were allocated to me. Client had been diagnosed with psychotic depression. They had lost both parents within a space of one month and had no other family relations they were close to. There were ongoing social issues as they were struggling with work and feared losing their job. They had recently been evicted from their home and they were sofa surfing in a friend’s house as most of their earning was being spent on recreational drugs used to self-medicate, so unable to afford the cost of living on their own. Client was being treated in hospital and was ready for discharge when I first met them. 

Effect of their problem: Client had been experiencing extreme burnout in both their professional and personal life leading to their mental breakdown and being diagnosed with psychotic depression.

Where they wanted to be: Client wanted to get their life back on track, able to work effectively, socialise with confidence and find their purpose in life.

How and why, they had an intervention with me: Client was allocated to me as their community psychiatric nurse. I had to use my nursing skill to empower and encourage the client to be compliant with their treatment plan as agreed by the multidisciplinary team and the client themselves. I was able to quickly establish a rapport with the client when I first met them, which meant we could work together effectively on their recovery journey.

What I did as a professional: Because I had established a therapeutic relationship with the client, it was easy to learn a lot about them as an individual, their social environment, family background and professional life. We then agreed a working plan which identified the challenges they were experiencing and the interventions they felt able to engage with to enable their mental wellness. In additions to administering the client’s prescribed monthly injection which I educated them on its side effects and benefits, I also suggested and encouraged social activities such as joining a walking club and I met with them weekly at a coffee shop. This enabled the client to build confidence, improve their physical wellness, find a job which was less stressful and connect with family they hadn’t spoken to in years. 

Where is the client now? Unfortunately, the client’s family history informed of parents struggles with their mental health and were diagnosed with depression. As a result, the client had a genetic predisposition to become mentally unwell. This is because Mental illness is a biopsychosocial disease with a strong genetic component. Although the client’s mental health improved during their recovery journey, they also experienced relapses which led to other hospital admissions. The client was supported again during these periods to recover but due to their genetic predisposition they experienced periods of wellness and periods on admission, which professionals sometimes refer to us revolving door syndrome.

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