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* HELP :How to do counsel a pt with Hallucinations
 #337720  
  detdetroit - 09/12/08 22:48
 
  plzz can anyone tell me

1) how to do counseling ----pt with HALLUCINATIONS

2) father who came to know that his son is gay.

thanks in advance and goodluck
 
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* Re:HELP :How to do counsel a pt with Hallucination
#1458963
  detdetroit - 09/12/08 23:13
 
  help me plzz  
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* Re:HELP :How to do counsel a pt with Hallucination
#1459527
  cs0019 - 09/13/08 15:00
 
  is there any kind hearted person
I have the same query but no one replied that time
plz reply
 
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* Re:HELP :How to do counsel a pt with Hallucination
#1459800
  rebel71 - 09/13/08 18:19
 
  hi!

1)hallucinating pt:

If this case is safe ,still first see who brought him to hospital,next take permission to give IM Haloperidal stat, forget counselling

If this case is calm, may schizo/drugs cant be ruled out still/alcohol

you can approach like any other case...


2)Gay case

Depending upon the age,privacy laws come to picture.Unless its a public nuisance even Dad cannot say this,the only exception being the Dad knows his son is HIV +,here def someother life is involved ,now the doctor can advive the father to bring his son to him.

Otherwise counsell dad that its normal and that he should engage conversations with son where opp sex plays a prominant part/take him to parties where he is forced to mix,may be people change.Lastly telling Dad that he might try a good psychologist for son only if son wants to.
 
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* Re:HELP :How to do counsel a pt with Hallucination
#1460227
  ramri - 09/14/08 00:49
 
  Rebel71, completely wrong!
1. We are not supposed to diagnose so there is no question of giving medicine.
2. Counsellin for gay- Please accept your son as he is. Sexual orientation is not a measure of anyone's humanity or worth. It is important to respect each other for who they are, not what we would like them to be. Your son is your son and who he loves does not matter. Male or female, its all beutiful.
There are organisation and support groups who provide education for parents who need to learn more about gender issues. Contact parents and friends of gay people, learn about homo sexuality, so u can better understand your son and his feeling.
I hope this helps.
Anyone with idea about giving differential of Schizo?
 
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* Re:HELP :How to do counsel a pt with Hallucination
#1460271
  freud - 09/14/08 02:26
 
  Schizo differential:Make sure it is a chronic condition(more than 6 months) and eliminate a shizoaffectif disorder,a schizopheniform disorder,a brief psychotic disorder,a mood disorder with psychotic features..then eliminate:
1/General medical condition:Cushing,Epilepsy(temporal form),intra cranial tumor..etc
2/drug or medication effect:corticosteroids,hallucinogen,hashicsh,cocaine,amphetamine,alcohool,LSD,PCP..
 
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* Re:HELP :How to do counsel a pt with Hallucination
#1460666
  ramri - 09/14/08 13:17
 
  I wanted to know if u suspect patient to have schizo how to tell him he might be having mental illness, how to counsel?  
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* Re:HELP :How to do counsel a pt with Hallucination
#1460668
  ramri - 09/14/08 13:18
 
  I mean schizo is one of possibility. How to say?  
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* Re:HELP :How to do counsel a pt with Hallucination
#1460793
  cs0019 - 09/14/08 14:35
 
  thanks a lot to every one who have discussed here
thanks
 
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* Re:HELP :How to do counsel a pt with Hallucination
#1461427
  detdetroit - 09/14/08 23:03
 
  Hii
thanks for the useful discussion

father who came to know that his son is gay : I would counsel in this way.
Mr xxx.. I know it must be hard for u to handle the whole situation but important thing that I would like to tell u is that, getting attracted to same sex is not abnormal but if the person is feeling bad abt his relationship then he needs help., but meanwhile I would like want u to meet a behavioural therapist who can teach u various relaxation techniques and I would want u to spend more time with ur freinds and family.
If the father has any ideas of suicide : then I would tell him abt suidcide contract also

is this ok
 
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