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Barker’s Tidal Model of Mental Health Recovery – Case Study Jessica is a 28-year old second-year...

Barker’s Tidal Model of Mental Health Recovery – Case Study

Jessica is a 28-year old second-year medical resident working in a demanding, high stress environment. She has always been a high achiever, graduating with honors in both college and medical school. Jessica has high standards for herself and can be self-critical when she fails to meet them. Lately she has struggles with significant feelings of worthlessness and shame due to her inability to perform as she has in the past.

At work her fellow residents have noticed that she is often withdrawn and irritable. At home Jessica’s husband has noticed changes in her behavior. She has insomnia. He has heard her having tearful conversations with her closest friend. When he tries to get her to talk, she pushes him away saying “everything is fine.”

Although she has never considered suicide, Jessica has found herself increasingly dissatisfied with her life. She gets frustrated with herself because she thinks that she has every reason to be happy yet cannot shake her feelings of gloom. (Adapted from psyweb.com)

Question

Using Barker’s Tidal Model, describe three strategies you could use to engage Jessica in her recovery process as described in the case study.

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Answer #1

The strategies are:

1. value the voice

  • Encourage her to ventilate her feelings and experiences in her own narration or story
  • Value the voice of patients story
  • Develop genuine curiosity and intrest in patients narration
  • Recognize the power of resourcefulness, competencies instead of focusing on problems, deficits, and weaknesses
  • Respect the patient wishes rather than being paternalistic

2. Use the available tool kit

  • Use the available tool kit for the patients story 'what work or what may work for the person '
  • Record the tidal anecdotes
  • Tidal model helps to speak eloquently with control

3. Give the gift of time

  • Tell the patient that the change is constant and everyone goes through this as common experience
  • Do appreciation for change
  • Be transparent in helping and ensure what exactly is being done
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