[How to create a good relationship between a therapist and patient in clinical psychiatry: to know the patient is indispensable for effective treatment].
It is essential to create a good relationship between a therapist and patient for effective treatment in clinical psychiatry, while we should focus our attention to know the patient's pathology and develop a proper treatment strategy. For this purpose, I always keep five issues in my mind, as follows. First, a good atmosphere will reduce patients' nervousness and anxiety. Second, listening carefully to patients' descriptions of symptoms. Careful listening will help us to understand the meaning of the symptoms for the patients. Also, we will gain the patients' confidence, as it engenders sincerity. Third, we should clarify the treatment plan and goal. Patients can gain hope and will continue the therapy. Fourth, we should support the patients to receive treatment continuously. Praise their attitude for receiving the treatment, and assigning homework will strengthen their continuousness regarding the treatment. Fifth, the treatment should shift from therapists' leadership to patients' self-direction.
Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University.
Tomohiro
T
Nakao
D000328:Adult; D001291:Attitude of Health Personnel; D001676:Biofeedback, Psychology; D003299:Cooperative Behavior; D005260:Female; D006801:Humans; D010817:Physician-Patient Relations; D011613:Psychotherapy / Q000379:methods*; D016896:Treatment Outcome