Introduction In non-psychotic patients with severe mental… IntroductionIn non-psychot

Introduction In non-psychotic patients with severe mental… IntroductionIn non-psychotic patients with severe mental disorders, psychotherapy is effective in controlled studies (Lana et al., 2020). Individuals can participate in group therapy with others who are dealing with similar issues. Individuals have more freedom of expression and the support of others within the group because of this (Cormack, 2017). Sandra, Bryan, Kim, and Will are four clients in schizophrenia group therapy. The weekly group meets to discuss each client’s life and provide feedback. Brook and Robin are two psychotherapeutic techniques that assist clients with their issues. The meeting’s focus was on social challenges and stress management. Clients’ jobs, schools, and relationships are also helped by the group. They are less likely to be hospitalized if they participate in group therapy, and their symptoms are reduced. This paper aims to aid group therapy clients with mental health issues caused by schizophrenia in terms of coping skills.                                      Group Therapy TechniquesThe two group leaders introduced themselves, explained group rules, and reviewed the previous assignment section and agenda group session at the start of the group. Group leaders will be able to recognize upcoming studies that will help advance the field, and they will be able to apply these theories and techniques to their groups (Marmarosh, 2017). Four people made up the client group. On a scale of one to ten, the group was asked to rate their depression. The feeling of a ten is excellent. The client was asked about the coping skills they had learned in group therapy by the leaders. Will’s coping mechanism was to smoke marijuana to relax, which was not a good coping mechanism. Kim claims she was hesitant to leave the house at one point, but she went over to talk to her neighbors. When she was feeling stressed or overwhelmed, Kim said she did deep breathe exercises. Kim stated that her breathing technique was effective; she regained control and returned to her home. Ryan stated that he thought he was hallucinating when he heard things moving, so he called his neighbor, who confirmed his feelings and thoughts. Sandra claims that her cat became agitated and bit her hand. She wanted to hurt her cat badly, but she was distracted by music. She was able to pet the cat after she got down. She felt she needed to take a break from the difficult situation and concentrate on something else. She can calm herself down.              Relaxation is a type of recreation that people engage in after working or engaging in any other physically or mentally demanding activity. Relaxation can be as simple as sleeping longer, reading a book, exercising, or traveling. Relaxation can also refer to a mental state of calmness and serenity in which anxiety and stress are absent. Stress is mental or emotional tension caused by difficult, unfavorable, or potentially dangerous situations. A relaxed person has a slower heartbeat and breathing rate, lower blood pressure, less stress, and more confidence in dealing with challenges (Ruth, 2020). When clients are feeling overwhelmed, they can use deep breathing techniques, and relaxation music therapy can help them relax and feel better. Improve self-control and deal with stressful situations. Will prefers to unwind by smoking marijuana, while Ryan relies on affirmation to relax.Evidence from the Literature            Clients with schizophrenia may experience both positive and negative symptoms that affect their work, personal relationships, and self-care. Schizophrenia patients frequently experience both positive and negative symptoms. According to Butcher, Berry, and Haddock’s article (2020), negative symptoms can have a limiting and significant impact on daily life. Various clinician studies used to assess negative symptoms, on the other hand, have revealed little about how individuals experience these symptoms on an individual basis.Yanah Kuscianah Kuswa’s research (2021) uses progressive muscle relaxation techniques on schizophrenic patients who have anxiety-related problems, and the results show that muscle relaxation interventions reduce patient anxiety levels. After receiving progressive muscle relaxation, the patient’s anxiety decreased by 30.34% on average. In nursing service settings, progressive muscle relaxation is used to treat schizophrenic patients with anxiety disorders.The group leader led the client through a deep-breathing exercise and asked how it helped them. Will said he felt good, and Kim said it helped her anxiety. Bryan claims that deep breathing keeps him more focused than drinking, which distorts his perception of the environment. Sandy claims that deep breathing aids her relaxation.Therapist handling in the group           The two group leaders maintained a therapeutic relationship with the client, and the therapists were professional when reviewing the group rules during the session. They asked the client to keep the session private, respect one another, and take a break. The client described a situation that hurt their lives and how they dealt with it during the check-in. The therapists went over the coping technique with the client and taught him a new one. Will’s therapist should have mentioned substance use or abuse as a coping skill when he said he smoked marijuana to calm himself down.                                               Identify an Insight Therapist           The therapist set the groundwork for the group’s rules and expectations. Each client followed the rules and became a part of the group. The therapist led a group discussion, and each client shared their new anxiety and depression coping strategies. After the client’s story and situation, the therapist offered support and provided feedback.                                          Handling a Difficulty Group MemberThere are a variety of clients in the group session. Those therapists should plan ahead of time for any setbacks and hand over-demanding clients. Ground rules and consequences should be established by the therapist. Client autonomy is important, as is providing opportunities for alternative constructs and focusing on the client’s strengths rather than their flaws. Each client should be able to participate in group therapy by sharing their problems and weaknesses. Clients with social phobia may be unable to speak in public. If clients are unable to participate in group therapy due to shyness, the therapist should make them feel free and safe to express their opinions. Other clients may be suspicious, while Schizophrenia patients are resentful, and their expression may not be beneficial.Phases of the Group Therapy           Initial, orientation, storming, transitional, norming, performing, working, and termination or adjourning are the stages of group therapy (Tasca et al., 2021). Each step has its own set of expectations, challenges, and objectives. As a result, the therapist should anticipate these objectives. In the first stage, the therapist discusses the expectations, goals, rules, and confidentiality. Confidentiality issues may arise, and they must be addressed right away. During the transition stage, clients may be hesitant to share their information with others. Each client should be guided and encouraged to feel safe, share knowledge, and actively listen to the therapist. Clients begin to share their thoughts and feelings during the working stage, which can result in emotions. They should help clients process their emotions and thoughts. During the group session, other clients may judge or criticize their thoughts and feelings, and the therapist should address any issues right away. In the final stage, clients must reflect on their experiences and determine how to apply their expertise and knowledge in everyday situations. The therapist should emphasize the importance of the client’s feedback, as well as the group’s confidentiality. The group’s leadership skills and knowledge, as well as the client’s willingness, determine the group’s success.The Benefits and Challenges          There are numerous advantages to group therapy, including the development of healthy coping skills, social support, and self-awareness. Maintaining confidentiality, privacy, social phobia, and personality conflict, on the other hand, can obstruct the group’s benefit.Scholarly ArticlesBecause the research articles have been peer-reviewed and are credible, they are listed as scholarly. Yanah Kuscianah Kuswa wrote a report about how music therapy can help people with schizophrenia. After receiving progressive muscle relaxation, the patients’ anxiety decreased by 30.34%. In chronic schizophrenia patients, the findings revealed muscle relaxation and improved quality of life.ConclusionDepression scores were significantly lower, and quality of life was significantly improved after group therapy. By sharing their difficult situation with others, group therapy can offer support and help them understand that they are not alone. Furthermore, group therapy teaches clients coping skills such as relaxation techniques and deep breathing exercises that they can use to reduce stress and anxiety in their everyday lives.ReferencesButcher, I., Berry, K., & Haddock, G. (2020). Understanding individuals’ subjective experiences of negative symptoms of schizophrenia: A qualitative study. British Journal of Clinical Psychology, 59(3), 319-334. https://doi.org/10.1111/bjc.12248Cormack, R. G. (2017). Group therapy. Salem Press Encyclopedia of Health.Lana, F., Martí-Bonany, J., Sanz-Correcher, P., Pérez, V., & Irimia, A. (2020). Brief day hospital mentalization based group psychotherapy for schizophrenia spectrum disorders: A feasibility study. Actas Espanolas de Psiquiatria, 48(2), 64-74.Marmarosh, C. L. (2017). Attachment in group psychotherapy: Bridging theories, research, and clinical techniques. International Journal of Group Psychotherapy, 67(2), 157-160.Ruth, M. (2020). Relaxation. Salem Press Encyclopedia of Health.Tasca, G. A., Mikail, S. F., & Hewitt, P. L. (2021). Group therapy theory and group psychodynamic-interpersonal psychotherapy stages of development. In Group psychodynamic-interpersonal psychotherapy. (pp. 109-162). American Psychological Association. https://doi.org/10.1037/0000213-005Yanah kuscianah kuswa. (2021). Reduction of Anxiety Levels in Schizophrenia Patients Using Progressive Muscle Relaxation. southeast Asia Nursing Research, 3(2), 90-97. https://doi.org/10.26714/seanr.3.2.2021.90-97——————————————————————————————————- Please revise underline section. thank you.   Health Science Science Nursing NRNP 6645 Share QuestionEmailCopy link Comments (0)

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