Counseling and Communication Skills in Family Practice CEA Method (Catharsis, Education, Action)

dr. Isti Ilmiati Fujiati, MSc. CM-FM

Public Health/ Community/ Preventive Medicine Medical School, University of Sumatera Utara

The usual method

Give the diagnosis.
Give the treatment.

Educate the patient.

Give prescription. Goodbye.
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but ..
Sometimes it doesnt work . because the patient is distracted by his feelings and his thoughts
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The more upsetting the feelings or thoughts The more distracted the patient

The less effective the medication

CEA Method
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Catharsis:
Is not about crying
- Becoming aware of the feelings - Naming the feelings - Knowing of what is behind the feeling
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P=R

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iF

iB

PR (misperception)
C
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If we know the emotionally critical misperception (ECM) of the patient

We can sharp-shoot our education Less time More compliance

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Steps:
1. When you heard the diagnosis / experienced the symptom, what thought came to your mind? 2. What did you feel when these thoughts entered your mind?

3. What is about these thoughts that makes you feel that way the most?
4. Summarize the thoughts and feelings (give the opportunity to the patient to correct you
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Then .
Correct the misperception.

For resistant patient:

If there is insufficient anxiety

our role to create sufficient anxiety

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If there is insufficient anxiety:

Ask concern questions:
Doesnt it concern you that .. (state a life consequence)?

Ask future questions:

What would happen if ..? (Let the patient answer the questions and then pause) 4/5/2014
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Then..

Correct the misperceptions

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Diagnosis

Catharsis (ALS)

ECM

Action Treatment

Educate (correct) Catharsis ECM

Action

Educate (correct)
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Thank You .

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