KAUR, Upmehak

BSPT-3B
PDA 8

PT: Hello Sir, how are you?

pt.: Could be better

PT: I understand that you are not feeling at your best post-stroke. The result of the examination
we did a while ago using Beck Depression Inventory (BDI) revealed that you have moderate
depression. So, how does that feel? (Open-Ended Questioning)

pt.: I just don’t feel like doing anything, and I feel pessimistic and hopeless about the future.

PT: Tell me more about not feeling to do anything? (Open-Ended Questioning)

pt.: I just lie in my bed the whole day. I don’t enjoy doing my hobbies anymore and I neglect
doing physical therapy.

PT: So, you rest a lot, but still not feel rested enough to do your hobbies and engage in physical
therapy? (Reflective Listening)

pt.: Right, I just don’t want to do anything.

PT: Can you tell me more about how your social life is? (Open-Ended Questioning)

pt.: Well, I don’t feel good when my friends come at my house to visit me either because I don’t
want them to see my physical condition right now.

PT: So, you feel distant to your friends? (Reflective Listening)

pt.: Yeah, I just don’t have the energy

PT: I understand where you’re coming from. It’s very difficult to let the people close to you see
you being not yourself. (Expressing empathy)
pt.: Yes, and I kind of feel that they will just pity me which will make me feel even more sad.

PT: Okay, and can I know what is your decision about this? (Appreciative Inquiry)

pt.: I plan to change it because I don’t want to stay like this forever.

PT: Okay, that’s good to know. Now, let’s come up with some options in planning to treat your
depression. are you willing to take medication?

pt.: No, I want it the natural way

PT: We could try counseling if you want it naturally. In counseling, you can talk to the counselor
about how your feeling and they help you find own answers or solutions to your illness. What do
you think about that?

pt.: That would be great.

PT: Another thing that would help naturally is exercise. For your case, physical therapy will be
beneficial.

pt.: I really don’t feel like doing it.

PT: I see that you find exercise to be tiresome. The decision is of course, completely in your
hands and I’ll have to respect that. (supporting self-efficacy) But, allow me to discuss the effect
of exercise to the brain. (Positive Reframing)

Pt: okay

PT: Exercise induces serotonin which are happy hormones and helps your brain to grow and
repair. It also helps with the improving the quality of sleep and stress. To be specific, undergoing
physical therapy will become a way for you to get better from both your depression and will
regain your activities of daily living. How does exercise or initiating physical therapy sound to
you now? (positive Reframing) (Working with Decisional Balance)

pt: If that means I’ll not have to take medication. Then yes, I will try my best.

PT: Good, these are your decisions and I’ll just be supporting along the way. (supporting self-
efficacy) Would you like to undergo physical therapy in groups with post stroke patients as well?
This will be helpful in eliminating isolation. (Working with Decisional Balance)

pt.: Actually, that did pique my interest. I’ll definitely have to try it with the group because I
think relatedness will help me feel that I am not alone.