|
| (I) Individual care |
| Early phase |
| (i) Setting the therapeutic relationship |
| Establishing rapport |
| Developing therapeutic alliance |
| (ii) Empathic listening |
| Encouraging expression of emotion and thought |
| Clarify thinking |
| Empathic mirroring and validation |
| Support, reassurance, encouragement |
| (iii) Problem solving |
| Exploring problems, possible solutions |
| (iv) Psychoeducation |
| Advise about illness and possible causative factors |
| Counselling about treatment options |
| Counselling about expected progress |
| Mid phase |
| (v) Supportive therapy in dealing with individual issues |
| (a) addressing the mother’s self-percept, |
| for example, dealing with negative self-view |
| (borrowing from CBT), |
| (b) Addressing role changes (borrowing from |
| interpersonal therapy), |
| (c) Issues related to unwanted pregnancy, past trauma, |
| precious pregnancy, and so forth. |
| Recovery Phase |
| (vi) Psychoeducation |
| Advise about future risks |
| Counselling regarding long-term treatment (maintenance |
| options discussed, if needed) |
| (vii) Empowerment, rebuilding of self |
| Enhancing strengths, positive encouragement |
| Instilling hope, empowering woman as mother |
|
| (II) Care engaging husband/partner |
| (i) Psychoeducation |
| Advise about illness, treatment options |
| Advise about risks to self/fetus or infant |
| (ii) Counselling to enhance support to patient |
| Addressing areas of need |
| Facilitating the understanding of illness |
| Encouraging support |
| (iii) Brief assessment of needs of husband/partner |
| Brief exploration of husband’s/partner’s coping |
| Brief exploration of needs and counselling on resources |
| available |
|
