The Japanese Journal of Clinical Dialysis Vol.15 No.9(8)

Theme Dialysis Patients and Psychiatric Pharmacotherapy
Title Counseling and/or psychotherapeutic approaches for treatment of dialysis patients with psychiatric problems
Publish Date 1999/08
Author Kiichiro Sato Department of Psychiatry, School of Medicine, Kitasato University
[ Summary ] There are few liaison psychiatrists who treat psychiatric problems in dialysis patients. Dialysis physicians are required to make more effective usage of psychiatric medicines and other treatments. Nurses and other staff members need to become more able to use a counseling approach and psychotherapy for their patients with psychiatric problems. It is not difficult for the dialysis staff to use counseling or psychotherapeutic approaches with these patients. It is important for medical staff to talk more sowly than usual and/or have emotional communication with these patients who have psychiatric problems. Secondly, it is necessary to notice or know about the worries of the patients themselves. Thirdly, it is important to consider their psychiatric problems from different viewpoints and to try potential new methods that the patients are able to do by themselves with the support of the medical treatment staff. It is most important to not communicate unnecessary information during counseling or therapeutic communication.
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