THOUGHT STOPING TECHNIQUES METHOD PREPARED & PRESENTED BY:- SUSHMA MSC. NURSING 1 ST YEAR MENTAL HEALTH NURSING
OBJECTIVES Introduce thought stoping techniques define thought stoping . enlist techniques of thought stoping . Discuss thought stoping techniques. Elaborate alternatives to thought stoping . enumerate thought blocking steps discuss how thought stoping works. Discuss Indication of thought stoping Explain role of nurse in stoping thought
INTRODUCTION Thought stopping is a strategy that involves blocking and replacing unwanted, distressing thoughts. The technique is sometimes used in cognitive-behavioral therapy (CBT) as a way to halt or disrupt negative thoughts . Then, a more adaptive or helpful thought can then be substituted for the unhelpful one. Thought stopping has a long history of use in CBT. However, some research suggests that when not done correctly, it is ineffective and can often contribute to worsening anxiety or obsessive thinking .
DEFINITION Thought Blocking, also known as Thought Stopping, is a technique for stopping and challenging negative thoughts. It is a mechanism for stopping catastrophized or awfulized distorted thoughts and the escalating emotional whirlwind of increasing anxiety or anger. ( Catastrophizing or awfulizing are terms that describe dwelling on a worse-than-worst case scenario.)
TECHNIQUES Stop the thought : Tell yourself "stop" or try visualizing a stop sign in your mind. You might also envision yourself capturing the thought inside of a net where you can contain it in order to work through it later .
CONTD….. Notice the thought : Don't try to suppress the thought. Acknowledge it exists without dwelling on it.
CONTD.. Replace the thought : Now that you have evidence that the thought is not a reflection of reality replace it with something more helpful. This might be a self-affirmation or mantra that helps keep you feeling optimistic and focused
Other techniques that might be helpful when you are trying to stop a thought include: Set a timer : Give yourself a set amount of time (just a minute or two) to have the thought. Once the alarm goes off, tell yourself, "Stop!" and redirect your mind to something else.
USE RELAXATION TECHNIQUES: If you find yourself having a negative thought, use a relaxation technique such as progressive muscle relaxation or deep breathing to refocus your attention elsewhere.
MEDITATE: Halt the negative thought by trying a quick meditation to shift your focus to more positive thoughts.
Alternatives to Thought Stopping Thought stopping can be a helpful cognitive skill, but only when it is used appropriately. Having a positive replacement thought prepared is essential. However, it is also important to recognize that this is not the only strategy that can help with negative thinking. Alternatives that can also be helpful include:
CONTD.. Distraction Problem-Solving Acceptance Cognitive Restructuring Mindfulness Journaling A Word From Verywell
Remember, negative thoughts are a normal part of life—everyone has them from time to time. The goal is not to get rid of them completely, but rather to find ways to deal with them in a healthy way .
4 Thought Stopping or Thought Blocking steps: Notice the thought
STOP.
CHALLENGE THE THOUGHT.
R eroute your mind to an inspiring or distracting thought instead .
Indications of thought stoping - Agoraphobia Anxiety Catastrophic thinking Intrusive thoughts Obsessive-compulsive behavior Rumination disorder Social anxiety
ROLE OF NURSE It is important for the nurses to become aware of and recognize their own behavioral responses. The ability to respond assertively is especially important to nurses who are committed to further development of the profession. Assertive skills facilitate the implementation of change which leads to up gradation of the level of professionalism. .
CONTD… Nurse to understand and use assertiveness skills themselves can in turn assist clients who wish to effect behavioral change in an effort to increase selfesteem and improve interpersonal relationships. The nursing process is useful tool for nurses who are involved in helping clients increase their assertiveness
ASSESSMENT Nurses can help clients become more aware of their behavioral responses. Many tools for assessing the level of assertiveness have been attempted over the years. None have been very effective because it is so difficult to generalize when attempting to measure assertive behavior
DIAGNOSIS Possible nursing diagnosis for individuals needing assistance with assertiveness include. Coping, defensive Coping, ineffective Decisional conflict Denial, ineffective Personal identity, disturbed Powerlessness Rape-trauma syndrome Self-esteem, low Social interaction impaired Social isolation
OUTCOME/IMPLEMENTATION The goal of nurses working with individuals needing assistance is to help them develop more satisfying interpersonal relationships. O utcome criteria would be derived from specific nursing diagnosis.
Some examples might include : The client verbalizes and accepts responsibility for his or her own behavior. The client is able to express opinions and disagree with the opinions of others in a socially acceptable manner and without feeling guilty. The client is able to verbalize positive aspects about self. The client verbalizes choices made in a plan to maintain control over his or her life situation. The client approaches others in an appropriate manner for one
EVALUATION Evaluation requires that the nurse and the client assess whether or not these techniques are achieving the desired outcomes. Assertiveness training serves to extend and create more flexibility in an individual’s communication style so that he or she has a greater choice of responses in various situation.
SUMMARIZATION Introduction to thought stoping techniques Definition of thought stoping . E nlisted techniques of thought stoping . Discussed thought stoping techniques. Elaborated alternatives to thought stoping . E numerated thought blocking steps D iscussed how thought stoping works. Discussed Indication of thought stoping Explained role of nurse in stoping thought
Bibliography: Debr’s Mental health (Psychiatry) Nursing, D. Elakkuvana Bhaskara Raj, EMMESS Medical publishers, New-Delhi. (Page no- 117-124) Mary C. Townsend, Psychiatry Mental health Nursing, 6th Edition. Pawan Sharma, Essentials of Mental health Nursing, JAYPEE BROTHERS, 1St Edition 2013. Anbu . T; Textbook of Psychiatry Nursing; EMMESS, 1St Edition 2010. R. Sreevani , A guide mental health Nursing, 4th Edition, Jaypee Publications. www.google.com/Assertivetraining.