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Name:
Date:
RELAPSE SIGNATURE
‘I’m feeling down’
- Increased feelings of inadequacy
- Pre-occupied about self-improvement inc.
- Constantly monitoring yourself for faults
- Increased feelings of anxiety, restlessness
‘I’m overactive’
- Racing thoughts/intrusive thoughts
- Feelings of elation/spirituality
- Do not need to sleep (1 night or more)
- Suspicious of people close to you
- Not wanting to eat
‘I’m a terrible person’
- Beliefs of being punished by God
- Repossessed by the Devil
- Horrific thoughts of being persecuted
Key Worker:
Co Worker:
Present Medication:
Carer Contacts:
Triggers:
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RELAPSE DRILL
Step 1 — stray calm — Yoga, medication
- Contact Key Worker/services to go out and discuss feelings
- Make time for yourself, use partner and relatives for support
- Coping with thought problems
Step 2 — Distraction Techniques (PTC)
- Take tablet from emergency supply
- Daily contact with services if necessary (discuss feelings, reality testing)
- Contact Doctor re. Recommencing or increasing medication
Step 3 —Admission to hospital or respite care
Hours of Contact:
Mon — Fri (9.00 — 5.00)
Tel:
Sat — Sun (10.00 — 5.00)
Tel:
Out of Hours Contact:
A) Coping with automatic thoughts
- What is the thought? — write it down
- What is the evidence?
- Are there any other explanations/way of viewing the thought? (evidence to disconfirm this — use others to support) e.g.: “burning up” or “extremely anxious”
B) Distraction Techniques
- Count backwards from 100 in 13’s
- Concentrate on positive images —nature, greenery
C) Coping with problems/stressors
- State problem — write it down
- Write down all possible strategies
- Pros and Cons of each strategy
- Select the best solution
Additional Techniques:
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