Case Study - Charlie is a 24-year-old brought to the clinic by his parents. They are concerned about his tendencies for isolation, lack of interest in conversation or peer activities, and lack of motivation, which have worsened in the past year. They recently thought they saw him engage in a conversation with someone who was not there, prompting them to come for further evaluation. Emotional tone is dysphoric mood, negative emotions and reduced emotional expression.
Peer Response using RISE MODEL -
Reflect:
I think you did a great job with your video and I found the video engaging and also insightful. I feel that you both did a really good job as the clinician in terms of making the client feel comfortable, or providing a space where they felt comfortable to open up. Alyssa, as the clinician first, came across as supportive and nonjudgemental while also getting a thorough picture of Mo's mood, sleep, appetite, and self-care habits. The balance of empathy and professionalism is hard to maintain while gathering so much information, and you did it really well. I think it can be difficult at times to remain caring or empathetic while also attempting to collect a whole lot of information. Another strength was your thoroughness and attention to detail. When the roles switched, Mo was also asking thoughtful questions while highlighting her strengths and goals, like returning to college. I really liked how both reinforced trust repeatedly, making the conversation feel safe and validating.
Inquire:
A question that came to mind after watching was, I wonder how practitioners determine how much detail to go into to assess functional impact versus keeping the conversation comfortable? I think that this can get very challenging when working with patients and discussing sensitive topics or things that may be upsetting to the client. It is important to get all of the information but the practitioner also needs to think about maintaining a trusting relationship. For example, the discussion around the patient's concern that others might put poison in their food. How does the practitioner decides when to probe deeper on these thoughts versus just providing reassurance. How much should questions explore triggers, frequency, or impact on daily life without overwhelming the patient?
Suggest:
One area for growth could be varying the use of reflective summaries and clarifying questions. Summarizing or paraphrasing those key points once or twice could ensure clarity and highlight understanding while keeping the patient engaged. Another suggestion is exploring coping strategies in more detail. Like, what helps the patient manage low mood, anxiety, or discomfort. This could possibly give more insight for planning care.
Elevate:
Overall, the interview was very strong. When either of you were the practitioners, you demonstrated empathy and professionalism, which is really important to build trust and encourage honesty from the patient. I think you both were able to balance clinical assessment with genuine care, something I want to apply in my own practice. I noticed things like pointing out positive behaviors, validating feelings, and normalizing help-seeking. I think time and experience will help us to refine when and how to summarize or explore deeper, especially around potentially serious symptoms.
As a PMHNP, comment
On your reflection on the use of a RISE feedback model above by a peer. What was helpful, what was challenging. What would you change? Need Assignment Help?
What was your response to your peers' feedback? Was there a difference between using the feedback model and an informal debrief as the end of the simulation?