The effectiveness of generalist therapy in improving auditory hallucination control in schizophrenia patients at a mental hospital
Keywords:
auditory hallucinations, conversation, generalist therapy, scheduled activities, scoldingAbstract
Sensory perception disorders in the form of auditory hallucinations in schizophrenia patients can disrupt social functioning, reduce quality of life, and increase the risk of dangerous behavior. Method in this case report discusses the application of generalist therapy to a 40-year-old male patient with a history of schizophrenia and a relapse due to drug withdrawal, who was treated at Wisma Nakula, Grhasia Mental Hospital. During the four-day intervention, four strategies for hallucination control were implemented: warning techniques, medication adherence, conversations with others, and scheduled activities. Results showed improvement in the patient's abilities across nearly all indicators, accompanied by a decrease in the frequency and intensity of hallucinations. Symptoms such as poor concentration and pacing disappeared, while hearing whispers persisted but with reduced clinical impact. The patient was able to consistently practice reprimanding techniques, understand the shape, color, and schedule of medications, and report side effects of tremors. Furthermore, the patient was able to initiate social interactions using clear and polite language and participate in selected scheduled activities. Conclusion findings suggest that generalist therapy can be an effective, structured, and holistic nursing intervention to improve self-control and social functioning in patients with auditory hallucinations. This report adds to the clinical evidence that the application of targeted coping strategies can help patients with schizophrenia self-manage their symptoms and has the potential to be integrated into daily nursing care in mental health services.
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