# 143 January 2012

“. . . the architectural impulse seems connected to a longing for communication and commemoration, a longing to declare ourselves to the world through a register other than words, through the language of objects, colors and bricks: an ambition to let others know who we are â€" and, in the process, to remind ourselves.”

Alain de Botton
The Architecture of Happiness

(continues below)

mental health professional trainings
primary care professional trainings
psychological assessment supervision and consultations
Shawn Christopher Shea
links and recommended readings


# 143 January 2012

Tapping for Possible Discontinuance of a Medication

TISA Description of the Problem: It can be difficult for patients to share their misgivings about a particular medication, and there are often very good reasons for their misgivings. Not everyone should be on a medication, and not every medication is a good fit for everyone. Factors ranging from not wanting to disappoint a valued clinician to a personal hesitancy, to be appropriately assertive, can get in the way of a healthy sharing of patient concern. As Larry Doehring, DO suggests in the following excellent tip, sometimes it is best merely to ask.

Tip: To better secure an idea concerning a patient’s feelings about taking a medication and to see if they feel the meds are working, I casually ask, “Have you been having any feelings about wanting to stop this medication, perhaps even for a little while.”

TISA Follow-up: Here is yet another very nice clinical interviewing tip, that fits nicely with the Medication Interest Model (MIM) in which the emphasis is upon patient choice. I believe the “casualness” of the clinician’s tone of voice and timing is probably a key component for the success of this interviewing technique. At a minimum, the genuine openness of the health provider will surely help to foster a collaborative and vital therapeutic alliance.

Tip provided by:

Larry Doehring, DO
Complete Family Care
North Glenn, Colorado

TISA is a site dedicated to advancing the science and art of preventing suicide and teaching clinical interviewing