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Sample Nursing Reply – 2 Examples

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Sample Nursing Reply

Sample Nursing Reply 1 to #Name


Your post opened valuable insights as many other psychiatric nurses can relate with Jill’s therapist. The therapist does not concentrate on traditional CBT models as a therapeutic strategy using imaginal exposure or reliving. Considering the patient presents with post-traumatic stress disorder, contemporary developments in CBT models currently distinguish between the nature of trauma memory and the event in context negative appraisal of the symptoms and the event itself and the sequel. The incorporation of Socratic dialogue that comprises a form of open questioning between the client and the therapist means the communication process adopted by the professional would foster active engagement of the patient as the latter seeks to initiate cognitive change strategies.  Although Heininger et al. (2018) use a different approach; they still acknowledge this technique utilizes philosophy, logic, and rhetoric to make the client acknowledge the therapist’s perspective.

Similarly, most nurses would agree with CBT, where cognitive restructuring and Socratic dialogue assist the patient since CBT is the non-medication treatment of choice in post-traumatic stress disorder (Kazantzis et al., 2020). Similarly, most EBP practice strategies indicate that borderline personality and chronic suicidal ideation are mental health illnesses and conditions where dialectic behavior therapy has effectively been used. Other studies also demonstrate that DTB can be used safely to decrease PTSD symptoms and other accompanying comorbidities (Steil et al., 2018).


Kazantzis, N., Beck, J. S., Clark, D. A., Dobson, K. S., Hofmann, S. G., Leahy, R. L., & Wong, C. W. (2018). Socratic dialogue and guided discovery in cognitive behavioral therapy: A modified Delphi panel. International Journal of Cognitive Therapy11(2), 140-157.

Heiniger, L. E., Clark, G. I., & Egan, S. J. (2018). Perceptions of Socratic and non-Socratic presentation of information in cognitive behavior therapy. Journal of Behavior Therapy and Experimental Psychiatry, 58, 106–113.

Steil, R., Dittmann, C., MĂĽller-Engelmann, M., Dyer, A., Maasch, A. M., & Priebe, K. (2018). Dialectical behavior therapy for post-traumatic stress disorder related to childhood sexual abuse: A pilot study in an outpatient treatment setting. European Journal of Psychotraumatology9(1), 1423832.

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Sample nursing reply
Sample Nursing Reply

Sample Nursing Reply 2 to #Name


            According to Ehlers et al. (2020a), excessive fear, feelings of helplessness, and horror are believed to hinder immediate full emotional recalling of a traumatic event at a given time. The therapist’s use of Socratic questioning offered the patient several advantages, among them being the factor that it provides a comprehensive framework to the complex processes that constitute therapy even as it seeks to remain aligned to the core principles of CBT (Braun et al., 2015). Socratic question is spot on because both the therapist and their client have an open discussion having no predetermined outcomes other than exploration. Besides CBT, the multidisciplinary healthcare team attending to patient Jill has to collaborate. This collaboration is because teamwork fosters active patient participation. Lastly, Bohus et al. (2020) point out that DBT is a superior approach t use to reduce the severity of PTSD in cases where the client has childhood experiences like sexual abuse being the primary triggers of the distress.


Bohus, M., Kleindienst, N., Hahn, C., MĂĽller-Engelmann, M., Ludäscher, P., Steil, R., & Priebe, K. (2020). Dialectical Behavior Therapy for Posttraumatic Stress Disorder (DBT-PTSD) Compared With Cognitive Processing Therapy (CPT) in Complex Presentations of PTSD in Women Survivors of Childhood Abuse: A Randomized Clinical Trial. JAMA Psychiatry77(12), 1235-1245.

Braun, J. D., Strunk, D. R., Sasso, K. E., & Cooper, A. A. (2015). Therapist use of Socratic questioning predicts session-to-session symptom change in cognitive therapy for depression. Behaviour Research & Therapy, 70, 32–37

Ehlers, A., Grey, N., Warnock-Parkes, E., Wild, J., Stott, R., & Clark, D. M. (2020a). Effectiveness of cognitive therapy in routine clinical care: Second phase implementation. Submitted for publication.

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