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Scene: A small, calm room in the psychiatric hospital. 45-year-old Sarah is seated in a chair by the window and appears apprehensive. Entering the room, the registered nurse (RN) sits across Sarah.

RN: Sarah, good morning. I hope you slept well last night. How do you feel right now?

Sarah, I feel much better now, though.

RN: That's encouraging to hear. We're here to help you, and you've made some progress. I wanted to discuss your discharge with you today. Only one week remains. What are your thoughts about that?

Sarah, In all honesty, I'm not sure. Even though I'm feeling better now, I'm anxious about taking on my responsibilities again.

RN: Sarah, it makes sense to be concerned. You are a high school teacher with a demanding profession, and you are also a family manager. Please elaborate on the specific concerns you have.

Sarah: Work has always been quite stressful, so I'm not sure how I'll handle it. In addition, I want to take care of my family because they depend on me.

RN: I understand how much these duties are burdening you. It's critical to talk about your worries and create stress- and wellbeing-management plans. Establishing boundaries and conveying your wants and limitations to your family is one non-medical approach. This can lessen your stress and assist you in managing your commitments. Would you mind giving that a try?

Sarah: That's understandable. I need to be more open with my family and express my feelings.

RN: Sarah, that's an important step. It's critical to discuss your feelings with your family honestly and openly. They will want to help you because they care about you. Recall that it's acceptable to seek assistance and dedicate time to personal hygiene. We'll collaborate to create a strategy that will help you more successfully manage your duties and responsibilities.

Sarah, I appreciate that; it sounds comforting. It's not really how I've thought about it previously.

RN: Sarah, you're very welcome. We are available to assist you in your efforts for improved mental well-being. Small steps are acceptable, and we'll support you every step of the way. After your release, we'll schedule a few follow-up sessions to make sure you have continued support.

Sarah: Thank you for that. Knowing that I won't be alone is reassuring.

RN: You're not the only one in this, rest assured. Your loved ones and your medical team are concerned about your health. Our goal as a team is to support you in preserving and enhancing your general and mental well-being.

Sarah: You know, ever since that overdose, I've been feeling so bad. I explained to my psychiatrist that I didn't plan to hurt myself and that everything was an error.

RN: Sarah, it's normal for people who are depressed to experience periods of hopelessness. However, it's critical to recognise your emotions and ask for assistance when necessary. Be gentle with yourself; you're making progress right now.

Sarah: While I don't want to conceal my issues from my family, I also don't want to burden them with them. Balancing this seems complicated.

RN: Yes, it's a difficult balance. But remember that talking to your family about your difficulties can help them better understand you and your situation and provide you with more assistance. It's about sharing the weight and not putting people through unnecessary hardship.

Sarah: You're right; I should be more forthcoming. I simply find it challenging to communicate my emotions at times.

RN: Sarah, I know it might be difficult to open up, but it's a necessary first step in getting better. To begin with, pick a time when you and your family can have a private conversation and openly express your feelings. We can also provide materials and tools to help you become a better communicator.

Sarah, Thank you for your understanding and support. With them, I'll be more honest.

RN: Sarah, that's great to hear. Recall that our goal is to assist you in getting ready for your trip back home, and we'll keep working on these techniques together.

Sarah: What happens if, after being discharged, I feel this way again?

RN: Sarah, you have a genuine concern. We'll build up a complete follow-up strategy. In addition to scheduling many sessions with your psychiatrist, we will arrange for you to meet with a counsellor who will offer continuous support and techniques for coping with any upcoming difficulties.

Sarah, I appreciate you being there for me. Being there for my family and enhancing my mental well-being are things I'm looking forward to.

RN: Sarah, you're very welcome. We are available to assist you at every stage. Thanks for coming.

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