'Do you feel like yourself?” markregomd wants you to think about it.
On the other hand, there are questions that everyone knows the answer to. These are invaluable in helping to understand a person’s experience. There are two sets of such questions that should be used whenever possible. The first is universally relevant and extremely important at the beginning, during, and at the end of treatment. Despite this, it is rarely seen anywhere in patient records.
If the answer is “no,” the follow-up question makes it easy for a patient to focus on what is bothering them. After a “no” answer, the follow-up question is, “If you are not fully yourself, what is missing that would get you back to feeling fully like you.” Because the person’s mindset has already been focused on the universal feeling of being oneself, it becomes easy to say why they are or are not fully at their usual baseline.
Importantly, being yourself does not mean feeling good. You may be feeling sad about something and still feel like yourself. People know this. Patients have even told me, “I still feel down because of my mother passing, but I am back to myself.” In fact, in rare cases, people who have been I’d like to add a final group of questions that help when the patient and clinician are trying to decide if the treatment made the person merely better or fully well. In many cases, a person will be so relieved to not feel as bad as they did initially that they will say—in complete honesty— “I feel good!” We want people to return to their full selves in order to live their lives as fully as they choose, but there is another reason to look for “well,” and not merely “better.
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