GRIPS
PARAPHRASE
PI… CBT not working
Aknowledge worries
Why do u think it’s not working?
How long have u been diagnosed of depression?
Did anything happen around the time u were diagnosed
When did u start the CBT?
How many sessions he has had? he said 6sessions
Is it an individualised or grouped CBT?
Do u think your sx have been controlled?..Brief CEASER hx
Relevant FAMISH
Support from family and friends
Mood
Grade mood 1-10
Assess suicidal intent
Alcohol, Recreational drug use…
Examine briefly
Explain diagnosis…its failed if after 6 individualised sessions not grouped
Advise to continue CBT but meanwhile
Refer to psychiatrist to add medications (anti depressants)
IF 6 SESSIONS IS NOT COMPLETED
Tell him he needs to complete his 6 sessions however if he doesnt feel better after his 6th session of CBT…we will be referring you to the specialist to be placed on antidepressants in addition to your CBT.
Address concerns
Inform seniors
Leaflets
Safetynet …crisis card