Patient U.S.: Recent Episodes
Louis Bianco
Join Louis Bianco RN CPS as he shares the case study of a young child currently in the midst of a mental health crisis. Dive deeper into the depths of relationship dynamics, self assessment, and endless other concepts as we try and see if there is anyway to understand the curious case of Patient U.S. (initials used for confidentiality).
Welcome to a special edition of Patient U.S. as we transition from one platform to multiple by November. As stated in the previous episode, I had to leave my position of podcast host to help our community during this pandemic. One of those adventures led me to speaking to an intelligent group of nursing student seniors from multiple universities and institutes. As part of a panel, we engaged in a wonderfully astute discussion, but were unable to answer every question asked.
This episode is dedicated to answering all of the questions that were missed, as well as going deeper into some of the questions answers during the event. Thank you again to everyone involved in such an important event.
I am continuing to be called to action out in the real world during this pandemic, and thus, I must go to help out at other facilities. I assure you, U.S., I will be returning within the month, but duty calls.
Please remain calm.
Please remain humble.
Please remain Patient, U.S. (initials used for confidentiality).
Today, we briefly discuss both the positive and negative effects of "Warning Signs". What do I mean negative effects you ask? Aren't warning signs what keep us out of trouble? Although, here at this facility, we too educate our consumers on the importance of warning signs, we are also seeing the usage of too many warning signs becoming a....warning sign! Woah, what a mouthful!
Join us as we continue to peel the layers back on the curious case of Patient U.S. (initials used for confidentiality).
Warning: Attentive listening may be necessary
Although I am aware this may be a touchy subject, it now appears that Patient U.S. did not believe their life was going to become so much more difficult during treatment. As the chaos continues, Patient U.S. still has brief periods of clarity in which they share insightful information. Today we are going to discuss the misperception and ultimate possible exploitation of suffering. Please remember that is this a safe place, and we are in no way criticizing or attacking our young friend.
It is just time now, that we start to look at some of the real issues that may have led to this, the curious case of Patient U.S. (initials used for confidentiality).
Warning. * Mild use of curse words in this segment*
Today is part two of the speech I did for criminal justice majors at a state university for their "Criminalization of Mental Health" class.
Today, we talk about sabotage and how our words don't always match our actions, as Patient U.S. has now officially sabotaged their own discharge. Is it possibly that someone can sabotage a situation by accident? What would cause someone to completely destroy that which they verbalize they desire?
Join me now, as we look into the curious case of Patient U.S. (initials used for confidentiality).
Hello everyone,
I am away from the office today and Thursday so I have decided to share one of my first speeches I was able to do at a college during my recovery. The speech was given to multiple classes of Criminal Justice Majors in their "Criminalization of Mental Health" course.
We have come a long way since then, but the information shared on this day remains pertinent to the curious case of Patient U.S. (initials used for confidentiality).
It has always been quite an accomplishment to be involved in something that has never occurred before! We all have an innate desire to be on the forefront of change or invention, for example. But can this desire become dangerous? What happens when we force historical moments? On today's episode, we discuss creation and destruction, along with conceptual cognitive distortions that can come along with associating one's relevance or worth with being first.
Join me in my continued efforts to assist in the curious case of Patient U.S. (initials used for confidentiality).
Years ago, on this day, Patient U.S. and their family experienced a shared trauma. Today, we discuss how shared trauma can lead to shared grief, something that each individual experiences differently. We discuss how collective grieving can actually lead to continued re-traumatization as well. We also discuss how shared trauma often either unites a community or divides them.
Join us as we look further into the curious case of Patient U.S. (initials used for confidentiality).
As we continue to look at the foundations of self-esteem and self worth, we now take a look at adulation. It's one thing to receive positive reinforcement but adulation may very well be a slippery slope...up! Based on the behaviors and feedback from Patient U.S., it appears adulation is not only a desire but a source of contention.
Join me and step inside of the curious case of Patient U.S.(initials used for confidentiality).
It's time to throw my hat in the ring and talk about yet another buzz word within the vast unknown that is human mentality-Ego. Whether you are cocky or insecure, selfless or selfish; You are not free from the consideration that your ego may need checked. Today we take a brief look at Ego and how it can get in the way of growth. We also discuss it's necessity! How confusing!!
Things are looking grim as there is not much to report on the improvement of Patient U.S. (initials used for confidentiality). Have hope my friend, we are in this until the end!
Giving the amount of difficulty Patient U.S. has demonstrated working within systems that involve more than one person, today's episode is about teams and team work. As the saying goes "Teamwork Makes the Dream Work", unless of course your dream is more rooted in personal gain than collective success. Today we take a look at what constitutes a team and how all of these concepts expand far beyond sports!
Join me, Louis Bianco RN CPS, as I discuss teams and teamwork with Patient U.S. (initials used for confidentiality).
Patient U.S. is once again isolated and sedated due to multiple uprisings on the unit over the weekend. On today's episode, we discuss basic concepts of identity. It is often believed that identity allows us to feel good about ourselves, but is it possible that identity can have adverse effects on self worth or self esteem? Let's take a look at identity and how it can sometimes be a source of unnecessary conflict, as is with the curious case of Patient U.S. (initials used for confidentiality).
On today's episode, we discuss the behavior of "Keeping Tabs". We discuss how keeping tabs not only interferes with interpersonal relationships, but also interpersonal as well. Fear not if you are someone who does this or has done it, we are not here to judge. Instead, we are hear to look further at the long term harm such thought processes may cause. Join me, as I share the curious case of Patient U.S. (initials used for confidentiality).
As the sayings goes "Crisis breeds protocol." I take an offense to such statements, as they have interfered with both my, and Patient U.S.'s lives. Today, we discuss this and the possibly safer concept of "Protocol prevents crisis." How long can we continue to change rules following destruction? How often are said rules the reason for the continued destruction?
Let's briefly skim over another in-depth concept as we await the return of Patient U.S. (initials used for confidentiality).
This episode is filled with comparisons of intra/interpersonal relationships and driving. Patient U.S. is still quite upset following our most recent interaction. Due to continued crises on the unit, limits and boundaries needed to be set and reality had to once again be presented to our young friend. As a CPS, I am aware of how important space is, so this episode will be without the presence of the curious, and currently agitated Patient U.S. (initials used for confidentiality).
Today, following even more continued crises, we discuss the concept of "true self". Can this concept get in the way of progress or does it help move things forward? We will try to touch on the important points today, but, as with most episodes, half an hour is not enough time! That might work in our favor today, however, as Patient U.S. has made it clear they would rather be left alone.
Join us now as we continue to discuss the curious case of Patient U.S. (initials used for confidentiality).
On today's episode, we discuss concepts surrounded the ever popular buzz word "threat". How much does own on emotional regulation and perception is involved in threat detection? Is it possible that things such as threats become more dangerous is they are subjective? Is there such a thing as objectivity when it comes to threats?
We take a look at all of this and more during the curious case of Patient U.S. (initials used for confidentiality).
It's starting to feel like there could be a number of "parts" to this topic but for now we will keep it at two. Patient U.S. has admittedly been somewhat disrupted by internet activity, as have their parents. We look even further into how something meant to bring us together appears to be tearing us down. Don't fret, you can do this Patient U.S. (initials used for confidentiality).
Patient U.S. disclosed that a certain level of their internal discomfort is stemming from social media!
But how can this be? social media is where everyone can find other people who are just like them...who think just like them...who accept them no matter what...who constantly tell them they are perfect...
I think you get the point, let's get going on this hot button issue shall we? Let's look further into the curious case of Patient U.S. (initials used for confidentiality).
"I'm Helping!' " "Let me help you." "Why aren't you helping me?" "You can't help, no one can!"
What is there to talk about? Everyone knows what help means.
Or do they?
Today, on Patient U.S., we discuss help from multiples perspectives. We talk about how help sometimes isn't helpful, and the importance help has on the feelings of the helper! Stick around and join us here with Patient U.S. (initials used for confidentiality).
Patient U.S. is very tired but now facing the decision of whether to start moving toward discharge or remain in treatment. In such times, which is more important, work or rest? I am not sure that either can be more important than the other, however, at any given time, one may be more necessary.
How will Patient U.S. know what is best?
What is rest actually?
It is my hope that we can help our young friend understand themselves better to aid in their decision making. Welcome to the curious case of Patient U.S. (initials used for confidentiality).
The discord between Patient U.S. and The Doctor continues to rise as it appears Patient U.S. has had enough of the proposed treatments. A line has been drawn in the sand and Patient U.S. is now refusing to meet with said doctor.
Can we help our young friend find compromise or will we need to change their doctor as demanded?
Is one of these choices better than the other?
We discuss all this and more during this episode of the curious case of Patient U.S. (initials used for confidentiality).
Far be it from me to say that awareness is not an important part of prevention and overall education, but is it possible that there are negative side effects of said awareness?
While navigating the vast and unknown realm of mental wellness, we must know a little more about what information we are receiving and who is sending that information. We also discuss how awareness is often the first step, not the last step...certainly not the only step. Patient U.S. and I discuss yesterday's crisis honestly and I share some of my fears and concerns. Join us now as we look at the curious case of Patient U.S. (initials used for confidentiality).
There is a crisis on the unit as Patient U.S. is involved in a crisis at the beginning of the shift!
On today's episode, we discuss the perceptions of Patient U.S. and the staff, as well as what the best composition of a crisis team is based on my professional experience as a crisis leader. Once again, concepts like empathy and power dynamics arise...consistent themes perhaps? Who can say, I am no expert. However, one this is for sure; There is much more work to be done in the curious case of Patient U.S. (initials used for confidentiality).
Please, step into my office Parent Number One.
Yes, and you next Parent Number Two.
On today's episode, we discuss the caregivers in Patient U.S.'s life, mainly their parents, and the strange functional dysfunction that has led to our young consumer winding up in crisis. How is it, that a seemingly successful and well intentioned family find themselves at an inpatient psychiatric facility? How important is power during crisis?
We do our best to get to know the grown ups in this installment of the case study of our most curious client, Patient U.S. (initials used for confidentiality).
Ahh, the ever elusive "Healthy Communication". In a time in which "healthy" has become yet another word that exists in the eye of the beholder, we take a look at the simple components of communication: speaking and listening. On today's episode, were also discuss the invisible third parties that exist during interactions with others, our own consciousness. Join me as I begin to converse again with a goggy, but rested Patient U.S. (initials used for confidentiality).
Today, we briefly discuss the concepts of dependence and independence. Of course, the word freedom ends up in the conversation, as Patient U.S. finds themselves restrained yet again following a minor stimulus that escalated quickly. Is it possible that the ways in which we exercise our freedoms can limit our independence? Is it possible that we may be dependent on how others exercise their freedoms? There is no better place to discuss such concepts than this locked down psychiatric facility, so shall we? Welcome back to the curious case of Patient U.S. (initials used for confidentiality).
Warning, here at Patient U.S. we do not view the words "Weakness" or "Illness" as negative words**
Today we discuss weakness and illness, as well as our comfort levels in admitting the two. Patient U.S. is appearing the be more comfortable with the concept of being sick and than being in a situation of weakness, and differentiating between the two will have a huge impact on how to continue with the care for our dear young friend. Join me as I offer emotional support to Patient U.S. (initials used for confidentiality).
Just put yourself in their shoes!
Empathy continues to be shoved in Patient U.S.'s face, however are we really teaching it or practicing it correctly? On this episode, we take a look not only at empathy, but the relationship it has with sympathy. It appears these two concepts may be connected in more ways that we have initially considered! Join me now as we take a deep dive into the curious case of Patient U.S. (initials used for confidentiality).
Boundaries are incredibly useful tools for our mental wellness. However, as with many awarenesses we have created on the mental wellness plain, boundaries must be used responsibly in order to achieve the healthy intra and interpersonal relationships necessary to recovery following a crisis. Patient U.S. continues to exist under stress, as we try our best to ease their suffering.
How often does blame seem to get in the way of maintaining healthy relationships? How often do we feel better about our hardships when we know whose fault it is? We often spend years of our lives figuring out whose is at fault for our most traumatizing moments in life. However, although situational understanding is important in recovery, blame can often become a roadblock as well! How you may ask? Well let's take a look at the different ways this specific case is being effected by blame. Join me now, as we dive further in to the curious case of Patient U.S. (initials used for confidentiality).
Hello, my name is Louis Bianco. I am a Registered Nurse and a Certified Peer Specialist. I have decided to share a very curious case I found myself involved in. I have devoted my life to understanding mental health and worked professionally with those suffering from mental illness, children included. I must be sure to walk a very thin line in order to not reveal any confidential information to you the listener. It is my hope that through discussing this case we can all get better understandings of those important but often hard to understand concepts involved in maintaining mental wellness. Today's concepts often top the list; Fear and Love.