Describe a new experience, significant event/patient interaction, never seen before diagnosis, etc… you have experienced in clinical this week. You can choose the same case you used for your SOAP Note this week if that case had an effect on you. Discuss the impact this had on you in terms of increasing your understanding of the PMHNP role, psychopathology, and/or the provider-patient relationship. Explore your personal strengths and limitations and their effect on the provider/patient relationship. Include reflection on your therapeutic use of self. Your discussion should reflect your specific learning/insight. Identify something specific that you learned from reflecting on this event/interaction and how will you apply that learning in your future practice?

 . I saw one patient for my preceptor who was a
long-time patient at the clinic. It was a difficult session due to the patient being restrictive during
interview and not opening up about anything. The patient would not even open up about how his
medications was doing. I was feeling defeated and excused myself from the interview room. I
went to my preceptor and told her the patient was uncomfortable with me and was guarded to all
my questions. My preceptor expected this outcome and stated that she was proud that I was able
to decide the patient was not going to open up to me. My preceptor completed the interview with
me present and the patient was informative from this point on in the interview, and it help
determine that the decrease in his mood stabilizer was ineffective. The dose was ordered back up
to previous dosage