1. Standard BATHE or Positive Bathe
Managing Difficult Emotions versus Chronic Pain
Dan Blocker MS

5. So you had a Bad Day…..
Background ”What’s going on in your life?” Affect “How do you feel” or “What has your mood been like” Trouble “What about the situation troubles you the most" Handling “How can you handle that” Empathy “This must be very difficult for you”

6. When to Use it
Collecting psychosocial history (Stuart & Lieberman, 2002)
Managing emotional issues or concerns (Shiner, 2011)
Benefits the anxious patient that may need structure to guide the conversation
Benefits the depressed patient who may not know where to start

7. What about the Patients that you see Chronic Pain or Just Never Seem Happy?
Often they seem to be drowning in negativity and this is the only thing that matters
Due to this narrowed focus, they cannot see any lifelines
The best thing you can do is to help them see a lifeline

8. Positive Bathe
Best “What is the best thing that happened this week?” Affect “How did that make you feel? Thankful “What does this make you thankful for?” Happen “How can you make this happen more often?” Empowerment “I know that you can do this!”

9. How you know when you are working harder than the patient
VS.

10. summary Standard BATHE POSITIVE BATHE Background Best Affect Trouble
Thankful
Handle
Happen
Empathy
Empower