Patients with diabetes have been found to have a higher incidence of psychiatric symptoms than the general population. Schizo phrenia, major depression, and situational depression are described and relevant counseling skills are introduced to enable the diabetes educator to work more effectively and more comfortably with patients who also have psychological problems. Through the use of nondirective inter viewing and counseling skills, diabetes educators can help patients communicate their feelings and cope more effectively with the compounded problems of diabetes and mental illness.
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