Table 1.
Mnemonics to help in handling emotions relating to insulin use
| Dealing with denial: OPEN OUT |
| O open-ended conversation |
| P points of concern |
| E equipoise in information |
| N nonjudgmental suggestion |
| O offer time to reflect |
| U understand other’s opinion |
| T therapeutic patient education |
| Dealing with hopelessness: SHAKTI |
| S support with a smile |
| H holding hands, helpfully |
| A assess limitations/strengths |
| K “kreate” (create) bridges over barriers |
| T therapeutic patient education |
| I identify sources of support |
| Dealing with anxiety and distress: ASHA/HOPE |
| A acknowledgement of fears and concerns |
| S strength mapping-self, society, system (health care) |
| H help build resources |
| A anticipate challenges, plan ahead |
| H help acknowledge fears and concern |
| O offer optimism and strength |
| P prepare pragmatic plan of action |
| E explore available resources and expand upon them |
| Dealing with ANGER: SHANTI/SHALOM (peace) |
| S stop for a second |
| H hear out the person |
| A appreciate other’s viewpoint |
| N note fears and concerns |
| T “translate”/paraphrase core issues |
| I intervention to be planned |
| S stop for a second |
| H hear out the person |
| A appreciate other’s viewpoint |
| L list fears and concerns |
| O optimism for resolution |
| M monitoring and motivation |
| Take-home message: LISTEN |
| L list patient’s concerns and fears |
| I information equipoise |
| S share sources of support |
| T therapeutic patient education/teamwork |
| E empathic understanding/expression |
| N neutral nonjudgmental communication |