In order for the Tidal Model to be implemented three distinct but interrelated domains must be identified. IE The Self, the World and Others represent the dimensions of human existence and the overall relationship with the person's history (Barker & Buchanan-Barker, 2010). If the patient is very disturbed, it may be necessary to focus initially on a personal safety plan that identifies concerns deep in the patient's private world (Barker & Buchanan-Barker, 2010). Once personal safety is intact, the nurse can encourage the patient to tell their story. Consequently, if the patient is reluctant to reveal his or her past experiences, the nurse should encourage him or her to join groups and listen to the stories of other patients (Barker & Buchanan-Barker,