Psychotherapy With Trauma Addictive Disorder
Order ID | 53563633773 |
Type | Essay |
Writer Level | Masters |
Style | APA |
Sources/References | 4 |
Language | English |
Description/Paper Instructions Assignment: Practicum – Week 5 Journal Entry Learning Objectives Students will: · Develop diagnoses for clients receiving psychotherapy* = Use client with PTSD · Evaluate the efficacy of therapeutic approaches for clients* · Analyze legal and ethical implications of counseling clients with psychiatric disorders* Select a client whom you observed or counseled that suffers from a disorder related to trauma. Then, address the following in your Practicum Journal: · Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications. · Using the DSM-5, explain and justify your diagnosis for this client. · Explain whether any of the therapeutic approaches in this week’s Learning Resources would be effective with this client. Include expected outcomes based on these therapeutic approaches. Support your approach with evidence-based literature. · Explain any legal and/or ethical implications related to counseling this client. Assignment 2: Practicum – Week 6 Journal Entry Learning Objectives Students will: · Develop diagnoses for clients receiving psychotherapy*( Use client with addictive Disorder) · Evaluate the efficacy of motivational interviewing techniques for clients* · Analyze legal and ethical implications of counseling clients with psychiatric disorders* Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal: · Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications. · Using the DSM-5, explain and justify your diagnosis for this client. · Explain whether motivational interviewing would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature. · Explain any legal and/or ethical implications related to counseling this client. Assignment 1: Supportive Psychotherapy Versus Interpersonal Psychotherapy Although supportive psychotherapy and interpersonal psychotherapy share some similarities, these therapeutic approaches have many differences. When assessing clients and selecting therapies, it is important to recognize these differences and how they may impact your clients. For this Assignment, as you compare supportive and interpersonal psychotherapy, consider which therapeutic approach you might use with your clients. Learning Objectives Students will: · Compare supportive psychotherapy and interpersonal psychotherapy · Recommend therapeutic approaches for clients presenting for psychotherapy To prepare: · Review the media in this week’s Learning Resources. · Reflect on supportive and interpersonal psychotherapeutic approaches. The Assignment In a 1- to 2-page paper, address the following: · Briefly describe how supportive and interpersonal psychotherapies are similar. · Explain at least three differences between these therapies. Include how these differences might impact your practice as a mental health counselor. · Explain which therapeutic approach you might use with clients and why. Support your approach with evidence-based literature. Resources ( 3 + reference for each assign) American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
Optional Resources Wolpe, J. (n.d.). Joseph Wolpe on systematic desensitization [Video file]. Mill Valley, CA: Psychotherapy.net. Bruce, T., & Jongsma, A. (2010b). Evidence-based treatment planning for post-traumatic stress disorder [Video file]. Mill Valley, CA: Psychotherapy.net. Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. · Chapter 5, “Supportive and Psychodynamic Psychotherapy” (pp. 238–242) · Chapter 9, “Interpersonal Psychotherapy” (pp. 347–368) The purpose of this journal entry is to evaluate a client and develop an appropriate therapeutic plan of care. The treatment plan will utilize the DSM-5 criteria and evidence-based practice. The legal and ethical implications of counseling a client will also be explored as it applies to the mental health professional. Demographics GH is a 39-year-old married, Caucasian female who is employed at a local department store part-time, her husband is an engineer for a local manufacturing company. GH lives in a housing development with her husband and two children aged five years and six months. She speaks clearly and intelligently. She reports that she tries to attend church regularly and considers her faith and the church community as a part of her social support. Presenting Problems CC: Increased depressive symptoms. The client states, “I have been so sad since the birth of my youngest child, It scares me I just don’t know what to do” History of Present Illness The client presents with an increase in anxiety and depressed mood. The onset was around six months ago. The course of symptoms is constant. The degree of symptoms is moderate but are exacerbated when her child cries. There are no relieving factors. The client’s depressive symptoms include increased lethargy, decreased motivation, and anhedonia. She denies suicidal and homicidal ideation. GH presents to the office in appropriate attire and is well groomed but presents with a flat affect and doesn’t consistently maintain eye contact. She informed me that she enjoys reading and sewing but lately doesn’t have the motivation to do those tasks. The client stated, “I am so drained and often have to force myself to take care of myself and family.” GH has no complaints of insomnia and sleeps 8 hours a day and takes naps throughout the day. She has not been consistent with her therapy appointments and stated, “sometimes I just don’t have it in me to come to my appointments.” The client’s current medications include Vistaril 50 mg PO Q6H PRN for anxiety which was prescribed by her PCP. She takes no other prescribed, over the counter, or herbal medications. Past Psychiatric History The client first met with a therapist when she was 15 years of age due to the traumatic sudden death of her father who was murdered. She was diagnosed at this time with anxiety disorder and depression. She was prescribed Paroxetine CR 37.5 mg PO Daily and Lorazepam 1 mg BID PRN for anxiety. The client was seen by a therapist and Psychiatrist until the age of 18 when she decided that she did not want to continue with any further mental health treatment. The client has not had any psychiatric hospitalizations, and no acute psychotic episodes. Around the age of 29 she had an episode of moderate depression for three months and decided at that point to seek help from mental health professionals. She discontinued treatment after her first child was born because she felt that the medication was not needed at this point in her life. This decision was never discussed with her mental health provider his services were discontinued with out notice. Medical History The client has only been hospitalized two times for the birth of her two children. She has no known medication allergies. The client’s immunizations are up to date, she refused the influenza vaccination this year. The client’s surgical history is limited to two caesarian sections, both were live births. The client has no medical history other than previously stated and a physical assessment was not preformed during this session. Substance Abuse History The client denies using any past or present illicit drugs. She denies alcohol and tobacco use as an adolescent and in adulthood. Differential Diagnosis Puerperal Psychosis: The client does not meet the criteria for this diagnosis because she lacks the core features. The core features of puerperal psychosis include rapid onset, profound confusion, delusions, infanticidal tendencies, and often associated with undiagnosed bipolar disorder (Sit, Rothschild, & Wisner, 2006). Puerperal psychosis is more common in clients under the age of 25 and with a family history of mental illness for which this client doesn’t meet the criteria (Sharma, Rai, & Pathak, 2015). DSM-5 Diagnosis 296.32 (F33.1) Major Depressive Disorder, recurrent, moderate severity, with peripartum onset. The criteria for this diagnosis is requires the client to have five out of the nine symptoms present during a two-week period, at least one symptom of depressed mood, and one of lost interest or pleasure (American Psychiatric Association, 2013). The criteria that qualified the client for this diagnosis is, depressed mood most of the day, diminished pleasure in almost all activities, hypersomnia, fatigue, and daily inability to think (American Psychiatric Association, 2013). GH also has the specifier of peripartum onset because the depression started within two weeks post-partum. Individualized Plan Since GH had previously used Paroxetine CR with a positive response it would be my first choice for her medication therapy. Paroxetine CR is approved by the FDA for the treatment of major depressive disorder with an initial dose of 25mg PO Daily and a maximum dose of 65.2 daily (Drugs.com, 2018). GH does not plan to breast feed her child so there was no need for consideration regarding drug transmission to the child. She will also be scheduled to return to the office in three weeks for re-evaluation of symptoms and for dosage adjustment to be made if needed. The client will also be referred to individual psychotherapy sessions at first on a weekly basis. The current research on major depressive disorder recommends psychopharmacology in conjunction with psychotherapeutic therapy specifically conjunction behavioral therapy and psychodynamic therapy (Sharma & Sharma, 2012). Legal and Ethical Implications of Counseling It is important to be aware of legal and ethical implications of counseling clients. The American Psychological Association (APA) has created a ten-section code of conduct for mental health care providers. Section 3.04 of the code of conduct explains that the mental health provider must take reasonable steps to avoid harm to the client and to minimize foreseeable harm (APA, 2017). The directive given in section 3.04 should always be at the forefront of the care provided to a client. The mental health provider should assure informed consent to therapy has been obtained on every client, because this is a fundamental right that should not be infringed upon (Pope & Vasquez, 2016) The APA has given directive on informed consent in section 10.01 and it is the responsibility of the mental health provider to assure the client is of sound mind.
Reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. Washington, DC: Author. Ethical Principles of Psychologists and Code of Conduct. (2017, January 1). Retrieved from http://www.apa.org/ethics/code/index.aspx Paroxetine – FDA prescribing information, side effects and uses. (2018, February 28). Retrieved from https://www.drugs.com/pro/paroxetine.html Pope, K. S., & Vasquez, M. J. (2016). Ethics in Psychotherapy and Counseling: A Practical Guide, 5th Edition. John Wiley & Sons. Sharma, I., Rai, S., & Pathak, A. (2015). Postpartum psychiatric disorders: Early diagnosis and management. Indian Journal of Psychiatry, 57(6), 216. doi:10.4103/0019-5545.161481 Sharma, V., & Sharma, P. (2012). Postpartum Depression: Diagnostic and Treatment Issues. Journal of Obstetrics and Gynecology Canada, 34(5), 436-442. doi:10.1016/s1701-2163(16)35240-9 Sit, D., Rothschild, A. J., & Wisner, K. L. (2006). A Review of Postpartum Psychosis. Journal of Women’s Health, 15(4), 352-368. doi:10.1089/jwh.2006.15.352 The purpose of this journal entry is to evaluate a client and develop an appropriate therapeutic plan of care. The treatment plan will utilize the DSM-5 criteria and evidence-based practice. The legal and ethical implications of counseling a client will also be explored as it applies to the mental health professional. Demographics GH is a 39-year-old married, Caucasian female who is employed at a local department store part-time, her husband is an engineer for a local manufacturing company. GH lives in a housing development with her husband and two children aged five years and six months. She speaks clearly and intelligently. She reports that she tries to attend church regularly and considers her faith and the church community as a part of her social support. Presenting Problems CC: Increased depressive symptoms. The client states, “I have been so sad since the birth of my youngest child, It scares me I just don’t know what to do” History of Present Illness The client presents with an increase in anxiety and depressed mood. The onset was around six months ago. The course of symptoms is constant. The degree of symptoms is moderate but are exacerbated when her child cries. There are no relieving factors. The client’s depressive symptoms include increased lethargy, decreased motivation, and anhedonia. She denies suicidal and homicidal ideation. GH presents to the office in appropriate attire and is well groomed but presents with a flat affect and doesn’t consistently maintain eye contact. She informed me that she enjoys reading and sewing but lately doesn’t have the motivation to do those tasks. The client stated, “I am so drained and often have to force myself to take care of myself and family.” GH has no complaints of insomnia and sleeps 8 hours a day and takes naps throughout the day. She has not been consistent with her therapy appointments and stated, “sometimes I just don’t have it in me to come to my appointments.” The client’s current medications include Vistaril 50 mg PO Q6H PRN for anxiety which was prescribed by her PCP. She takes no other prescribed, over the counter, or herbal medications. Past Psychiatric History The client first met with a therapist when she was 15 years of age due to the traumatic sudden death of her father who was murdered. She was diagnosed at this time with anxiety disorder and depression. She was prescribed Paroxetine CR 37.5 mg PO Daily and Lorazepam 1 mg BID PRN for anxiety. The client was seen by a therapist and Psychiatrist until the age of 18 when she decided that she did not want to continue with any further mental health treatment. The client has not had any psychiatric hospitalizations, and no acute psychotic episodes. Around the age of 29 she had an episode of moderate depression for three months and decided at that point to seek help from mental health professionals. She discontinued treatment after her first child was born because she felt that the medication was not needed at this point in her life. This decision was never discussed with her mental health provider his services were discontinued with out notice. Medical History The client has only been hospitalized two times for the birth of her two children. She has no known medication allergies. The client’s immunizations are up to date, she refused the influenza vaccination this year. The client’s surgical history is limited to two caesarian sections, both were live births. The client has no medical history other than previously stated and a physical assessment was not preformed during this session. Substance Abuse History The client denies using any past or present illicit drugs. She denies alcohol and tobacco use as an adolescent and in adulthood. Differential Diagnosis Puerperal Psychosis: The client does not meet the criteria for this diagnosis because she lacks the core features. The core features of puerperal psychosis include rapid onset, profound confusion, delusions, infanticidal tendencies, and often associated with undiagnosed bipolar disorder (Sit, Rothschild, & Wisner, 2006). Puerperal psychosis is more common in clients under the age of 25 and with a family history of mental illness for which this client doesn’t meet the criteria (Sharma, Rai, & Pathak, 2015). DSM-5 Diagnosis 296.32 (F33.1) Major Depressive Disorder, recurrent, moderate severity, with peripartum onset. The criteria for this diagnosis is requires the client to have five out of the nine symptoms present during a two-week period, at least one symptom of depressed mood, and one of lost interest or pleasure (American Psychiatric Association, 2013). The criteria that qualified the client for this diagnosis is, depressed mood most of the day, diminished pleasure in almost all activities, hypersomnia, fatigue, and daily inability to think (American Psychiatric Association, 2013). GH also has the specifier of peripartum onset because the depression started within two weeks post-partum. Individualized Plan Since GH had previously used Paroxetine CR with a positive response it would be my first choice for her medication therapy. Paroxetine CR is approved by the FDA for the treatment of major depressive disorder with an initial dose of 25mg PO Daily and a maximum dose of 65.2 daily (Drugs.com, 2018). GH does not plan to breast feed her child so there was no need for consideration regarding drug transmission to the child. She will also be scheduled to return to the office in three weeks for re-evaluation of symptoms and for dosage adjustment to be made if needed. The client will also be referred to individual psychotherapy sessions at first on a weekly basis. The current research on major depressive disorder recommends psychopharmacology in conjunction with psychotherapeutic therapy specifically conjunction behavioral therapy and psychodynamic therapy (Sharma & Sharma, 2012). Legal and Ethical Implications of Counseling It is important to be aware of legal and ethical implications of counseling clients. The American Psychological Association (APA) has created a ten-section code of conduct for mental health care providers. Section 3.04 of the code of conduct explains that the mental health provider must take reasonable steps to avoid harm to the client and to minimize foreseeable harm (APA, 2017). The directive given in section 3.04 should always be at the forefront of the care provided to a client. The mental health provider should assure informed consent to therapy has been obtained on every client, because this is a fundamental right that should not be infringed upon (Pope & Vasquez, 2016) The APA has given directive on informed consent in section 10.01 and it is the responsibility of the mental health provider to assure the client is of sound mind. Reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. Washington, DC: Author. Ethical Principles of Psychologists and Code of Conduct. (2017, January 1). Retrieved from http://www.apa.org/ethics/code/index.aspx Paroxetine – FDA prescribing information, side effects and uses. (2018, February 28). Retrieved from https://www.drugs.com/pro/paroxetine.html Pope, K. S., & Vasquez, M. J. (2016). Ethics in Psychotherapy and Counseling: A Practical Guide, 5th Edition. John Wiley & Sons. Sharma, I., Rai, S., & Pathak, A. (2015). Postpartum psychiatric disorders: Early diagnosis and management. Indian Journal of Psychiatry, 57(6), 216. doi:10.4103/0019-5545.161481 Sharma, V., & Sharma, P. (2012). Postpartum Depression: Diagnostic and Treatment Issues. Journal of Obstetrics and Gynecology Canada, 34(5), 436-442. doi:10.1016/s1701-2163(16)35240-9 Sit, D., Rothschild, A. J., & Wisner, K. L. (2006). A Review of Postpartum Psychosis. Journal of Women’s Health, 15(4), 352-368. doi:10.1089/jwh.2006.15.352
|
https://www.perfectacademic.com/orders/ordernow
Do You Have Any Other Essay/Assignment/Class Project/Homework Related to this? Click Here Now [CLICK ME] and Have It Done by Our PhD Qualified Writers!! |