Part 1 Practicum – Week 6 Journal Entry Learning Objectives Students will: Develop diagnoses for clients receiving psychotherapy* 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: Client is 29 years old female presenting with anxiety and depression. She reports marital and family conflicts, arguments with husband, her mother and sister in law. Feels very anxious at home than at work. Expresses she has insomnia, crying spells and poor self care. The plan is that client will have increased understanding of her relation to herself and others. Will develop the ability to be present in his life in ways that are congruent with her defined sense of self. Will explore helpful coping ways to manage overwhelming situations and improve relationships and set limits with family in a way that facilitates personal and internal growth. (This is my scenario or you can choose yours. Please add/create other vital points that will make the write up flow) 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. Please use these sub topics Presenting problem History of present illness (please include medications) Past psychiatric history Medical history DSM-5 Diagnoses 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. Legal and/or ethical implications of counseling N/B: PLEASE Addressed each of the bullets with a subtopic, please you can add other good references related to the assignment. All must be cited as an in-text citation in each paragraph. If you have to use other articles, they must be within last five years only that is from 2014 to 2018. References 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 7, “Motivational Interviewing” (pp. 299–312) Chapter 16, “Psychotherapeutic Approaches for Addictions and Related Disorders” (pp. 565–596) American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Albrecht, U., Kirschner, N. E., & Grusser, S. M. (2007). Diagnostic instruments for behavioral addiction: An overview. German Medical Science Psycho-Social-Medicine, 4, 1–11. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2736529/ Fisher, M. A. (2016). The ethical ABCs of conditional confidentiality. In Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals (pp. 13–25). Washington, DC: American Psychological Association. doi:10.1037/14860-002 Walden University. (2016). ASC success strategies: Studying for and taking a test. Retrieved from http://academicguides.waldenu.edu/ASCsuccess/ASCtesting Part 2 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 N/B: PLEASE Addressed each of the bullets with a subtopic, please you can add other good references related to the assignment. All must be cited as an in-text citation in each paragraph. If you have to use other articles, they must be within last five years only that is from 2014 to 2018. In a 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. Reference 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) American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Abeles, N., & Koocher, G. P. (2011). Ethics in psychotherapy. In J. C. Norcross, G. R. VandenBos, D. K. Freedheim, J. C. Norcross, G. R. VandenBos, & D. K. Freedheim (Eds.), History of psychotherapy: Continuity and change (pp. 723–740). Washington, DC: American Psychological Association. doi:10.1037/12353-048 Cameron, S., & Turtle-Song, I. (2002). Learning to write case notes using the SOAP format. Journal of Counseling and Development, 80(3), 286–292. Retrieved from the Academic Search Complete database. (Accession No. 7164780) Nicholson, R. (2002). The dilemma of psychotherapy notes and HIPAA. Journal of AHIMA, 73(2), 38–39. Retrieved from http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4 U.S. Department of Health & Human Services. (n.d.). HIPAA privacy rule and sharing information related to mental health. Retrieved from http://www.hhs.gov/hipaa/for-professionals/special-topics/mental-health/ Required Media Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video file]. Mill Valley, CA: Psychotherapy.net. Note: For this week, view Reality Therapy, Feminist Therapy, and Solution-Focused Therapy only. Stuart, S. (2010). Interpersonal psychotherapy: A case of postpartum depression [Video file]. Mill Valley, CA: Psychotherapy.net. Note: The approximate length of this media piece is 110 minutes.
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