Category: Nursing

  • Experiential and Narrative Family Therapy

    Week 3: Experiential and Narrative Family Therapy

    The Smiths, a family of five, present with their 14-year-old male son, Joshua, who is identified as “the patient.” Almost immediately, the psychiatric mental health nurse practitioner notices the subtle struggle between the parents to be heard first, often talking over one another. Joshua finally blurts out, “You see, you two are crazy, and you think it’s me.” Joshua’s father immediately becomes angry, and Joshua’s mom is quick to rush to Joshua’s side. She begins to argue with her husband about his treatment of their son. Experiential and Narrative Family Therapy.

    The Smiths and other clients like them may be candidates for both experiential therapy and narrative family therapy, and it is important to note that these are distinctly different therapeutic approaches. Experiential therapy examines experiences of the “here and now,” whereas narrative family therapy focuses on retelling one’s story to understand why one behaves in certain ways. When assessing client families and selecting one of these therapies, you must not only select the one that is best for the clients, but also the approach that most aligns to your own skill set.

    This week, as you explore experiential and narrative family therapy, you assess families presenting for psychotherapy. You also examine the effectiveness of therapeutic approaches for client families with impaired family functioning.

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    Learning Resources

    Note:
     To access this week’s required Experiential and Narrative Family Therapy library resources, please click on the link to the Course Readings List, found in the 
    Course Materials
     section of your Syllabus.

    Required Readings

    Nichols, M. (2014).
    The essentials of family therapy
    (6th ed.). Boston, MA: Pearson.

    Chapter 8, “Experiential Family Therapy” (pp. 129–147)

    Chapter 13, “Narrative Therapy” (pp. 243–258)

    Wheeler, K. (Ed.). (2014).
    Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice.
    New York, NY: Springer.

    “Genograms” pp. 137-142

    Cohn, A. S. (2014). Romeo and Julius: A narrative therapy intervention for sexual-minority couples.
    Journal of Family Psychotherapy, 25
    (1), 73–77. doi:10.1080/08975353.2014.881696

    Note:
    Retrieved from Walden Library databases.

    Escudero, V., Boogmans, E., Loots, G., & Friedlander, M. L. (2012). Alliance rupture and repair in conjoint family therapy: An exploratory study.
    Psychotherapy, 49
    (1), 26–37. doi:10.1037/a0026747

    Note:
    Retrieved from Walden Library databases.

    Freedman, J. (2014). Witnessing and positioning: Structuring narrative therapy with families and couples.
    Australian & New Zealand Journal of Family Therapy, 35
    (1), 20–30. doi:10.1002/anzf.1043. Experiential and Narrative Family Therapy.

    Note:
    Retrieved from Walden Library databases.

    Phipps, W. D., & Vorster, C. (2011). Narrative therapy: A return to the intrapsychic perspective.
    Journal of Family Psychotherapy, 22
    (2), 128–147. doi:10.1080/08975353.2011.578036

    Note:
    Retrieved from Walden Library databases.

    Saltzman, W. R., Pynoos, R. S., Lester, P., Layne, C. M., & Beardslee, W. R. (2013). Enhancing family resilience through family narrative co-construction.
    Clinical Child and Family Psychology Review, 16
    (3), 294–310. doi:10.1007/s10567-013-0142-2

    Note:
    Retrieved from Walden Library databases. Experiential and Narrative Family Therapy.

    Required Media

    Governors State University (Producer). (2009). Emotionally focused couples therapy [Video file]. Chicago, IL: Author.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 115 minutes. Experiential and Narrative Family Therapy.

     

    Laureate Education (Producer). (2013b). Hernandez family genogram [Video file]. Baltimore, MD: Author.

     

    Note:
    The approximate length of this media piece is 3 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Psychotherapy.net (Producer). (1998). Narrative family therapy [Video file]. San Francisco, CA: Author.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 111 minutes.

    Optional Resources

    Psychotherapy.net (Producer). (2007). Existential psychotherapy [Video file]. San Francisco, CA: Author.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 61 minutes.

    Discussion: Clinical Supervision

    Clinical supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this clinical supervision Discussion, consider a client family whom you do not think is adequately progressing according to expected clinical outcomes. Experiential and Narrative Family Therapy,

    Learning Objectives

    Students will:

    Assess client families presenting for psychotherapy

    Evaluate the effectiveness of therapeutic approaches for client families receiving psychotherapy

    Apply narrative family therapy concepts to client families with impaired family functioning

    To prepare

    Review this week’s media and consider the insights provided on family therapy.

    Reflect on the client families you are currently counseling at your practicum site.

    Note:
     For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the 
    Post to Discussion Question link
     and then select 
    Create Thread
     to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking 
    Submit!

    Note about Uploading Media:
     Refer to the 
    Kaltura Media Uploader
     instructions document located in the menu bar. This provides guidance on how to upload media for the clinical supervision Discussions. Experiential and Narrative Family Therapy.

    By Day 3

    Post
     a 3- to 5-minute Kaltura video in which you do the following:

    Describe a client family you are counseling that you do not think is adequately progressing according to expected clinical outcomes. Note: Do not use the client family members’ actual names.

    Explain your therapeutic approach with the client family, including the perceived effectiveness of your approach.

    Identify any additional information about this client family that may potentially impact expected outcomes.

    Note:
     Nurse practitioners must have strong oral communication skills. This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner.

    View
     a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues by providing feedback on each colleague’s therapeutic approach based on a narrative family therapeutic perspective. Support your feedback with evidence-based literature and/or your own experiences with clients. Experiential and Narrative Family Therapy.

    Submission and Grading Information

    Grading Criteria

    To access your rubric:

    Week 3 Discussion Rubric

    Post by Day 3 and Respond by Day 6

    To participate in this Discussion:

    Week 3 Discussion

    Assignment 1: Practicum – Assessing Client Families

    Learning Objectives

    Students will:

    Assess client families presenting for psychotherapy

    Develop genograms for client families presenting for psychotherapy

    To prepare:

    Select a client family that you have observed or counseled at your practicum site.

    Review pages 137–142 of Wheeler (2014) and the Hernandez Family Genogram video in this week’s Learning Resources.

    Reflect on elements of writing a comprehensive client assessment and creating a genogram for the client you selected.

    The Assignment

    Part 1: Comprehensive Client Family Assessment

    Create a comprehensive client assessment for your selected client family that addresses (without violating HIPAA regulations) the following:

    Demographic information

    Presenting problem

    History or present illness

    Past psychiatric history

    Medical history

    Substance use history

    Developmental history

    Family psychiatric history

    Psychosocial history

    History of abuse and/or trauma

    Review of systems

    Physical assessment

    Mental status exam

    Differential diagnosis

    Case formulation

    Treatment plan

    Part 2: Family Genogram

    Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).

    By Day 7 of Week 4

    Submit
     your Experiential and Narrative Family Therapy Assignment.

    Assignment 2: Board Vitals

    This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

    These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

    You can access Board Vitals through the link sent to you in email or by following the link below:

    https://www.boardvitals.com/

    By Day 7

    Complete the Board Vitals questions.

    Making Connections

    Now that you have:

    Explored experiential and narrative family therapy and assessed families presenting for psychotherapy

    Examined the effectiveness of therapeutic approaches for client families with impaired family functioning

    Next week, you will:

    Continue exploring family therapy as you examine structural and strategic family therapies and their appropriateness for client families

    Consider your own practicum experiences involving family therapy sessions

    Looking Ahead: Week 4 Videos

    Next week, you will need to view several videos prior to completing your Discussions and Assignments. These videos are more than 2 hours in length. Please plan ahead to ensure you have time to view these videos and complete your Experiential and Narrative Family Therapy Discussions and Assignments on time.

  • Supportive and Interpersonal Psychotherapy Essay

    Supportive and Interpersonal Psychotherapy Essay

    Amelia, a 16-year-old high school sophomore, presents with symptoms of weight loss and a very obvious concern for her weight. She has made several references to being “fat” and “pudgy” when, in fact, she is noticeably underweight. Her mother reports that she is quite regimented in her eating and that she insists on preparing her own meals as her mother “puts too many fattening things in the food” that she cooks. After discovering that during the past 3 months Amelia has lost 15 pounds and is well under body weight for someone of similar age/sex/developmental trajectory, the psychiatric mental health nurse practitioner diagnosed Amelia with anorexia nervosa.

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    Evidence-based research shows that clients like Amelia may respond well to supportive psychotherapy and interpersonal psychotherapy. So which approach might you select? Are both equally effective for all clients? In practice, you will find that many clients may be candidates for both of these therapeutic approaches, but factors such as a client’s psychodynamics and your own skill set as a therapist may impact their effectiveness. Supportive and Interpersonal Psychotherapy Essay.

    This week, you continue exploring therapeutic approaches and their appropriateness for clients as you examine supportive psychotherapy and interpersonal psychotherapy. You also assess progress for a client receiving psychotherapy and develop progress and privileged psychotherapy notes for the client.

    Photo Credit: Laureate Education

    Supportive and Interpersonal Psychotherapy Essay Learning Resources

    Required Readings

    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.

     

    Note:
    You will access this text from the Walden Library databases.

    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

     

    Note:
    You will access this resource from the Walden Library databases.

    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). Supportive and Interpersonal Psychotherapy Essay.

     

    Note:
    You will access this article from the Walden Library databases.

    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. You will access this media from the Walden Library databases.

    Stuart, S. (2010). Interpersonal psychotherapy:
    A case of postpartum depression
    [Video file]. Mill Valley, CA: Psychotherapy.net.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 110 minutes.

    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. Supportive and Interpersonal Psychotherapy Essay.

    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.

    Note:
     The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at 
    http://academicguides.waldenu.edu/writingcenter/templates
     ). All papers submitted must use this formatting.

    By Day 7

    Submit
     your Supportive and Interpersonal Psychotherapy Essay Assignment.

    Submission and Grading Information

    To submit your completed Assignment for review and grading, do the following:

    Please save your Assignment using the naming convention “WK7Assgn1+last name+first initial.(extension)” as the name.

    Click the 
    Week 7 Assignment Rubric 
    to review the Grading Criteria for the Assignment.

    Click the 
    Week 7 Assignment 1 
    link. You will also be able to “View Rubric” for grading criteria from this area.

    Next, from the Attach File area, click on the 
    Browse My Computer
     button. Find the document you saved as “WK7Assgn1+last name+first initial.(extension)” and click 
    Open
    .

    If applicable: From the Plagiarism Tools area, click the checkbox for 
    I agree to submit my paper(s) to the Global Reference Database
    .

    Click on the 
    Submit
     button to complete your submission. Supportive and Interpersonal Psychotherapy Essay.

    Grading Criteria

    To access your rubric:

    Week 7 Assignment 1 Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

    Submit your Week 7 Assignment draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 7 Assignment 1

    Assignment 2: Practicum – Assessing Client Progress

    Learning Objectives

    Students will:

    Assess progress for clients receiving psychotherapy

    Differentiate progress notes from privileged notes

    Analyze preceptor’s use of privileged notes

    To prepare:

    Reflect on the client you selected for the Week 3 Practicum Assignment.

    Review the Cameron and Turtle-Song (2002) article in this week’s Learning Resources for guidance on writing case notes using the SOAP format. Supportive and Interpersonal Psychotherapy Essay.

    The Assignment

    Part 1: Progress Note

    Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):

    Treatment modality used and efficacy of approach

    Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals)

    Modification(s) of the treatment plan that were made based on progress/lack of progress

    Clinical impressions regarding diagnosis and/or symptoms

    Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.)

    Safety issues

    Clinical emergencies/actions taken

    Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them)

    Treatment compliance/lack of compliance

    Clinical consultations

    Collaboration with other professionals (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.)

    Therapist’s recommendations, including whether the client agreed to the recommendations

    Referrals made/reasons for making referrals

    Termination/issues that are relevant to the termination process (i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)

    Issues related to consent and/or informed consent for treatment

    Information concerning child abuse, and/or elder or dependent adult abuse, including documentation as to where the abuse was reported

    Information reflecting the therapist’s exercise of clinical judgment

    Note:
     Be sure to exclude any information that should not be found in a discoverable progress note. Supportive and Interpersonal Psychotherapy Essay.

    Part 2: Privileged Note

    Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client from the Week 3 Practicum Assignment.

    The privileged note should include items that you would not typically include in a note as part of the clinical record.

    Explain why the items you included in the privileged note would not be included in the client’s progress note.

    Explain whether your preceptor uses privileged notes, and if so, describe the type of information he or she might include. If not, explain why.

    By Day 7

    Submit
     your Supportive and Interpersonal Psychotherapy Essay Assignment.

    Submission

    To submit your completed Assignment for review and grading, do the following:

    Please save your 
    Assignment
     using the following naming convention: “
    WK7Assgn2+lastname+first initial
    ”.

    Click the 
    Week 7 Assignment 2
     link.

    Next, from the Attach File area, click on the 
    Browse My Computer
     button. Find the document you saved as “
    WK7Assgn2+last name+first initial.(extension)
    ” and click 
    Open
    . If you are submitting multiple files, repeat until all files are attached.

    Click on the 
    Submit
     button to complete your submission. Supportive and Interpersonal Psychotherapy Essay.

    Grading Criteria

    To access your rubric:

    Week 7 Assignment 2 Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

    Submit your Week 7 Assignment draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 7 Assignment 2

    Assignment 3: Practicum – Week 5 and Week 6 Journal Submission

    Learning Objectives

    Students will:

    Develop diagnoses for clients receiving psychotherapy*

    Evaluate the efficacy of therapeutic approaches for clients*

    Analyze legal and ethical implications of counseling clients with psychiatric disorders*

    By Day 7

    Submit
     your 
    Journal Entries for Week 5 and Week 6
    . Refer to Week 5 and Week 6 for additional guidance.

    Submission

    To submit your completed Assignment for review and grading, do the following:

    Please save your 
    Assignments
     using the following naming convention: 
    WK7Journal1+lastname+first initial,
    ” and “
    WK7Journal2+lastname+firstinitial.”

    Click the 
    Week 7 Assignment 3
     link.

    Next, from the Attach File area, click on the 
    Browse My Computer
     button. Find the document you saved as “
    WK7Assgn3+last name+first initial.(extension)
    ” and click 
    Open
    . Repeat for each of the Practicum Journal submissions. If you are submitting multiple files, repeat until all files are attached.

    Click on the 
    Submit
     button to complete your submission. Supportive and Interpersonal Psychotherapy Essay.

    Grading Criteria

    To access your rubric:

    Week 7 Assignment 3 Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

    Submit your Week 7 Assignment draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 7 Assignment 3

    Assignment 4: Board Vitals

    This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

    These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Supportive and Interpersonal Psychotherapy Essay.

    You can access Board Vitals through the link sent to you in email or by following the link below:

    https://www.boardvitals.com/

    By Day 7

    Complete
     the Board Vitals questions.

    Practicum Reminder

    Time Logs

    You are required to keep a log of the time you spend related to your practicum experience 
    and enter every patient you see each day
    . You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term.

     

    Week in Review

    Now that you have:

    Compared supportive psychotherapy and interpersonal psychotherapy

    Recommended therapeutic approaches for clients presenting for psychotherapy

    Assessed progress for clients receiving psychotherapy

    Differentiated progress notes from privileged notes

    Analyzed preceptor’s use of privileged notes

    Supportive and Interpersonal Psychotherapy Essay

    Next week, you will:

    Assess clients presenting for psychotherapy

    Evaluate the effectiveness of therapeutic approaches for clients receiving psychotherapy

    Apply existential-humanistic therapy to clients with psychiatric disorders

    Develop diagnoses for clients receiving psychotherapy

    Evaluate the efficacy of existential-humanistic therapy for clients

    Analyze legal and ethical implications of counseling clients with psychiatric disorders

    Analyze clinical supervision experiences

    Supportive and Interpersonal Psychotherapy Essay

    Looking Ahead: Week 8 Clinical Supervision Discussion

    Week 8 Discussion:
     In 3- to 5-minute Kaltura video, you will discuss a client you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 8 Discussion for additional guidance. v.

  • Legal and Ethical Considerations for Group and Family Therapy

    Week 1: Legal and Ethical Considerations for Group and Family Therapy

    Members of a cohesive group feel warmth and comfort in the group and a sense of belongingness; they value the group and feel in turn that they are valued, accepted, and supported by other members.

    —Irvin D. Yalom, 
    The Theory and Practice of Group Psychotherapy

    Laureate Education (Producer). (2017). Introduction to psychotherapy with groups and families [Video file]. Baltimore, MD: Author.

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Note:
    The approximate length of this media piece is 2 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Group and family therapy offers a unique sense of community and support that may not be achieved through other therapeutic approaches. As you help clients effect change within themselves, they are able to in turn help others within the group change. Although many clients thrive in this environment, it is important to recognize that group and family therapy is not appropriate for everyone. Like any other therapeutic approach, group and family therapy has limitations that must be considered.

    Legal and Ethical Considerations for Group and Family Therapy this week, as you begin exploring group and family therapy, you examine legal and ethical considerations of this therapeutic approach. You also prepare for your practicum experience by examining counseling theories and developing goals to guide your practice.

    Learning Resources

    Note:
     To access this week’s required Legal and Ethical Considerations for Group and Family Therapy library resources, please click on the link to the Course Readings List, found in the 
    Course Materials
     section of your Syllabus.

    Required Readings

    Wheeler, K. (Ed.). (2014).
    Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice.
    New York, NY: Springer.

    Chapter 11, “Group Therapy” (pp. 407–428)

    Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.

    Chapter 1, “The Foundations of Family Therapy” (pp. 1–6)

    Chapter 2, “The Evolution of Family Therapy” (pp. 7–28)

    Breeskin, J. (2011). Procedures and guidelines for group therapy.
    The Group Psychologist, 21
    (1). Retrieved from http://www.apadivisions.org/division-49/publications/newsletter/group-psychologist/2011/04/group-procedures.aspx

    Khawaja, I. S., Pollock, K., & Westermeyer, J. J. (2011). The diminishing role of psychiatry in group psychotherapy: A commentary and recommendations for change.
    Innovations in Clinical Neuroscience, 8
    (11), 20–23. Retrieved from http://innovationscns.com/

    Note:
    You will access this article from the Walden Library databases.

    Koukourikos, K., & Pasmatzi, E. (2014). Group therapy in psychotic inpatients.
    Health Science Journal, 8
    (3), 400–408. Retrieved from http://www.hsj.gr/medicine/group-therapy-in-psychotic-inpatients.php?aid=2644

    Note:
    You will access this article from the Walden Library databases.

    Lego, S. (1998). The application of Peplau’s theory to group psychotherapy.
    Journal of Psychiatric & Mental Health Nursing, 5
    (3), 193–196. doi:10.1046/j.1365-2850.1998.00129.x

    Note:
    You will access this article from the Walden Library databases. Legal and Ethical Considerations for Group and Family Therapy.

    McClanahan, K. K. (2014).
    Can confidentiality be maintained in group therapy?
    Retrieved from http://nationalpsychologist.com/2014/07/can-confidentiality-be-maintained-in-group-therapy/102566.html

    U.S. Department of Health & Human Services. (2014).
    HIPAA privacy rule and sharing information related to mental health.
    Retrieved from http://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/special/mhguidancepdf.pdf

    Document:
    Practicum Journal Template (Word document)

    Document:
    Midterm Exam Study Guide (Word document)

    Document:
    Final Exam Study Guide (Word document)

    Required Media

    Laureate Education (Producer). (2015). Microskills: Family counseling techniques 1 [Video file]. Baltimore, MD: Author.

     

    Note:
    The approximate length of this media piece is 32 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Laureate Education (Producer). (2015). Microskills: Family counseling techniques 2 [Video file]. Baltimore, MD: Author.

     

    Note:
    The approximate length of this media piece is 32 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Laureate Education (Producer). (2015). Microskills: Family counseling techniques 3 [Video file]. Baltimore, MD: Author.

     

    Note:
    The approximate length of this media piece is 24 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Sommers, G., Feldman, S., & Knowlton, K. (Producers). (2008a).
    Legal and ethical issues for mental health professionals, volume 1: Confidentiality, privilege, reporting, and duty to warn
    [Video file]. Mill Valley, CA: Psychotherapy.net.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 140 minutes.

    Optional Resources

    Sommers, G., Feldman, S., & Knowlton, K. (Producers). (2008b).
    Legal and ethical issues for mental health professionals, volume 2: Dual relationships, boundaries, standards of care and termination
    [Video file]. Mill Valley, CA: Psychotherapy.net.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 191 minutes.

    Discussion: Legal and Ethical Considerations for Group and Family Therapy

    Considering the Health Insurance Portability and Accountability Act (HIPPA), the idea of discussing confidential information with a patient in front of an audience is probably quite foreign to you. However, in group and family therapy, this is precisely what the psychiatric mental health nurse practitioner does. In your role, learning how to provide this type of therapy within the limits of confidentiality is essential. For this Discussion, consider how limited confidentiality and other legal and ethical considerations might impact therapeutic approaches for clients in group and family therapy.

    Legal and Ethical Considerations for Group and Family Therapy Learning Objectives

    Students will:

    Compare legal and ethical considerations for group and family therapy to legal and ethical considerations for individual therapy

    Analyze the impact of legal and ethical considerations on therapeutic approaches for clients in group and family therapy

    Recommend strategies to address legal and ethical considerations for group and family therapy

    To prepare:

    Review this week’s Learning Resources and consider the insights they provide on group and family therapy.

    View the media, Legal and Ethical Issues for Mental Health Professions, Volume I, and reflect on legal and ethical considerations for group and family therapy and individual therapy.

    Note:
     For this Legal and Ethical Considerations for Group and Family Therapy Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the 
    Post to Discussion Question 
    link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking 
    Submit!

    By Day 3

    Post
     an explanation of how legal and ethical considerations for group and family therapy differ from those for individual therapy. Then, explain how these differences might impact your therapeutic approaches for clients in group and family therapy. Support your rationale with evidence-based literature.

    By Day 6

    Respond
     to at least 
    two
     of your colleagues by suggesting strategies to address the legal and ethical considerations your colleagues discussed. Support your responses with evidence-based literature.

    Submission and Grading Information

    Grading Criteria

    To access your rubric:

    Week 1 Discussion Rubric

    Post by Day 3 and Respond by Day 6

    To participate in this Discussion:

    Week 1 Discussion

    Assignment: Practicum – Week 1 Journal Entry

    As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your practicum experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment that prompts you to reflect on your practicum experiences and relate them to the material presented in the classroom. This week, you begin documenting your practicum experiences in your Legal and Ethical Considerations for Group and Family Therapy Practicum Journal.

    Note:
     Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

    Learning Objectives

    Students will:

    Analyze nursing and counseling theories to guide practice in psychotherapy*

    Summarize goals and objectives for personal practicum experiences*

    Produce timelines for practicum activities*

    * The Legal and Ethical Considerations for Group and Family Therapy Assignment related to this Learning Objective is introduced this week and submitted in Week 3.

    In preparation for this course’s practicum experience, address the following in your Practicum Journal:

    Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.

    Note: For guidance on nursing and counseling theories, refer to this week’s Learning Resources.

    Explain why you selected these theories. Support your approach with evidence-based literature.

    Develop at least three goals and at least three objectives for the practicum experience in this course.

    Create a timeline of practicum activities based on your practicum requirements.

    By Day 7 of Week 4

    Submit
     your Legal and Ethical Considerations for Group and Family Therapy Assignment.

    Making Connections

    Now that you have:

    Explored legal and ethical considerations for group and family therapy

    Prepared for your practicum experience by examining counseling theories and developing goals to guide your practice

    Next week, you will:

    Explore family assessment and therapy as you assess client families presenting for psychotherapy

    Develop diagnoses for clients receiving family psychotherapy and consider legal and ethical implications of counseling these clients. Legal and Ethical Considerations for Group and Family Therapy.

    Looking Ahead 1: Didactic Assignments

    Week 3 Discussion:
     In a 3- to 5-minute Kaltura video, you will discuss a client family you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 3 Discussion for additional guidance.

    Week 10 Discussion:
     In a 3- to 5-minute Kaltura video, you will discuss a child or adolescent group you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 10 Discussion for additional guidance.

    Week 11 Discussion:
     In a standard Discussion thread, you will discuss an older adult group you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 11 Discussion for additional guidance.

    Looking Ahead 2: Practicum Assignments

    Each week, you will complete practicum-related Assignments. It is highly recommended that you review the practicum assignments for Weeks 2–11 before Day 7 of Week 1. This will give you time to meet with your preceptor so that you can fulfill the requirements of each Legal and Ethical Considerations for Group and Family Therapy Assignment.

    Week 2:
    You will write about two clients from a family you observed or counseled. (Assignment to be submitted by Day 7 of Week 4). Legal and Ethical Considerations for Group and Family Therapy.

    Week 3:
     You will complete a comprehensive client family assessment. (Assignment to be submitted by Day 7 of Week 4)

    Week 5:
     You will write about two clients from a family you observed or counseled and explain whether solution-focused or cognitive behavioral therapy would be effective with the family. (Assignment to be submitted by Day 7 of Week 7)

    Week 7:
     You will write a progress note and privileged psychotherapy note for the client family you assessed in Week 3 for the comprehensive client family assessment. (Assignment to be submitted by Day 7 of Week 7.)

    Week 8:
     You will write about two clients you observed or counseled during a group therapy session and explain whether cognitive behavioral therapy would be effective with the group. (Assignment to be submitted by Day 7 of Week 10). Legal and Ethical Considerations for Group and Family Therapy.

    Week 10:
     You will write about two clients you observed or counseled during a group therapy session for children and adolescents. (Assignment to be submitted by Day 7 of Week 10)

    Week 10:
     You will write a client termination summary for a client who is ready to complete group therapy. (Assignment to be submitted by Day 7 of Week 11). Legal and Ethical Considerations for Group and Family Therapy.

  • Psychotherapy for Addictive Disorders Essay

    Psychotherapy for Addictive Disorders Essay

    “A long-standing debate has roiled over whether addicts have a choice over their behaviors. The disease creates distortions in thinking, feelings, and perceptions, which drive people to behave in ways that are not understandable to others around them. Simply put, addiction is not a choice. Addictive behaviors are a manifestation of the disease, not a cause.”

    –Dr. Raju Hajela, former president of the Canadian Society of Addiction Medicine

    A common misconception is that addiction is a choice, and addicts are often labeled as individuals who lack morals, willpower, or responsibility. However, addiction is a clinical disorder that must be treated with the support of a health care professional. Although many people who are exposed to potentially addictive substances and behaviors continue life unaltered by their experiences, some people are fueled by these experiences and spiral out of control. In your role as the psychiatric mental health nurse practitioner, you must be prepared to not only work with these individuals who struggle with addiction, but also help them and their families overcome the social stigmas associated with addictive behavior. Psychotherapy for Addictive Disorders Essay.

    This week, as you explore psychotherapy for addiction, you assess clients presenting with addictive disorders. You also examine therapies for treating these clients and consider potential outcomes. Finally, you develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients.

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Learning Resources

    Required Readings

    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. Psychotherapy for Addictive Disorders Essay.

    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.

     

    Note:
    You will access this text from the Walden Library databases.

    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. Psychotherapy for Addictive Disorders Essay.

    Walden University. (2016).
    ASC success strategies: Studying for and taking a test
    . Retrieved from http://academicguides.waldenu.edu/ASCsuccess/ASCtesting

    Required Media

    Laureate Education (Producer). (2013c).
    Levy family: Episodes 1
    [Video file]. Baltimore, MD: Author.

     

    Note:
    The approximate length of this media piece is 2 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Laureate Education (Producer). (2013c).
    Levy family: Episodes 2
    [Video file]. Baltimore, MD: Author.

     

    Note:
    The approximate length of this media piece is 2 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Laureate Education (Producer). (2013c).
    Levy family: Episodes 3
    [Video file]. Baltimore, MD: Author.

     

    Note:
    The approximate length of this media piece is 6 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Laureate Education (Producer). (2013c).
    Levy family: Episodes 4
    [Video file]. Baltimore, MD: Author.

     

    Note:
    The approximate length of this media piece is 5 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Laureate Education (Producer). (2013c).
    Levy family: Episodes 5
    [Video file]. Baltimore, MD: Author.

     

    Note:
    The approximate length of this media piece is 2 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Laureate Education (Producer). (2012c).
    In their own words
    [Video file]. Baltimore, MD: Author.

     

    Note:
    The approximate length of this media piece is 23 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Optional Resources

    Dronen, S. O. (2012).
    New research about Facebook addiction
    . Retrieved from http://www.uib.no/en/news/36380/new-research-about-facebook-addiction

    Substance Abuse and Mental Health Services Administration. (2005). Substance abuse treatment for adults in the criminal justice system.
    Treatment Improvement Protocol (TIP) Series 44
    . Rockville, MD: Author. Retrieved from http://store.samhsa.gov/shin/content//SMA13-4056/SMA13-4056.pdf

    Substance Abuse and Mental Health Services Administration. (2007).
    Problem gambling toolkit
    . Retrieved from http://store.samhsa.gov/product/Problem-Gambling-Toolkit/PGKIT-07. Psychotherapy for Addictive Disorders Essay.

    Substance Abuse and Mental Health Services Administration. (2013). Substance abuse treatment for persons with co-occurring disorders: A treatment improvement protocol.
    Treatment Improvement Protocol (TIP) Series 42
    . Rockville, MD: Author. Retrieved from http://store.samhsa.gov/shin/content//SMA13-3992/SMA13-3992.pdf

    Assignment 1: Assessing Clients With Addictive Disorders

    Addictive disorders can be particularly challenging for clients. Not only do these disorders typically interfere with a client’s ability to function in daily life, but they also often manifest as negative and sometimes criminal behaviors. Sometime clients with addictive disorders also suffer from other mental health issues, creating even greater struggles for them to overcome. In your role, you have the opportunity to help clients address their addictions and improve outcomes for both the clients and their families. For this Assignment, as you examine the 
    Levy Family
     video in this week’s Learning Resources, consider how you might assess and treat clients presenting with addiction. Psychotherapy for Addictive Disorders Essay.

    Learning Objectives

    Students will:

    Assess clients presenting with addictive disorders

    Analyze therapeutic approaches for treating clients with addictive disorders

    Evaluate outcomes for clients with addictive disorders

    To prepare:

    Review this week’s Learning Resources and consider the insights they provide.

    Review the 
    Levy Family
     video Episodes 1 through 5.

    The Assignment

    In a 2- to 3-page paper, address the following:

    After watching Episode 1, describe:

    What is Mr. Levy’s perception of the problem?

    What is Mrs. Levy’s perception of the problem?

    What can be some of the implications of the problem on the family as a whole?

    After watching Episode 2, describe:

    What did you think of Mr. Levy’s social worker’s ideas?

    What were your thoughts of her supervisor’s questions about her suggested therapies and his advice to Mr. Levy’s supervisor?

    After watching Episode 3, discuss the following:

    What were your thoughts about the way Mr. Levy’s therapist responded to what Mr. Levy had to say?

    What were your impressions of how the therapist worked with Mr. Levy? What did you think about the therapy session as a whole? Psychotherapy for Addictive Disorders Essay.

    Informed by your knowledge of pathophysiology, explain the physiology of deep breathing (a common technique that we use in helping clients to manage anxiety). Explain how changing breathing mechanics can alter blood chemistry.

    Describe the therapeutic approach his therapist selected. Would you use exposure therapy with Mr. Levy? Why or why not? What evidence exists to support the use of exposure therapy (or the therapeutic approach you would consider if you disagree with exposure therapy)?

    In Episode 4, Mr. Levy tells a very difficult story about Kurt, his platoon officer.

    Discuss how you would have responded to this revelation. Psychotherapy for Addictive Disorders Essay.

    Describe how this information would inform your therapeutic approach. What would you say/do next?

    In Episode 5, Mr. Levy’s therapist is having issues with his story.

    Imagine that you were providing supervision to this therapist, how would you respond to her concerns?

    Support your approach with evidence-based literature.

    Note:
     The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at 
    http://writingcenter.waldenu.edu/57.htm
    ). All papers submitted must use this formatting.

    By Day 7

    Submit
     your Assignment.

    Submission and Grading Information

    To submit your completed Assignment for review and grading, do the following:

    Please save your Assignment using the naming convention “WK6Assgn+last name+first initial.(extension)” as the name.

    Click the 
    Week 6 Assignment Rubric 
    to review the Grading Criteria for the Assignment.

    Click the 
    Week 6 Assignment 
    link. You will also be able to “View Rubric” for grading criteria from this area.

    Next, from the Attach File area, click on the 
    Browse My Computer
     button. Find the document you saved as “WK6Assgn+last name+first initial.(extension)” and click 
    Open
    .

    If applicable: From the Plagiarism Tools area, click the checkbox for 
    I agree to submit my paper(s) to the Global Reference Database
    .

    Click on the 
    Submit
     button to complete your submission. Psychotherapy for Addictive Disorders Essay.

    Grading Criteria

    To access your rubric:

    Week 6 Assignment 1 Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

    Submit your Week 6 Assignment draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 6 Assignment 1

    Exam: Midterm Exam

    Learning Objectives

    Students will:

    Assess knowledge of concepts and principles related to the psychotherapy of individuals

    This exam is a test of your knowledge in preparation for your certification exam. 
    No outside resources
     including books, notes, websites, or any other type of resource are to be used to complete this exam. You are expected to 
    comply with Walden University’s Code of Conduct.

    This exam will cover the following topics, which relate to psychotherapy with individuals in the Wheeler textbook and the Fisher textbook excerpts:

    The Nurse Psychotherapist and a Framework for Practice

    Confidentiality Limits in Psychotherapy: Ethics Checklists for Mental Health Professionals

    Assessment and Diagnosis. Psychotherapy for Addictive Disorders Essay.

    The Initial Contact and Maintaining the Frame

    Cognitive Behavioral Therapy

    Supportive and Psychodynamic Psychotherapy

    Stabilization for Trauma and Dissociation

    Motivational Interviewing

    Psychotherapeutic Approaches for Addictions and Related Disorders

    By Day 7

    Complete
     the Midterm Exam. Prior to starting the exam, you should review all of your materials. There is a 2-hour time limit to complete this 76-question exam. You may only attempt this exam once.

    Submission

    Submit Your Exam by Day 7

    To submit your Exam:

    Week 6 Exam

    Assignment 2: 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*

    * The Assignment related to this Learning Objective is introduced this week and submitted in Week 7.

    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.

    Psychotherapy for Addictive Disorders Essay

    By Day 7 of Week 7

    Submit
     your Assignment.

    Assignment 3: Board Vitals

    This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

    These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Psychotherapy for Addictive Disorders Essay.

    You can access Board Vitals through the link sent to you in email or by following the link below:

    https://www.boardvitals.com/

    By Day 7

    Complete
     the Board Vitals questions.

    Week in Review

    Now that you have:

    Assessed clients presenting with addictive disorders

    Analyzed therapeutic approaches for treating clients with addictive disorders

    Evaluated outcomes for clients with addictive disorders

    Assessed knowledge of concepts and principles related to the psychotherapy of individuals

    Developed diagnoses for clients receiving psychotherapy

    Psychotherapy for Addictive Disorders Essay

    Evaluated the efficacy of motivational interviewing techniques for clients

    Analyzed legal and ethical implications of counseling clients with psychiatric disorders

    Next week, you will:

    Compare supportive psychotherapy and interpersonal psychotherapy

    Recommend therapeutic approaches for clients presenting for psychotherapy

    Assess progress for clients receiving psychotherapy

    Differentiate progress notes from privileged notes

    Analyze preceptor’s use of privileged notes

    Psychotherapy for Addictive Disorders Essay

  • Hernandez Family Assessment

    Assignment 1: Hernandez Family Assessment

    Assessment is as essential to family therapy as it is to individual therapy. Although families often present with one person identified as the “problem,” the assessment process will help you better understand family roles and determine whether the identified problem client is in fact the root of the family’s issues. As you examine the 
    Hernandez Family: Sessions 1-6 
    videos in this week’s Hernandez Family Assessment Learning Resources, consider how you might assess and treat the client family.

    Learning Objectives

    Students will:

    Assess client families presenting for psychotherapy

    To prepare:

    Review this week’s Learning Resources and reflect on the insights they provide on family assessment.

    View the Hernandez Family: Sessions 1-6 videos, and consider how you might assess the family in the case study.

    Note:
     For guidance on Hernandez Family Assessment writing a comprehensive client assessment, refer to pages 137–142 of Wheeler (2014) in this week’s Learning Resources.

    The Assignment

    Address in a comprehensive client assessment of the Hernandez family the following:

    Demographic information

    Presenting problem

    History or present illness

    Past psychiatric history

    Medical history

    Substance use history

    Developmental history

    Family psychiatric history

    Psychosocial history

    History of abuse and/or trauma

    Review of systems

    Physical assessment

    Mental status exam

    Differential diagnosis

    Case formulation

    Treatment plan

    Note: 
    Any item you are unable to address from the video should be marked “needs to be added to” as you would in an actual comprehensive client assessment

    By Day 7

    Submit
     your Assignment.

    Submission and Grading Information

    To submit your completed Assignment for review and grading, do the following:

    Please save your Assignment using the naming convention “WK2Assgn+last name+first initial.(extension)” as the name.

    Click the 
    Week 2 Assignment Rubric 
    to review the Grading Criteria for the Assignment.

    Click the 
    Week 2 Assignment 
    link. You will also be able to “View Rubric” for grading criteria from this area.

    Next, from the Attach File area, click on the 
    Browse My Computer
     button. Find the document you saved as “WK2Assgn+last name+first initial.(extension)” and click 
    Open
    .

    If applicable: From the Plagiarism Tools area, click the checkbox for 
    I agree to submit my paper(s) to the Global Reference Database
    .

    Click on the 
    Submit
     button to complete your submission.

    Grading Criteria

    To access your rubric:

    Week 2 Assignment Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

    Submit your Week 2 Assignment draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 2 Assignment

    Assignment 2: Practicum – Week 2 Journal Entry

    Learning Objectives

    Students will:

    Apply documentation skills to examine family therapy sessions *

    Develop diagnoses for clients receiving family psychotherapy *

    Analyze legal and ethical implications of counseling clients with psychiatric disorders *

    *
     The Assignment related to this Learning Objective is introduced this week and submitted in Week 3.

    Select two clients you observed or counseled this week during a family therapy session Hernandez Family Assessment. 
    Note:
     The two clients you select must have attended the same family session.

    Then, address in your Practicum Journal the following:

    Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.

    Describe (without violating HIPAA regulations) each client, and identify any pertinent history or medical information, including prescribed medications.

    Using the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5), explain and justify your diagnosis for each client.

    Explain any legal and/or ethical implications related to counseling each client.

    Support your approach with evidence-based literature.

    By Day 7 of Week 4

    Submit
     your Hernandez Family Assessment Assignment.

    Assignment 3: Board Vitals

    This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

    These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Hernandez Family Assessment.

  • Psychotherapy With Trauma Essay

    Psychotherapy With Trauma Essay

    Disorders resulting from trauma are significantly different from other psychiatric mental health issues. Unlike disorders such as schizophrenia or major depressive disorder, trauma-related disorders do not occur randomly in the population. Instead, trauma is something that occurs as a result of the lived experience of a traumatic event. According to the National Center for PTSD, more than half of the population will experience trauma during their lifetime (National Center for PTSD, 2010). Although most people will recover from the trauma on their own, some require therapeutic interventions. While there are medications that can help individuals with trauma and posttraumatic stress disorder (PTSD), the foundation of treatment continues to be psychotherapy. Psychotherapy With Trauma Essay.

    This week, as you explore psychotherapy with trauma, you assess clients presenting with posttraumatic stress disorder. You also examine therapies for treating these clients and consider potential outcomes. Finally, you develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients.

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Psychotherapy With Trauma Essay Learning Resources

    Required Readings

    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 13, “Stabilization for Trauma and Dissociation” (pp. 469–508)

    American Psychiatric Association. (2013).
    Diagnostic and statistical manual of mental disorders
    (5th ed.). Washington, DC: Author.

     

    Note:
    You will access this text from the Walden Library databases.

    Required Media

    Laureate Education (Producer). (2012a).
    Academic year in residence: Thompson family case study
    [Multimedia file]. Baltimore, MD: Author.

    Ochberg, F. (2012).
    Psychotherapy for chronic PTSD
    [Video file]. Mill Valley, CA: Psychotherapy.net.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 84 minutes.

    Optional Resources

    Substance Abuse and Mental Health Services Administration. (2012). Behavioral health issues among Afghanistan and Iraq U.S. war veterans.
    In Brief
    , 7(1), 1–7. Retrieved from http://store.samhsa.gov/shin/content//SMA12-4670/SMA12-4670.pdf

    Substance Abuse and Mental Health Services Administration. (2014).
    SAMHSA’s concept of trauma and guidance for a trauma-informed approach.
    Rockville, MD: Author. Retrieved from http://store.samhsa.gov/shin/content//SMA14-4884/SMA14-4884.pdf

    Wolpe, J. (n.d.).
    Joseph Wolpe on systematic desensitization
    [Video file]. Mill Valley, CA: Psychotherapy.net. Psychotherapy With Trauma Essay.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 59 minutes.

    Bruce, T., & Jongsma, A. (2010b).
    Evidence-based treatment planning for post-traumatic stress disorder
    [Video file]. Mill Valley, CA: Psychotherapy.net.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 74 minutes.

    Wilson, R. (2012).
    Exposure therapy for phobias
    [Video file]. Mill Valley, CA: Psychotherapy.net.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 95 minutes.

    Psychotherapy With Trauma Essay Discussion: Posttraumatic Stress Disorder

    It is estimated that more than 6% of the U.S. population will experience posttraumatic stress disorder (PTSD) in their lifetime (National Center for PTSD, 2010). This debilitating disorder often interferes with an individual’s ability to function in daily life. Common symptoms of anxiousness and depression frequently lead to substance abuse issues and even physical ailments. For this Discussion, as you examine the 
    Thompson Family Case Study
     in this week’s Learning Resources, consider how you might assess and treat clients presenting with PTSD.

    Learning Objectives

    Students will:

    Assess clients presenting with posttraumatic stress disorder

    Analyze therapeutic approaches for treating clients presenting with posttraumatic stress disorder

    Evaluate outcomes for clients with posttraumatic stress disorder

    Psychotherapy With Trauma Essay

    To prepare:

    Review this week’s Learning Resources and reflect on the insights they provide.

    View the media 
    Academic Year in Residence: Thompson Family Case Study
    , and assess the client in the case study.

    For guidance on assessing the client, refer to pages 137–142 of the Wheeler text in this week’s Learning Resources.

    Note:
     To complete this Discussion, you must assess the client, but you are not required to submit a formal Comprehensive Client Assessment.

    Note:
     For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking 
    Submit!

    By Day 3

    Post
     on or before Day 3 an explanation of your observations of the client William in 
    Thompson Family Case Study
    , including behaviors that align to the PTSD criteria in DSM-5. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support your approach with evidence-based literature. Psychotherapy With Trauma Essay.

    Read
     a selection of your colleagues’ responses.

    By Day 6

    Respond
     to at least 
    two
     of your colleagues by providing one alternative therapeutic approach. Explain why you suggest this alternative and support your suggestion with evidence-based literature and/or your own experiences with clients.

    Submission and Grading Information

    Grading Criteria

    To access your rubric:

    Week 5 Discussion Rubric

    Post by Day 3 and Respond by Day 6

    To participate in this Discussion:

    Week 5 Discussion

    Assignment 1: Practicum – Week 5 Journal Entry

    Psychotherapy With Trauma Essay Learning Objectives

    Students will:

    Develop diagnoses for clients receiving psychotherapy*

    Evaluate the efficacy of therapeutic approaches for clients*

    Analyze legal and ethical implications of counseling clients with psychiatric disorders*

    * The Assignment related to this Learning Objective is introduced this week and submitted in Week 7.

    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. Psychotherapy With Trauma Essay.

    Explain any legal and/or ethical implications related to counseling this client.

    By Day 7 of Week 7

    Submit
     your Assignment.

    Assignment 2: Board Vitals

    This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

    These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Psychotherapy With Trauma Essay.

    You can access Board Vitals through the link sent to you in email or by following the link below:

    https://www.boardvitals.com/

    By Day 7

    Complete
     the Board Vitals questions.

    Week in Review

    Now that you have:

    Assessed clients presenting with posttraumatic stress disorder

    Analyzed therapeutic approaches for treating clients presenting with posttraumatic stress disorder

    Evaluated outcomes for clients with posttraumatic stress disorder

    Developed diagnoses for clients receiving psychotherapy

    Evaluated the efficacy of therapeutic approaches for clients

    Psychotherapy With Trauma Essay

    Analyzed legal and ethical implications of counseling clients with psychiatric disorders

    Next week, you will:

    Assess clients presenting with addictive disorders

    Analyze therapeutic approaches for treating clients with addictive disorders

    Evaluate outcomes for clients with addictive disorders

    Assess knowledge of concepts and principles related to the psychotherapy of individuals

    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

    Psychotherapy With Trauma Essay

  • Cognitive Behavioral Therapy Essay

    Cognitive Behavioral Therapy Essay

    Week 4: Cognitive Behavioral Therapy

    When first introduced, cognitive behavioral therapy (CBT) was unlike any other therapeutic approach. For years, psychotherapeutic techniques were driven by psychoanalytic theories. These techniques were time consuming, leaving many therapists frustrated with the length of time involved in helping their clients achieve a sense of relief. With the development of CBT, however, therapists were able to help their clients heal more quickly. This poses the questions: If CBT is more efficient than other techniques, why isn’t it used with all clients? How do you know when CBT is an appropriate therapeutic approach? Cognitive Behavioral Therapy Essay.

    This week, as you examine cognitive behavioral therapy and its appropriateness for clients, you compare it to rational emotive behavioral therapy. You also develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Cognitive Behavioral Therapy Essay Learning Resources

    Required Readings

    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 8, “Cognitive Behavioral Therapy” (pp. 313–346)

    American Psychiatric Association. (2013).
    Diagnostic and statistical manual of mental disorders
    (5th ed.). Washington, DC: Author.

     

    Note:
    You will access this text from the Walden Library databases.

    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 Behavior Therapy and Cognitive-Behavioral Therapy only. You will access this media from the Walden Library databases. Cognitive Behavioral Therapy Essay.

    Beck, A. (1994).
    Aaron Beck on cognitive therapy
    [Video file]. Mill Valley, CA: Psychotherapy.net.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 50 minutes

    Eysenck, H. (n.d.).
    Hans Eysenck on behavior therapy
    [Video file]. Mill Valley, CA: Psychotherapy.net.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 50 minutes.

    Optional Resources

    Ellis, A. (2012).
    Albert Ellis on REBT
    [Video file]. Mill Valley, CA: Psychotherapy.net.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 50 minutes.

    Assignment 1: Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory

    While cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) have many similarities, they are distinctly different therapeutic approaches. When assessing clients and selecting one of these therapies, you must recognize the importance of not only selecting the one that is best for the client, but also the approach that most aligns to your own skill set. For this Assignment, as you examine the similarities and differences between CBT and REBT, consider which therapeutic approach you might use with your clients. Cognitive Behavioral Therapy Essay.

    Learning Objectives

    Students will:

    Compare cognitive behavioral therapy and rational emotive behavioral therapy

    Recommend cognitive behavioral therapies for clients

    To prepare:

    Review the media in this week’s Learning Resources.

    Reflect on the various forms of cognitive behavioral therapy.

    The Cognitive Behavioral Therapy Essay Assignment

    In a 1- to 2-page paper, address the following:

    Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.

    Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.

    Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature.

    Note:
     The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at 
    http://writingcenter.waldenu.edu/57.htm
    ). All papers submitted must use this formatting.

    By Day 7

    Submit
     your Assignment.

    Submission and Grading Information

    To submit your completed Assignment for review and grading, do the following:

    Please save your Assignment using the naming convention “WK4Assgn1+last name+first initial.(extension)” as the name.

    Click the 
    Week 4 Assignment 1 Rubric 
    to review the Grading Criteria for the Assignment.

    Click the 
    Week 4 Assignment 1 
    link. You will also be able to “View Rubric” for grading criteria from this area.

    Next, from the Attach File area, click on the 
    Browse My Computer
     button. Find the document you saved as “WK4Assgn1+last name+first initial.(extension)” and click 
    Open
    .

    If applicable: From the Plagiarism Tools area, click the checkbox for 
    I agree to submit my paper(s) to the Global Reference Database
    .

    Click on the 
    Submit
     button to complete your submission.

    Grading Criteria

    To access your rubric:

    Week 4 Assignment 1 Rubric

    Check Your Assignment Draft for Authenticity

    To check your Cognitive Behavioral Therapy Essay Assignment draft for authenticity:

    Submit your Week 4 Assignment draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 4 Assignment 1

    Assignment 2: Practicum – Week 1 Journal Entry and Journal Submission

    Learning Objectives

    Students will:

    Analyze nursing and counseling theories to guide practice in psychotherapy

    Develop goals and objectives for personal practicum experiences

    Create timelines for practicum activities

    Develop diagnoses for clients receiving psychotherapy

    Analyze legal and ethical implications of counseling clients with psychiatric disorders

    Develop diagnoses for clients receiving psychotherapy

    Evaluate the efficacy of cognitive behavioral therapy for clients

    Analyze legal and ethical implications of counseling clients with psychiatric disorders

    The Learning Objectives are related to the Practicum Journal Assignments presented in 
    Weeks 1, 2, and 4
    .

    Week 4 Journal Entry

    Select a client that 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 cognitive behavioral therapy 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. Cognitive Behavioral Therapy Essay.

    Note:
     Be sure to use the Practicum Journal Template, located in the Learning Resources.

    By Day 7

    Submit
     your Practicum Journal entries for 
    Weeks 1, 2, and 4
    . Refer to the weekly instructions for additional guidance.

    Submission

    To submit your completed Assignment for review and grading, do the following:

    Please save your 
    Assignments
     using the following naming convention:

    “
    WK4Journal1+lastname+firstinitial,
    ” “
    WK4Journal2+lastname+firstinitial,” 
    and
    “WK4Journal4+lastname+firstinitial.”

    Click the 
    Week 4 Assignment 2
     link.

    Next, from the Attach File area, click on the 
    Browse My Computer
     button. Find the document you saved as “
    WK4Journal1+last name+first initial.(extension)
    ” and click 
    Open
    . Repeat for each of the Practicum Journal submissions.

    Click on the 
    Submit
     button to complete your submission.

    Grading Criteria

    To access your rubric:

    Week 4 Assignment 2 Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

    Submit your Week 4 Assignment draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 4 Assignment 2

    Assignment 3: Board Vitals

    This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

    These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Cognitive Behavioral Therapy Essay.

    You can access Board Vitals through the link sent to you in email or by following the link below:

    https://www.boardvitals.com/

    By Day 7

    Complete
     the Board Vitals questions.

    Practicum Reminder

    Time Logs

    You are required to keep a log of the time you spend related to your practicum experience 
    and enter every patient you see each day
    . You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term. Cognitive Behavioral Therapy Essay.

    Week in Review

    Now that you have:

    Compared cognitive behavioral therapy and rational emotive behavioral therapy

    Recommended cognitive behavioral therapies for clients

    Developed diagnoses for clients receiving psychotherapy

    Evaluated the efficacy of cognitive behavioral therapy for clients

    Analyzed legal and ethical implications of counseling clients with psychiatric disorders

    Next week, you will:

    Assess clients presenting with posttraumatic stress disorder

    Analyze therapeutic approaches for treating clients presenting with posttraumatic stress disorder

    Evaluate outcomes for clients with posttraumatic stress disorder

    Develop diagnoses for clients receiving psychotherapy

    Evaluate the efficacy of therapeutic approaches for clients

    Analyze legal and ethical implications of counseling clients with psychiatric disorders.

    Cognitive Behavioral Therapy Essay

  • Psychodynamic Psychotherapy Essay

    Psychodynamic Psychotherapy Essay

    Week 3: Psychodynamic Psychotherapy Introduction

    Contemporary psychodynamic psychotherapy, also referred to as psychoanalytic therapy, is rooted in Dr. Sigmund Freud’s proposal that unconscious thought processes, or thoughts and feelings outside of our conscious awareness, are responsible for mental health issues. This therapeutic approach is unique because its goal is to help clients achieve changes in personality and emotional development. Like most therapeutic approaches, however, psychodynamic psychotherapy is not appropriate for every client. In your role as a psychiatric mental health nurse practitioner, you must be able to properly assess clients to determine whether this therapeutic approach would improve their clinical outcomes. Psychodynamic Psychotherapy Essay.

    This week, as you explore psychodynamic psychotherapy, you examine the application of current literature to clinical practice. You also assess clients presenting for psychotherapy.

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Learning Resources

    Required Readings

    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. 225–238 and pp. 245–258)

    American Psychiatric Association. (2013).
    Diagnostic and statistical manual of mental disorders
    (5th ed.). Washington, DC: Author. Psychodynamic Psychotherapy Essay.

    Note:
    You will access this text from the Walden Library databases.

    Young, J. M., & Solomon, M. J. (2009). How to critically appraise an article. Nature Clinical Practice.
    Gastroenterology & Hepatology, 6
    (2), 82–91.

    How to Critically Appraise an Article by Young, J.; Solomon, M., in Nature Reviews Gastroenterology & Hepatology, Vol. 6/Issue 2. Copyright 2009 by Nature Publishing Group. Reprinted by permission of Nature Publishing Group via the Copyright Clearance Center. Psychodynamic Psychotherapy Essay.

    Select one of the following articles on psychodynamic therapy to evaluate in your Assignment:

    Aznar-Martinez, B., Perez-Testor, C., Davins, M., & Aramburu, I. (2016). Couple psychoanalytic psychotherapy as the treatment of choice: Indications, challenges, and benefits.
    Psychoanalytic Psychology, 33
    (1), 1–20. doi:10.1037/a0038503

    Karbelnig, A. M. (2016). “The analyst is present”: Viewing the psychoanalytic process as performance art.
    Psychoanalytic Psychology, 33
    (supplement 1), S153–S172. doi:10.1037/a0037332

    LaMothe, R. (2015). A future project of psychoanalytic psychotherapy: Revisiting the debate between classical/commitment and analytic therapies.
    Psychoanalytic Psychology, 32
    (2), 334–351. doi:10.1037/a0035982

    Migone, P. (2013). Psychoanalysis on the Internet: A discussion of its theoretical implications for both online and offline therapeutic technique.
    Psychoanalytic Psychology, 30
    (2), 281–299. doi:10.1037/a0031507. Psychodynamic Psychotherapy Essay.

    Tummala-Narra, P. (2013). Psychoanalytic applications in a diverse society.
    Psychoanalytic Psychology, 30
    (3), 471–487. doi:10.1037/a0031375

    Note:
     You will access all of these articles from the Walden Library databases.

    Required Media

    Laureate Education (Producer). (2015c).
    The importance of a therapeutic relationship: Mary Boyle
    [Video file]. Baltimore, MD: Author.

     

    Provided courtesy of the Laureate International Network of Universities.

     

    Note:
    The approximate length of this media piece is 2 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Laureate Education (Producer). (2015b).
    Foundations of counseling techniques
    [Video file]. Baltimore, MD: Author.

     

    Provided courtesy of the Laureate International Network of Universities.

     

    Note:
    The approximate length of this media piece is 32 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Laureate Education (Producer). (2013b). Hernandez family genogram [Video file]. Baltimore, MD: Author.

     

    Note:
    The approximate length of this media piece is 3 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Optional Resources

    Kernberg, O. (2013).
    Psychoanalytic psychotherapy
    [Video file]. Mill Valley, CA: Psychotherapy.net.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 256 minutes.

    Assignment 1: Applying Current Literature to Clinical Practice

    Literature in psychotherapy differs from other areas of clinical practice. Generally, there are no clinical trials in psychotherapy because it is often neither appropriate nor ethical to have controls in psychotherapy research. This sometimes makes it more difficult to translate research findings into practice. In your role, however, you must be able to synthesize current literature and apply it to your own clients. For this Assignment, you begin practicing this skill by examining current literature on psychodynamic therapy and considering how it might translate into your own clinical practice. Psychodynamic Psychotherapy Essay.

    Learning Objectives

    Students will:

    Evaluate the application of current literature to clinical practice

    To prepare:

    Review this week’s Learning Resources and reflect on the insights they provide.

    Select one of the psychodynamic therapy articles from the Learning Resources to evaluate for this Assignment.

    Note:
     In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues. Psychodynamic Psychotherapy Essay.

    The Assignment

    In a 5- to 10-slide PowerPoint presentation, address the following:

    Provide an overview of the article you selected.

    What population is under consideration?

    What was the specific intervention that was used? Is this a new intervention or one that was already used?

    What were the author’s claims?

    Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?

    Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

    Note:
     The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature. Psychodynamic Psychotherapy Essay.

    By Day 7

    Submit
     your Assignment.

    Submission and Grading Information

    To submit your completed Assignment for review and grading, do the following:

    Please save your Assignment using the naming convention “WK3Assgn1+last name+first initial.(extension)” as the name.

    Click the 
    Week 3 Assignment 1 Rubric 
    to review the Grading Criteria for the Assignment. Psychodynamic Psychotherapy Essay.

    Click the 
    Week 3 Assignment 
    link. You will also be able to “View Rubric” for grading criteria from this area.

    Next, from the Attach File area, click on the 
    Browse My Computer
     button. Find the document you saved as “WK3Assgn1+last name+first initial.(extension)” and click 
    Open
    .

    If applicable: From the Plagiarism Tools area, click the checkbox for 
    I agree to submit my paper(s) to the Global Reference Database
    .

    Click on the 
    Submit
     button to complete your submission. Psychodynamic Psychotherapy Essay.

    Grading Criteria

    To access your rubric:

    Week 3 Assignment 1 Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

    Submit your Week 3 Assignment draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 3 Assignment 1

    Assignment 2: Practicum – Assessing Clients

    Learning Objectives

    Students will:

    Assess clients presenting for psychotherapy

    Develop genograms for clients presenting for psychotherapy

    To prepare:

    Select a client whom you have observed or counseled at your practicum site.

    Review pages 137–142 of the Wheeler text and the 
    Hernandez Family Genogram
     video in this week’s Learning Resources. Reflect on elements of writing a Comprehensive Client Assessment and creating a genogram for the client you selected. Psychodynamic Psychotherapy Essay.

    The Assignment

    Part 1: Comprehensive Client Family Assessment

    With this client in mind, address the following in a Comprehensive ClientAssessment (without violating HIPAA regulations):

    Demographic information

    Presenting problem

    History or present illness

    Past psychiatric history

    Medical history

    Substance use history

    Developmental history

    Family psychiatric history

    Psychosocial history

    History of abuse/trauma

    Review of systems

    Physical assessment

    Mental status exam

    Differential diagnosis

    Case formulation

    Treatment plan

    Part 2: Family Genogram

    Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents). Psychodynamic Psychotherapy Essay.

    By Day 7 of Week 3

    Submit
     your Assignment.

    Submission and Grading Information

    To submit your completed Assignment for review and grading, do the following:

    Please save your Assignment using the naming convention “WK3Assgn2+last name+first initial.(extension)” as the name.

    Click the 
    Week 3 Assignment 2 Rubric 
    to review the Grading Criteria for the Assignment.

    Click the 
    Week 3 Assignment 2 
    link. You will also be able to “View Rubric” for grading criteria from this area. Psychodynamic Psychotherapy Essay.

    Next, from the Attach File area, click on the 
    Browse My Computer
     button. Find the document you saved as “WK3Assgn2+last name+first initial.(extension)” and click 
    Open
    .

    If applicable: From the Plagiarism Tools area, click the checkbox for 
    I agree to submit my paper(s) to the Global Reference Database
    . Psychodynamic Psychotherapy Essay.

    Click on the 
    Submit
     button to complete your submission.

    Grading Criteria

    To access your rubric:

    Week 3 Assignment 2 Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

    Submit your Week 3 Assignment draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 3 Assignment 2

    Assignment 3: Board Vitals

    This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point. Psychodynamic Psychotherapy Essay.

    These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Psychodynamic Psychotherapy Essay.

    You can access Board Vitals through the link sent to you in email or by following the link below:

    https://www.boardvitals.com/

    By Day 7

    Complete
     the Board Vitals questions.

    Week in Review

    Now that you have:

    Evaluated the application of current literature to clinical practice

    Assessed clients presenting for psychotherapy. Psychodynamic Psychotherapy Essay.

    Developed genograms for clients presenting for psychotherapy

    Next week, you will:

    Compare cognitive behavioral therapy and rational emotive behavioral therapy

    Recommend cognitive behavioral therapies for clients

    Develop diagnoses for clients receiving psychotherapy

    Evaluate the efficacy of cognitive behavioral therapy for clients

    Analyze legal and ethical implications of counseling clients with psychiatric disorders. Psychodynamic Psychotherapy Essay

  • Assessment and Diagnosis in Psychotherapy Essay

    Assessment and Diagnosis in Psychotherapy Essay

    Week 2: Assessment and Diagnosis in Psychotherapy

    “A sensitively crafted intake assessment can be a powerful therapeutic tool. It can establish rapport between patient and therapist, further the therapeutic alliance, alleviate anxiety, provide reassurance, and facilitate the flow of information necessary for an accurate diagnosis and appropriate treatment plan.”

    ORDER A PLAGIARISM-FREE PAPER HERE

    —Pamela Bjorklund, clinical psychologist

    Whether you are treating patients for physical ailments or clients for mental health issues, the assessment process is an inextricable part of health care. To properly diagnose clients and develop treatment plans, you must have a strong foundation in assessment. This includes a working knowledge of assessments that are available to aid in diagnosis, how to use these assessments, and how to select the most appropriate assessment based on a client’s presentation. Assessment and Diagnosis in Psychotherapy Essay.

    This week, as you explore assessment and diagnosis in psychotherapy, you examine assessment tools, including their psychometric properties and appropriate use. You also develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients.

    Photo Credit: [Wavebreakmedia Ltd]/[Wavebreak Media / Getty Images Plus]/Getty Images

    Learning Resources

    Required Readings

    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 3, “Assessment and Diagnosis” (pp. 95–168)

    Chapter 4, “The Initial Contact and Maintaining the Frame” (pp. 169–224)

    American Psychiatric Association. (2013).
    Diagnostic and statistical manual of mental disorders
    (5th ed.). Washington, DC: Author. Assessment and Diagnosis in Psychotherapy Essay.

    Note:
    It is highly recommended that you use this resource as a reference guide throughout the course. You will access this text from the Walden Library databases.

    American Academy of Child and Adolescent Psychiatry. (1995).
    Practice parameters for the psychiatric assessment of children and adolescents
    . Washington, DC: Author. Retrieved from https://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/psychiatric_assessment_practice_parameter.pdf

    American Psychiatric Association. (2016).
    Practice guidelines for the psychiatric evaluation of adults
    (3rd ed.). Arlington, VA: Author. Retrieved from http://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890426760

    Walden Library. (2017). NURS 6640 week 2 discussion guide. Retrieved from http://academicguides.waldenu.edu/nurs6640week2discussion

    Walden University. (n.d.). Tests & measures: Home. Retrieved February 6, 2017, from http://academicguides.waldenu.edu/library/testsmeasures

    Note:
    This database may be helpful in obtaining assessment tool information for this week’s Discussion.

    Required Media

    Laureate Education (Producer). (2015a). Counseling competencies—The application of ethical guides and laws to record keeping [Video file]. Baltimore, MD: Author. Assessment and Diagnosis in Psychotherapy Essay.

    Provided courtesy of the Laureate International Network of Universities.

     

    Note:
    The approximate length of this media piece is 23 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Discussion: Assessment Tools

    Assessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy. Assessment and Diagnosis in Psychotherapy Essay.

    Learning Objectives

    Students will:

    Analyze psychometric properties of assessment tools

    Evaluate appropriate use of assessment tools in psychotherapy

    Compare assessment tools used in psychotherapy

    Note:
     By Day 1 of this week, the Course Instructor will assign you to an assessment tool that is used in psychotherapy.

    To prepare:

    Review this week’s Learning Resources and reflect on the insights they provide.

    Consider the asessment tool assigned to you by the Course Instructor.

    Review the Library Course Guide in your Learning Resources for assistance in locating information on the assessment tool you were assigned.

    Note:
     For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking 
    Submit!

    By Day 3

    Post
     an explanation of the psychometric properties of the assessment tool you were assigned. Explain when it is appropriate to use this assessment tool with clients, including whether the tool can be used to evaluate the efficacy of psychopharmacologic medications. Support your approach with evidence-based literature. Assessment and Diagnosis in Psychotherapy Essay.

    Read
     a selection of your colleagues’ responses.

    By Day 6

    Respond
     to at least 
    two
     of your colleagues by comparing your assessment tool to theirs.

    Submission and Grading Information

    Grading Criteria

    To access your rubric:

    Week 2 Discussion Rubric

    Post by Day 3 and Respond by Day 6

    To participate in this Discussion:

    Week 2 Discussion

    Assignment 1: Practicum – Week 2 Journal Entry

    Learning Objectives

    Students will:

    Develop diagnoses for clients receiving psychotherapy*

    Analyze legal and ethical implications of counseling clients with psychiatric disorders*

    * The Assignment related to this Learning Objective is introduced this week and submitted in Week 4.

    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 
    Diagnostic and Statistical Manual of Mental Health Disorders
    , 5th edition (DSM-5), explain and justify your diagnosis for this client.

    Explain any legal and/or ethical implications related to counseling this client.

    Support your approach with evidence-based literature. Assessment and Diagnosis in Psychotherapy Essay.

    By Day 7 of Week 4

    Submit
     your Assignment.

    Assignment 2: Board Vitals

    This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

    These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Assessment and Diagnosis in Psychotherapy Essay.

    You can access Board Vitals through the link sent to you in email or by following the link below:

    https://www.boardvitals.com/

    By Day 7

    Complete
     the Board Vitals questions.

    Week in Review

    Now that you have:

    Analyzed psychometric properties of assessment tools

    Evaluated appropriate use of assessment tools in psychotherapy

    Compared assessment tools used in psychotherapy

    Developed diagnoses for clients receiving psychotherapy

    Analyzed legal and ethical implications of counseling clients with psychiatric disorders

    Assessment and Diagnosis in Psychotherapy Essay

    Next week, you will:

    Evaluate the application of current literature to clinical practice

    Assess clients presenting for psychotherapy

    Develop genograms for clients presenting for psychotherapy. Assessment and Diagnosis in Psychotherapy Essay

  • Foundations of Psychotherapy Essay Assignment Discussion Papers

    Foundations of Psychotherapy Essay Assignment Discussion Papers

    Week 1: Foundations of Psychotherapy

    “Unexpressed emotions will never die. They are buried alive and will come forth later in uglier ways.”

    —Sigmund Freud

    While working with a patient in the late 1800s, Sigmund Freud discovered the health benefits of talking about emotions and illnesses. When Sigmund Freud introduced his “talking cure” (fundamental psychotherapy), his efforts were met with considerable skepticism. However, as more and more psychiatrists learned that Freud’s methods brought about change in patients who suffered from a variety of mental health issues, his methods were adopted and refined. Today, psychotherapy is recognized as a viable treatment for a wide variety of mental health issues, many of which are examined throughout this course. Foundations of Psychotherapy Essay Assignment Discussion Papers.

    This week, as you explore the foundations of psychotherapy, you consider its biological basis. You also examine the influence of culture, religion, and socioeconomics on psychotherapy treatments. Finally, you begin preparing for your practicum experience by examining counseling theories and developing goals to guide your practice.

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    Learning Resources

    Required Readings

    Wheeler, K. (Eds.). (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 1, “The Nurse Psychotherapist and a Framework for Practice” (pp. 3–52)

    Fournier, J. C., & Price, R. B. (2014). Psychotherapy and neuroimaging.
    Psychotherapy: New Evidence and New Approaches, 12
    (3), 290–298. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207360/

    Holttum, S. (2014). When bad things happen our brains change but psychotherapy and support can help the recovery of our brains and our lives.
    Mental Health and Social Inclusion, 18
    (2), 52–58. doi:10.1108/MHSI-02-2014-0006

     

    Note:
    You will access this article from the Walden Library databases.

    Petiprin, A. (2016). Psychiatric and mental health nursing.
    Nursing Theory
    . Retrieved from http://www.nursing-theory.org/theories-and-models/psychiatric-and-mental-health-nursing.php

    Fisher, M. A. (2016). Introduction. In
    Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals
    (pp. 3–12). Washington, DC: American Psychological Association. doi:10.1037/14860-001. Foundations of Psychotherapy Essay Assignment Discussion Papers.

    Document:
    Practicum Journal Template (Word document)

     

    Note:
    This template is provided by the School of Nursing and is designated to document practicum activity. You are required to use this template for all journal entry submissions.

    Document:
    Midterm Exam Study Guide (Word document)

    Document:
    Final Exam Study Guide (Word document)

    Document:
    Nurse Practitioner (NP) Student Clinical Orientation (PowerPoint file)

    Document:
    Practicum Manual (PDF). Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=7356923

    Required Media

    Laureate Education (Producer). (2016).
    Introduction to psychotherapy with individuals
    [Video file]. Baltimore, MD: Author.

     

    Note:
    The approximate length of this media piece is 2 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Laureate Education (Producer). (2015e).
    Therapies are helpful: Dodo bird conjecture
    [Video file]. Baltimore, MD: Author.

    Provided courtesy of the Laureate International Network of Universities.

     

    Note:
    The approximate length of this media piece is 2 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Laureate Education (Producer). (2015f).
    Therapies change and integrate different approaches over time
    [Video file]. Baltimore, MD: Author.

    Provided courtesy of the Laureate International Network of Universities.

     

    Note:
    The approximate length of this media piece is 1 minute.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    Sommers-Flanagan, J., & Sommers-Flanagan, R. (2012).
    Clinical interview: Intake, assessment, & therapeutic alliance
    [Video file]. Mill Valley, CA: Psychotherapy.net.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 124 minutes.

     

    Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013).
    Counseling and psychotherapy theories in context and practice
    [Video file]. Mill Valley, CA: Psychotherapy.net. Foundations of Psychotherapy Essay Assignment Discussion Papers.

     

    Note:
    For this week, view the Introduction and Psychoanalytical Approaches only. You will access this media from the Walden Library databases.

     

    Discussion: Does Psychotherapy Have a Biological Basis?

    Many studies have found that psychotherapy is as effective as psychopharmacology in terms of influencing changes in behaviors, symptoms of anxiety, and changes in mental state. Changes influenced by psychopharmacology can be explained by the biological basis of treatments. But how does psychotherapy achieve these changes? Does psychotherapy share common neuronal pathways with psychopharmacology? For this Discussion, consider whether psychotherapy also has a biological basis.

    Learning Objectives

    Students will:

    Evaluate biological basis of psychotherapy treatments

    Analyze influences of culture, religion, and socioeconomics on personal perspectives of psychotherapy treatments

    To prepare:

    Review this week’s Learning Resources.

    Reflect on foundational concepts of psychotherapy.

    Note:
     For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking 
    Submit!

    By Day 3

    Post
     an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective of the value of psychotherapy treatments. Support your rationale with evidence-based literature.

    Read
     a selection of your colleagues’ responses.

    By Day 6

    Respond
     to at least two of your colleagues by providing an additional scholarly resource that supports or challenges their position along with a brief explanation of the resource.

    Submission and Grading Information

    Grading Criteria

    To access your rubric:

    Week 1 Discussion Rubric

    Post by Day 3 and Respond by Day 6

    To participate in this Discussion:

    Week 1 Discussion

    Assignment: Practicum – Week 1 Journal Entry

    As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your practicum experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment that prompts you to reflect on your practicum experiences and relate them to the material presented in the classroom. This week, you begin documenting your practicum experiences in your Practicum Journal. Foundations of Psychotherapy Essay Assignment Discussion Papers.

    Learning Objectives

    Students will:

    Analyze nursing and counseling theories to guide practice in psychotherapy*

    Develop goals and objectives for personal practicum experiences*

    Create timelines for practicum activities*

    * The Assignment related to this Learning Objective is introduced this week and submitted in Week 4.

    In preparation for this course’s practicum experience, address the following in your Practicum Journal:

    Reviewthe media 
    Clinical Interview: Intake, Assessment,& Therapeutic Alliance
     in your Learning Resources.

    Selectone nursing theory and one counseling theory to best guide your practice inpsychotherapy.

    Note:
     For guidance onnursing and counseling theories, refer to the Wheeler textbook in this week’s LearningResources.

    Explain why you selected these theories. Support your approach with evidence-basedliterature.

    Developat least three goals and at least three objectives for the practicum experiencein this course.

    Create a timeline of practicum activities basedon your practicum requirements.

    Note:
     Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

    By Day 7 of Week 4

    Submit
     your Assignment.

    Week in Review

    Now that you have:

    Evaluated the biological basis of psychotherapy treatments

    Analyzed the influence of culture, religion, and socioeconomics on personal perspectives of psychotherapy treatments

    Analyzed nursing and counseling theories to guide practice in psychotherapy

    Developed goals and objectives for personal practicum experiences

    Created timelines for practicum activities

    Next week, you will:

    Analyze psychometric properties of assessment tools

    Evaluate appropriate use of assessment tools in psychotherapy

    Compare assessment tools used in psychotherapy

    Develop diagnoses for clients receiving psychotherapy

    Analyze legal and ethical implications of counseling clients with psychiatric disorders

    Foundations of Psychotherapy Essay Assignment Discussion Papers

    Looking Ahead 1: Practicum Assignments

    Practicum Journal Entries

    Each week, you will complete practicum-related assignments. It is highly recommended that you review the practicum assignments for Weeks 2–10 before Day 7 of Week 1. This will give you time to connect with your preceptor so that you can fulfill the requirements of each practicum assignment.

    Due Day 7 of Week 4:

    Week 1:
     You will select one nursing theory and one counseling theory to best guide your practice in psychotherapy. You will explain why you selected these theories and support your approach with evidence-based literature. You also will develop at least three goals and at least three objectives for the practicum experience in this course. Foundations of Psychotherapy Essay Assignment Discussion Papers.

    Week 2:
     You will write about a client you observed or counseled. (Assignment to be submitted by Day 7 of Week 4.)

    Week 4:
     You will write about a client you observed or counseled and explain whether cognitive behavioral therapy would be effective with this client. (Assignment to be submitted by Day 7 of Week 4 .)

    Due Day 7 of Week 7:

    Week 5:
     You will write about a client you observed or counseled that suffers from a disorder related to trauma. (Assignment to be submitted by Day 7 of Week 7.)

    Week 6:
     You will write about a client you observed or counseled and explain whether motivational interviewing would be effective with this client. (Assignment to be submitted by Day 7 of Week 7.)

    Due Day 7 of Week 10:

    Week 8:
     You will write about a client you observed or counseled and explain whether existential-humanistic therapy would be effective with this client. You will also reflect on your clinical supervision experiences. (Assignment to be submitted by Day 7 of Week 10.)

    Week 9:
     You will write about a child or adolescent client you observed or counseled. (Assignment to be submitted by Day 7 of Week 10.)

    Week 10:
     You will write a reflection on your practicum experiences. (Assignment to be submitted by Day 7 of Week 10.). Foundations of Psychotherapy Essay Assignment Discussion Papers.

    Comprehensive Client Assessments, Progress Notes, and Client Termination Summary

    Due Day 7 of Week 4:

    Week 3:
     You will complete a Comprehensive Client Assessment. (Assignment to be submitted by Day 7 of Week 4.)

    Due Day 7 of Week 7:

    Week 7:
     You will write a progress note and privileged psychotherapy note for the client you assessed in Week 3 for the Comprehensive Client Assessment. (Assignment to be submitted by Day 7 of Week 7.)

    Due Day 7 of Week 10:

    Week 10:
     You will write a Client Termination Summary for a client who is ready to complete therapy. (Assignment to be submitted by Day 7 of Week 10.). Foundations of Psychotherapy Essay Assignment Discussion Papers.

    Looking Ahead 2: Didactic Assignments

    Week 8 Discussion:
     In 3- to 5-minute Kaltura video, you will discuss a client you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 8 Discussion for additional guidance.

    Week 10 Discussion:
     In 3- to 5-minute Kaltura video, you will discuss an older adult client you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 10 Discussion for additional guidance. Foundations of Psychotherapy Essay Assignment Discussion Papers.