Practicum journal. | NURS 6640 – Psychotherapy With Individuals | Walden University

Please,  use the case study below and follow the instruction provided for the assignment

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case study 2—-Patient is a 26 year old AA female, here for an evaluation, patient reported she has issues socializing with friends, have a lot of anger issues, , having feelings of becoming violent when some one makes her angry which she state she has been experiencing for the past three months , fluctuating moods , poor energy , racing thoughts, Pt.endorsed history of rapid mood lability, decreased need for sleep, increased goal directed activity, racing thoughts, mood swings, poor concentration and increased irritability., patient report she easily gets annoyed , she is not in good terms with her family.Patient denies AVH, denies SI/HI at this time.

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Past psychiatric History 

Patient report being in talk therapy following the death of his father in high school and subsequently for depression.

Patient  report history of sexual abuse from her father at age 15 and 16  and she states she has not dealt with it.  

No previous hospitalization  for mental health issues

No previous psychotropic trials 

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.

 

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.

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

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