NURS6640 Cedar Valley College Wk 8 Depression Psychotherapy Diagnoses Paper Attached a sample paper. Please pay attention to the sample paper. 4 pages Ass

NURS6640 Cedar Valley College Wk 8 Depression Psychotherapy Diagnoses Paper Attached a sample paper. Please pay attention to the sample

paper. 4 pages
Assignment 1: Practicum – Week 8 Journal Entry
This week, you complete a two-part journal entry.

Learning Objectives

Students will:

– Develop diagnoses for clients receiving psychotherapy*
– Evaluate efficacy of existential-humanistic therapy for clients*
– Analyze legal and ethical implications of counseling clients with
psychiatric disorders*
– Analyze clinical supervision experiences*

* The Assignment related to this Learning Objective is introduced this
week and submitted in Week 10.

For Part 1, select a client whom you observed or counseled this week
(other than the client used for this week’s Discussion). Then, address
the following in your Practicum Journal:

– Describe the client 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 existential-humanistic therapy would be
beneficial with this client. Include expected outcomes based on this
therapeutic approach.
– Explain any legal and/or ethical implications related to
counseling this client.
– Support your approach with evidence-based literature.

For Part 2, reflect on your clinical supervision experiences. Then,
address the following in your Practicum Journal:

– How often are you receiving clinical supervision from your preceptor?
– What are the sessions like?
– What is the preceptor bringing to your attention?
– How are you translating these sessions to your clinical practice? Running head: WEEK 8 JOURNAL ENTRY
Week 8 Journal Entry
NURS-6640: Psychotherapy with Individual
Student Name:
E-mail Address:
Practicum Placement Agency’s Name:
Preceptor’s Name:
1
WEEK 8 JOURNAL ENTRY
Preceptor’s Telephone:
Preceptor’s E-mail Address:
2
WEEK 8 JOURNAL ENTRY
3
Time Log
Time Log
Week
Dates
Times
Total
Activities/Comments
Learning Objective(s)
Hours for
Addressed
This
Time
Frame
8
10/15/18
8am-
10
•
6pm
•
Assisted the clients
•
Appraised the
to reveal harmful
usefulness of
coping tactics
therapeutic
Inspires a self-
methodologies for
awareness and
clients in receipt of
mindfulness in the
psychiatric therapy
clients
•
Applied existentialhumanistic therapy
to clients with
psychiatric
disorders
8
10/16/18
8am6pm
10
•
Emphasizes the
clients’ inherent
•
Analyzed clinical
supervision
WEEK 8 JOURNAL ENTRY
4
Time Log
goodness and
perspective.
•
•
experiences
•
Analyzed legal and
Redirected the
moral implications
clients’ distressed
of counseling
culture back to a
clients with
healthy route
psychiatric
Confirm the
disorders
prospects of our
client’s progress
Total Hours Completed: 20
Journal Entries
Client Information Assessment
The focus in this journal is on a 44-year-old Caucasian female that was referred to the
clinic for psychotherapy treatment by her psychiatrist. She was diagnosed with depression after
the death of her husband three years ago, and ever since then; she has been battling with her
symptoms of depression. The loss leads to her difficulty in concentrating, fatigue, sleeplessness,
and withdrawn from the activities that she previously enjoyed prior the death of her husband. She
also reported that the thoughts of her husband death intensified the symptoms of depression. She
was on Nardil 15mg by mouth three times daily, but she was non-compliant due to some
WEEK 8 JOURNAL ENTRY
5
intolerable side effects severe sleeplessness and involuntary muscle movements, so her
psychiatrist discontinued the medicine.
Mental status: She is aware of her condition. Denies hearing voices or seeing things no other
person can understand.
Level of participation: she participated actively in the therapy and was able to share about the
death of her husband.
Mood: She reported feeling depressed and isolated from friends sometimes.
Suicide/ violence risk: She also reported having the thoughts of harming herself but no plans
Change in coping/ ability skills: Her younger sister is the strong support system she has who
accompanies her to sessions and keeps her company.
Speech: Normal tone and respond to questions appropriately.
Pertinent medical history: History of asthma
Psychiatric history: Depression
Medication: Nardil 15mg
by mouth three times daily,
Differential diagnosis (DDX): Her diagnosis of depression aligns with the DSM-5 based on the
symptoms the patient reported which includes sustained feelings of sadness, loss of interests in
activities she once liked, fatigue, difficulty in concentrating, trouble in sleeping, and loss of
appetite (American Psychiatric Association, 2013).
Efficacy of the Existential-Humanistic Method
The existential-humanistic approach holds that patients can make their choices as well as
self-awareness. When applying this approach to deal with the patient, it will enable the patient to
find her philosophical meaning while facing her depression condition. Based on the method, the
WEEK 8 JOURNAL ENTRY
6
fundamental issues the patient experiences are drawn from her anxiety and sadness resulting
from the passing of her husband and some of those issues that deprive her of making sound
judgment that creates meaning in her life. Therefore, the aim of engaging this patient in this
therapeutic approach is channeled toward enhancing her self-actualization while building her
natural ability for self-direction (Shaikh & Kauppi, 2015). It demonstrates that the strategy will
enable the therapist to influence the patient to make informed decisions that will empower her to
manage her depression condition.
Legal and Ethical Implications
When dealing with patients, especially, those with mental health complications, therapists
should maintain the aspect of confidentiality, and it can be achieved by preventing unauthorized
individuals from gaining access to the information of the patient. Some situations may force the
therapist to breach confidentiality, and this can happen if the patient shares information that
demonstrates malice against those around him or her or even shares suicidal thoughts to her
therapist (Cuijpers, Karyotaki, Pot, Park, & Reynolds, 2014). Sharing the limits of confidentiality
with the patients would be integral and will reassure the patient that her information cannot be
shared freely except if there is a court order to release her information.
Part 2: Reflection on Clinical Supervision Experiences
Dealing with patients with various mental health disorders has expanded my knowledge
in the area of counseling clients compared to my initial encounter at my practicum site. My
preceptor supervised me while practicing my professionalism in dealing with the clients with
various mental health complications. At the end of this practicum experience, my preceptor
commended my progress in the utilization of therapeutic approaches we discussed to empower
the patient’s sense of well-being. She also recommended different methods of counseling
WEEK 8 JOURNAL ENTRY
7
difficult and non-compliant clients. I will implement those strategies during my next quarter as I
will still be working with her for my winter semester practicum.
The clinical platform allows me to practice and implement what I learned in school into
the work environment. Also, the therapeutic sessions broadened my skills in psychotherapy, and
while dealing with patients during the sessions, I noted that those sessions that seemed almost
impossible, was eventually successful in empowering those patients to function very well and be
able to manage their mental health issues (Williams et al., 2018). My preceptor also informed me
of the necessity of the therapeutic approaches when integrating them to deal with the patients. In
summary, I will translate what I have gained in the sessions in the real work environment by
augmenting my assessment skills based on the mental issues affecting the patients and establish
the appropriate treatment plan that will improve their quality of life.
Conclusion
Treating patients with mental disorders is always challenging but engaging the proper
therapeutic approaches enables the therapists to deal with them in a way that eventually improves
their cognitive functioning. While the therapeutic strategies have been tailored towards
addressing mental health concerns, they ideally employ distinct methods. A therapeutic approach
can be proved to be useful if it has been noted to deliver exceptional results which in this case,
entails addressing the mental health disorders in patients. The therapists can employ different
approach to influence their patients to make informed decisions that seek to contain their mental
health concerns. It is also integral for the therapists to adhere the ethical and legal considerations
because they usually present them with a guide on how to deal with the patient.
WEEK 8 JOURNAL ENTRY
8
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author.
Cuijpers, P., Karyotaki, E., Pot, A. M., Park, M., & Reynolds III, C. F. (2014). Managing
depression in older age: psychological interventions. Maturitas, 79(2), 160-169.
https://doi.org/10.1016/j.maturitas.2014.05.027
Shaikh, A., & Kauppi, C. (2015). Postpartum depression: Deconstructing the label through a
social constructionist lens. Social Work in Mental Health, 13(5), 459-480.
https://doi.org/10.1080/15332985.2014.943456
Williams, L. M., Pines, A., Goldstein-Piekarski, A. N., Rosas, L. G., Kullar, M., Sacchet, M. D.,
… Wandell, B. (2018). The ENGAGE study: Integrating neuroimaging, virtual reality,
and smartphone sensing to understand self-regulation for managing depression and
obesity in a precision medicine model. Behavior research and therapy, 101, 58-70.
https://doi.org/10.1016/j.brat.2017.09.012

Purchase answer to see full
attachment