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Biological Basis and Ethical/Legal Considerations of Psychotherapy

NRNP6645 Psychotherapy Mult Modalities

Week 1 Discussion

Biological Basis and Ethical/Legal Considerations of Psychotherapy

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?

 

Psychotherapy is used with individuals as well as in groups or families. 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.

 

Photo Credit: Getty Images/iStockphoto

 

For this Discussion, you will consider whether psychotherapy also has a biological basis and analyze the ways in which legal and ethical considerations differ in the individual, family, and group therapy settings.

 

To prepare:

 

Review this week’s Learning Resources, reflecting on foundational concepts of psychotherapy, biological and social impacts on psychotherapy, and legal and ethical issues across the modalities (individual, family, and group).

 

Search the Walden Library databases for scholarly, peer-reviewed articles that inform and support your academic perspective on these topics.

 

By Day 3

 

Post an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective on the value of psychotherapy treatments. Describe how legal and ethical considerations for group and family therapy differ from those for individual therapy, and explain how these differences might impact your therapeutic approaches for clients in group, individual, and family therapy. Support your rationale with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

 

Read a selection of your colleagues’ responses.

 

By Day 6

 

Respond to at least two of your colleagues on 2 different days by providing an additional scholarly resource that supports or challenges their position, along with a brief explanation of the resource.

 

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 on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

 

 

 

 

 

 

 

NRNP6645 Psychotherapy Mult Modalities

 

Week 5 Discussion

 

Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings

 

There are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in individual, group, and family settings, consider challenges of using this approach with groups you may lead, as well as strategies for overcoming those challenges.

 

To prepare:

 

Review the videos in this week’s Learning Resources and consider the insights provided on CBT in various settings.

 

By Day 3

 

Post an explanation of how the use of CBT in groups compares to its use in family or individual settings. Explain at least two challenges PMHNPs might encounter when using CBT in one of these settings. Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly and attach the PDFs of your sources.

 

Read a selection of your colleagues’ responses.

 

By Day 6 of Week 1

 

Respond to at least two of your colleagues by recommending strategies to overcome the challenges your colleagues have identified. Support your recommendation with evidence-based literature and/or your own experiences with clients.

 

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 on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

 

 

 

NRNP6645 Psychotherapy Mult Modalities

 

Week 2 Assignment  

 

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.

 

Photo Credit: Getty Images

 

To prepare:

 

Review this week’s Learning Resources and reflect on the insights they provide on family assessment. Be sure to review the resource on psychotherapy genograms.

 

Download the Comprehensive Psychiatric Evaluation Note Template and review the requirements of the documentation. There is also an exemplar provided with detailed guidance and examples.

 

View the Mother and Daughter: A Cultural Tale video in the Learning Resources and consider how you might assess the family in the case study.

 

The Assignment

 

Document the following for the family in the video, using the Comprehensive Evaluation Note Template:

 

Chief complaint

 

History of present illness

 

Past psychiatric history

 

Substance use history

 

Family psychiatric/substance use history

 

Psychosocial history/Developmental history

 

Medical history

 

Review of systems (ROS)

 

Physical assessment (if applicable)

 

Mental status exam

 

Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with DSM-5 diagnostic criteria

 

Case formulation and treatment plan

 

Include a psychotherapy genogram for the family

 

Note: For any item you are unable to address from the video, explain how you would gather this information and why it is important for diagnosis and treatment planning.

 

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.

 

 

 

NRNP6645 Psychotherapy Mult Modalities

 

Week 3 Assignment  

 

Analyzing Group Techniques

 

Group therapy can alleviate feelings of isolation and foster a supportive and collaborative environment for sharing difficult feelings in order to facilitate healing. For many people, being part of a group that has a shared understanding of a struggle provides a unique opportunity to gain understanding of their own experiences.

 

As you examine one of the group therapy demonstrations from this week’s Learning Resources, consider the role and efficacy of the leader and the reasons that specific therapeutic techniques were selected.

 

To prepare:

 

Select one of the group therapy video demonstrations from this week’s required media Learning Resources.

 

The Assignment

 

In a 3- to 4-page paper, identify the video you selected and address the following:

 

What group therapy techniques were demonstrated? How well do you believe these techniques were demonstrated?

 

What evidence from the literature supports the techniques demonstrated?

 

What did you notice that the therapist did well?

 

Explain something that you would have handled differently.

 

What is an insight that you gained from watching the therapist handle the group therapy?

 

Now imagine you are leading your own group session. How would you go about handling a difficult situation with a disruptive group member? How would you elicit participation in your group? What would you anticipate finding in the different phases of group therapy? What do you see as the benefits and challenges of group therapy? 

 

Support your reasoning with at least three peer-reviewed, evidence-based sources, and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

 

By Day 7

 

Submit your Assignment.

 

Reminder 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.

 

Submission and Grading Information

 

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

 

Please save your Assignment using the naming convention “WK3Assgn+last name+first initial.(extension)” as the name.

 

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

 

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 “WK3Assgn+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.

 

 

 

NRNP6645 Psychotherapy Mult Modalities

 

Week 7 Assignment  

 

Comparing Humanistic-Existential Psychotherapy with Other Approaches

 

Understanding the strengths of each type of therapy and which type of therapy is most appropriate for each patient is an essential skill of the psychiatric-mental health nurse practitioner. In this Assignment, you will compare humanistic-existential therapy to another psychotherapeutic approach. You will identify the strengths and challenges of each approach and describe expected potential outcomes.

 

To prepare:

 

Review the humanistic-existential psychotherapy videos in this week’s Learning Resources.

 

Reflect on humanistic-existential psychotherapeutic approaches.

 

Then, select another psychotherapeutic approach to compare with humanistic-existential psychotherapy. The approach you choose may be one you previously explored in the course or one you are familiar with and especially interested in.

 

The Assignment

 

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

 

Briefly describe humanistic-existential psychotherapy and the second approach you selected.

 

Explain at least three differences between these therapies. Include how these differences might impact your practice as a PMHNP.

 

Focusing on one video you viewed, explain why humanistic-existential psychotherapy was utilized with the patient in the video and why it was the treatment of choice. Describe the expected potential outcome if the second approach had been used with the patient.

 

Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

 

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 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 “WK7Assgn+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 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 “WK7Assgn+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.

 

 

 

NRNP6645 Psychotherapy Mult Modalities

 

Week 8 Assignment  

 

Psychotherapy for 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.

 

Photo Credit: Getty Images

 

To prepare:

 

Review this week’s Learning Resources and consider the insights they provide about diagnosing and treating addictive disorders. As you watch the 187 Models of Treatment for Addiction video, consider what treatment model you may use the most with clients presenting with addiction.

 

Search the Walden Library databases and choose a research article that discusses a therapeutic approach for treating clients, families, or groups with addictive disorders.

 

The Assignment

 

In a 5- to 10-slide PowerPoint presentation, address the following. Your title and references slides do not count toward the 5- to 10-slide limit.

 

 

 

Provide an overview of the article you selected.

 

What population (individual, group, or family) is under consideration?

 

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

 

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.

 

Use the Notes function of PowerPoint to craft presenter notes to expand upon the content of your slides.

 

Support your response with at least three other peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Provide references to your sources on your last slide. Be sure to include the article you used as the basis for this Assignment.

 

By Day 7

 

Submit your Assignment. Also attach and submit PDFs of the sources you used.

 

Submission and Grading Information

 

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

 

Please save your Assignment using the naming convention “WK8Assgn+last name+first initial.(extension)” as the name.

 

Click the Week 8 Assignment Rubric to review the Grading Criteria for the Assignment.

 

Click the Week 8 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 “WK8Assgn+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.

 

 

 

NRNP6645 Psychotherapy Mult Modalities

 

Week 9 Assignment  

 

Posttraumatic Stress Disorder

 

It is estimated that more almost 7% of the U.S. population will experience posttraumatic stress disorder (PTSD) in their lifetime (National Institute of Mental Health, 2017). This debilitating disorder often interferes with an individual’s ability to function in daily life. Common symptoms of anxiousness and depression frequently lead to behavioral issues, adolescent substance abuse issues, and even physical ailments. For this Assignment, you examine a PTSD video case study and consider how you might assess and treat clients presenting with PTSD.

 

To prepare:

 

Review this week’s Learning Resources and reflect on the insights they provide about diagnosing and treating PTSD.

 

View the media Presentation Example: Posttraumatic Stress Disorder (PTSD) and assess the client in the case study.

 

For guidance on assessing the client, refer to Chapter 3 of the Wheeler text.

 

Note: To complete this Assignment, you must assess the client, but you are not required to submit a formal comprehensive client assessment.

 

The Assignment

 

Succinctly, in 1–2 pages, address the following:

 

Briefly explain the neurobiological basis for PTSD illness.

 

Discuss the DSM-5 diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not?

 

Discuss one other psychotherapy treatment option for the client in this case study. Explain whether your treatment option is considered a “gold standard treatment” from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners.

 

Support your Assignment with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

 

By Day 7

 

Submit your Assignment. Also attach and submit PDFs of the sources you used.

 

Submission and Grading Information

 

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

 

Please save your Assignment using the naming convention “WK9Assgn+last name+first initial.(extension)” as the name.

 

Click the Week 9 Assignment Rubric to review the Grading Criteria for the Assignment.

 

Click the Week 9 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 “WK9Assgn+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.

 

 

 

 

 

 

 

NRNP6645 Psychotherapy Mult Modalities

 

Week 10 Assignment  

 

Therapy for Clients With Personality Disorders

 

Individuals with personality disorders often find it difficult to overcome the enduring patterns of thought and behavior that they have thus far experienced and functioned with in daily life. Even when patients are aware that personality-related issues are causing significant distress and functional impairment and are open to counseling, treatment can be challenging for both the patient and the therapist. For this Assignment, you examine specific personality disorders and consider therapeutic approaches you might use with clients.

 

Photo Credit: Getty Images/Blend Images

 

To prepare:

 

Review this week’s Learning Resources and reflect on the insights they provide about treating clients with personality disorders.

 

Select one of the personality disorders from the DSM-5 (e.g., paranoid, antisocial, narcissistic). Then, select a therapy modality (individual, family, or group) that you might use to treat a client with the disorder you selected.

 

The Assignment:

 

Succinctly, in 1–2 pages, address the following:

 

Briefly describe the personality disorder you selected, including the DSM-5 diagnostic criteria.

 

Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness.

 

Next, briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session.

 

Support your response with specific examples from this week’s Learning Resources and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

 

By Day 7

 

Submit your Assignment. Also attach and submit PDFs of the sources you used.

 

Submission and Grading Information

 

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

 

Please save your Assignment using the naming convention “WK10Assgn+last name+first initial.(extension)” as the name.

 

Click the Week 10 Assignment Rubric to review the Grading Criteria for the Assignment.

 

Click the Week 10 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 “WK10Assgn+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.

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