PART 1

Week 4 Journal Entry
Select a client that you observed or counseled this week. Then, address the following in your Practicum Journal:

Client is a 41 year old female counseled for Generalized Anxiety Disorder and depression. Client reports feeling overwhelmed and feeling guilty for her mother’s sickness with stage IV cancer. Her husband is a military suffering from anxiety and post-traumatic stress disorder. (This is my scenario. Please add/create other vital points that will make the write up flow)

• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain whether 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.

Please use these sub topics

• Presenting problem
• History of present illness (please include medications)
• Past psychiatric history
• Medical history
• DSM-5 Diagnoses
• Cognitive behavioral therapy
• Legal and/or ethical implications of counseling

N/B: PLEASE Addressed each of the bullets with a subtopic, use the references and all the references used must have an in-text citation in each paragraph. If you have to use other articles, they must be within last five years only that is from 2014 to 2018.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental

disorders (5th ed.). Washington, DC: Author.

Ethical Principles of Psychologists and Code of Conduct. (2017, January 1). Retrieved

from http://www.apa.org/ethics/code/index.aspx

Martin, B. (2018). Cognitive Behavioral Therapy. Psych Central. Retrieved from

http://www.psychologytoday.com

Pope, K. S., & Vasquez, M. J. (2016). Ethics in Psychotherapy and Counseling: A Practical Guide, 5th Edition. John Wiley & Sons.

PART 2

Posttraumatic Stress Disorder

• Write 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.

N/B: PLEASE Addressed each of the bullets with a subtopic, use the references and all the references used must have an in-text citation in each paragraph. If you have to use other articles, they must be within last five years only that is from 2014 to 2018.

References

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

• Chapter 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.

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.