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NURS6640 Week 5 Discussion: Posttraumatic Stress Disorder
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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.
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Learning Objectives for NURS6640 Week 5 Discussion: Posttraumatic Stress Disorder
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
To prepare for NURS6640 Week 5 Discussion: Posttraumatic Stress Disorder:
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.
Read a selection of your colleagues’ responses.
Resources 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 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 fromhttp://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© 2017 Laureate Education, Inc. Page 14 of 31
? Walden University. (2016). ASC success strategies: Studyingfor and taking a test. Retrieved fromhttp://academicguides.waldenu.edu/ASCsuccess/ASCtesting
Laureate Education (Producer). (2013c). Levy family: Episodes1–5 [Video file]. Baltimore, MD: Author. Note: The approximate length of this media piece is 25minutes.
Laureate Education (Producer). (2012c). In their own words[Video file]. Baltimore, MD: Author. Note: The approximate length of this media piece is 25minutes.
In a 2- to 3-page paper, address the following:
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 athttp://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.Submit your Assignment by Day 7 of Week 6.
Students will:
Complete the Midterm Exam by Day 7 of Week 6. Prior to starting the exam, you should review all of your materials. There is a 2-hour time limit to complete this 75-question exam. You may only attempt this exam once.
Select a client whom you observed or counselled this week. Then,address the following in your Practicum Journal:
Resources 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.o Chapter 5, “Supportive and Psychotherapy” (pp. 238–242)o Chapter 9, “Interpersonal Psychotherapy” (pp. 347–368)© 2017 Laureate Education, Inc. Page 17 of 31Week 7 Supportive and Interpersonal Psychotherapy
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:10.1037/12353-048Note: You will access this resource from the Walden Librarydatabases.
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)Note: You will access this article from the Walden Library databases.
Nicholson, R. (2002). The dilemma of psychotherapy note sand 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.). Privacy rule and sharing information related to mental health.Retrieved from http://www.hhs.gov/hipaa/forprofessionals/special-topics/mental-health/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.© 2017 Laureate Education, Inc. Page 18 of 31 Week 7 Supportive and Interpersonal Psychotherapy
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.
In a 1- to 2-page paper, address the following:
Part 1: Progress Note
Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):
Note: Be sure to exclude any information that should not be found in a discoverable progress note.
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.
Submit your Assignment by Day 7 of Week 7.
Students will:
**These Learning Objectives are related to the Assignment from Week5. Submit your Assignment by Day 7 of Week 7. Refer to Week 5 for additional guidance.
Students will:
**These Learning Objectives are related to the Assignment from Week6. Submit your Assignment by Day 7 of Week 7. Refer to Week 6 for additional guidance.
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 Meditrekaccount. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term.
Discussion: In 3- to 5-minute Kaltura video, you will discuss client you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so© 2017 Laureate Education, Inc. Page 21 of 31 Week 7 Supportive and Interpersonal Psychotherapy you can fulfill the requirements of the Discussion. Refer to the Week 8 Discussion for additional guidance. NURS 6640: Psychotherapy With Individuals.
Resources Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-basedpractice (2nd ed.). New York, NY: Springer Publishing Company.? Chapter 10, “Humanistic-Existential and Solution-Focused Approaches to Psychotherapy” (Review pp.369–406)
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.
Nagy, T. F. (2011). Ethics in psychotherapy. In Essential ethics for psychologists: A primer for understanding and masteringcore issues (pp. 185–198). Washington, DC: American Psychological Association. doi:10.1037/12345-010 Note: You will access this resource from the Walden Librarydatabases.
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 Existential Therapy, Person Centered Therapy, and Gestalt Therapy only. You will access this media from the Walden Library databases
Laureate Education (Producer). (2012b). Clinical supervision follow-up [Video file]. Baltimore, MD: Author.Note: This is a follow-up to the Thompson family media piece in Week 5. The approximate length of this media piece is 9minutes.© 2017 Laureate Education, Inc. Page 22 of 31
Laureate Education (Producer). (2015d). On a hamster wheel[Video file]. Baltimore, MD: Author.Note: The approximate length of this media piece is 2 minutes.
Bugental, J. (n.d.). Existential-humanistic 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 108minutes.
Post on or before Day 3 a 3- to 5-minute Kaltura video that addresses the following:
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 professional manner.
View a selection of your colleagues’ responses.Respond on or before Day 6 to at least two of your colleagues by providing feedback based on an existential-humanistic therapeutic perspective. Support your feedback with evidence-based literature and/or your own experiences with clients.Note about uploading media: Refer to the Kaltura Media Uploader instructions document, which provides guidance on how to upload media for the Clinical Supervision Discussions.
This week, you complete a two-part journal entry. 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:
Support your approach with evidence-based literature.For Part 2, reflect on your clinical supervision experiences. Then,address the following in your Practicum Journal:
Submit your Assignment by Day 7 of Week 10.
Resources Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-basedpractice (2nd ed.). New York, NY: Springer Publishing Company.o Chapter 17, “Psychotherapy With Children” (pp. 597–624)
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.© 2017 Laureate Education, Inc. Page 24 of 31Week 9 Psychotherapy With Children and Adolescents
Bass, C., van Nevel, J., & Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivationtherapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents.International Journal of Behavioral Consultation and Therapy,9(2), 4–8. doi:10.1037/h0100991Note: You will access this article from the Walden Library databases.
Koocher, G. P. (2003). Ethical issues in psychotherapy with adolescents. Journal of Clinical Psychology, 59(11), 1247–1256. PMID:14566959
Note: You will access this article from the Walden Library databases.
McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow,M. A., Weisz, J. R., & Kendall, P. C. (2016). The role of setting versus treatment type in alliance within youth therapy. Journal of Consulting and Clinical Psychology, 84(5), 453–464.doi:10.1037/ccp0000081 Note: You will access this article from the Walden Librarydatabases.
Zilberstein, K. (2014). The use and limitations of attachment theory in child psychotherapy. Psychotherapy, 51(1), 93–103.doi:10.1037/a0030930Note: You will access this article from the Walden Library databases.
Laureate Education (Producer). (2013a). Disruptive behaviors[Multimedia file]. Baltimore, MD: Author.
Walker, R. (n.d.). Making child therapy work [Video file]. MillValley, CA: Psychotherapy.net.Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 95minutes.© 2017 Laureate Education, Inc. Page 25 of 31 Week 9 Psychotherapy With Children and Adolescents
Post on or before Day 3 an explanation of your observations of the client in the case study you selected, including behaviors that align to the 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 base on these therapeutic approaches. Support your approach with evidence-based literature.Read a selection of your colleagues’ responses.Respond on or before Day 6 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.
Select a child or adolescent client whom you observed or counseled this week. Then, address the following in your Practicum Journal:
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.© 2017 Laureate Education, Inc. Page 26 of 31
Resources 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 18, “Psychotherapy With Older Adults” (pp. 625–660)? Chapter 20, “Termination and Outcome Evaluation” (pp.693–712)
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.
McGuire, J. (2009). Ethical considerations when working with older adults in psychology. Ethics & Behavior, 19(2), 112–128.doi:10.1080/10508420902772702 Note: You will access this article from the Walden Librarydatabases.
Swift, J. K., & Greenberg, R. P. (2015). What is premature termination, and why does it occur? In Premature termination in psychotherapy: Strategies for engaging clients and improving outcomes (pp. 11–31). Washington, DC: American Psychological Association. doi:10.1037/14469-002. Note: You will access this resource from the Walden Library databases.
Post on or before Day 3 a 3- to 5-minute Kaltura video that addresses the following:
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.Respond on or before Day 6 to at least two of your colleagues by sharing additional insights or alternative perspectives. Support your feedback with evidence-based literature and/or your own experiences with clients.Note about uploading media: Refer to the Kaltura Media Uploader instructions document, which provides guidance on how to uploadmedia for the Clinical Supervision Discussions.
With the client you selected in mind, address the following in a client termination summary (without violating HIPAA regulations):
Submit your Assignment by Day 7 of Week 10.© 2017 Laureate Education, Inc. Page 28 of 31
Week 10 Psychotherapy With Older Adults
Students will:
**These Learning Objectives are related to the Assignment from Week 8. Submit your Assignment by Day 7 of Week 10. Refer to Week 8 for additional guidance.
Students will:
**These Learning Objectives are related to the Assignment from Week 9. Submit your Assignment by Day 7 of Week 10. Refer to Week 9 for additional guidance.
Reflect on your overall practicum experience in this course. Then,address the following in your Practicum Journal:
Practicum Logs REMINDER
You are required to keep a log of the time you spend related to yourpracticum experience and enter every patient you see each day. Youcan access your time log from the Welcome Page in your Meditrekaccount. You will track time individually for each patient you workwith. Please make sure to continuously input your hours throughoutthe term. NURS6640 Week 5 Discussion: Posttraumatic Stress Disorder
Resources Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advancedpractice psychiatric nurse: A how-to guide for evidence-basedpractice (2nd ed.). New York, NY: Springer PublishingCompany.o Chapter 20, “Termination and Outcome Evaluation”(Review pp. 693–712)
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 Librarydatabases.
Dixon-Gordon, K. L., Turner, B. J., & Chapman, A. L. (2011).Psychotherapy for personality disorders. International Review of Psychiatry, 23(3), 282–302.doi:10.3109/09540261.2011.586992
Note: You will access this article from the Walden Librarydatabases.
Lorentzen, S., Ruud, T., Fjeldstad, A., & Høglend, P. A.(2015). Personality disorder moderates outcome in short- andlong-term group analytic psychotherapy: A randomized clinical trial. British Journal of Clinical Psychology, 54(2), 129–146.doi:10.1111/bjc.12065
Note: You will access this article from the Walden Library databases.© 2017 Laureate Education, Inc. Page 30 of 31 Week 11 Psychotherapy With Personality Disorders
Paris, J. (2004). Personality disorders over time: Implications for psychotherapy. American Journal of Psychotherapy, 58(4),420–429. PMID: 15807086 Note: You will access this article from the Walden Library databases.
Swift, J. K., & Greenberg, R. P. (2015). What is premature termination, and why does it occur? In Premature termination in psychotherapy: Strategies for engaging clients and improving outcomes (pp. 11–31). Washington, DC: American Psychological Association. doi:10.1037/14469-002Note: You will access this resource from the Walden Library databases. NURS6640 Week 5 Discussion: Posttraumatic Stress Disorder
Post on or before Day 3 a description of the personality disorder you selected.
Students will:
This exam will cover the following topics from the Wheeler textbook,which relate to psychotherapy of individuals: