Discussion: Does Psychotherapy Have a Biological Basis?



Discussion: Does Psychotherapy Have a Biological Basis?
NURS 6640 Week 1 Discussion: Does Psychotherapy Have a Biological Basis?

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? For this Discussion, consider whether psychotherapy also has a biological basis.

Learning Objectives

Students will:

Evaluate biological basis of psychotherapy treatments
Analyze influences of culture, religion, and socioeconomics on personal perspectives of psychotherapy treatments
To prepare:

Review this week’s Learning Resources.
Reflect on foundational concepts of psychotherapy.
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 an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective of the value of psychotherapy treatments. Support your rationale with evidence-based literature.

Read a selection of your colleagues’ responses.

By Day 6

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

Assessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy.

Learning Objectives

Students will:

Analyze psychometric properties of assessment tools
Evaluate appropriate use of assessment tools in psychotherapy
Compare assessment tools used in psychotherapy
Note: By Day 1 of this week, the Course Instructor will assign you to an assessment tool that is used in psychotherapy.

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide.
Consider the asessment tool assigned to you by the Course Instructor.
Review the Library Course Guide in your Learning Resources for assistance in locating information on the assessment tool you were assigned.
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 an explanation of the psychometric properties of the assessment tool you were assigned. Explain when it is appropriate to use this assessment tool with clients, including whether the tool can be used to evaluate the efficacy of psychopharmacologic medications. Support your approach with evidence-based literature.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by comparing your assessment tool to theirs.

Submission and Grading Information

Week 3 assignment

Literature in psychotherapy differs from other areas of clinical practice. Generally, there are no clinical trials in psychotherapy because it is often neither appropriate nor ethical to have controls in psychotherapy research. This sometimes makes it more difficult to translate research findings into practice. In your role, however, you must be able to synthesize current literature and apply it to your own clients. For this Assignment, you begin practicing this skill by examining current literature on psychodynamic therapy and considering how it might translate into your own clinical practice.

Learning Objectives

Students will:

Evaluate the application of current literature to clinical practice
To prepare:

Review this week’s Learning Resources and reflect on the insights they provide.
Select one of the psychodynamic therapy articles from the Learning Resources to evaluate for this Assignment.
Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues.

The Assignment
In a 5- to 10-slide PowerPoint presentation, address the following:

Provide an overview of the article you selected.
What population is under consideration?
What was the specific intervention that was used? Is this a new intervention or one that was already used?
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. Support your position with evidence-based literature.
Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature.

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 “WK3Assgn1+last name+first initial.(extension)” as the name.
Click the Week 3 Assignment 1 Rubricto review the Grading Criteria for the Assignment.
Click the Week 3 Assignmentlink. 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 “WK3Assgn1+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.
Grading Criteria

week 4

While cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) have many similarities, they are distinctly different therapeutic approaches. When assessing clients and selecting one of these therapies, you must recognize the importance of not only selecting the one that is best for the client, but also the approach that most aligns to your own skill set. For this Assignment, as you examine the similarities and differences between CBT and REBT, consider which therapeutic approach you might use with your clients.

Learning Objectives

Students will:

Compare cognitive behavioral therapy and rational emotive behavioral therapy
Recommend cognitive behavioral therapies for clients
To prepare:

Review the media in this week’s Learning Resources.
Reflect on the various forms of cognitive behavioral therapy.
The Assignment
In a 1- to 2-page paper, address the following:

Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.
Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature.
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://writingcenter.waldenu.edu/57.htm). 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 “WK4Assgn1+last name+first initial.(extension)” as the name.
Click the Week 4 Assignment 1 Rubricto review the Grading Criteria for the Assignment.
Click the Week 4 Assignment 1link. 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 “WK4Assgn1+last name+first initial.(extension)” and click Open.
week 5

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.

Learning Objectives

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:

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.

Week 6

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. For this Assignment, as you examine the Levy Family video in this week’s Learning Resources, consider how you might assess and treat clients presenting with addiction.

Learning Objectives

Students will:

Assess clients presenting with addictive disorders
Analyze therapeutic approaches for treating clients with addictive disorders
Evaluate outcomes for clients with addictive disorders
To prepare:

Review this week’s Learning Resources and consider the insights they provide.
Review the Levy Family video Episodes 1 through 5.
The Assignment
In a 2- to 3-page paper, address the following:

After watching Episode 1, describe:
What is Mr. Levy’s perception of the problem?
What is Mrs. Levy’s perception of the problem?
What can be some of the implications of the problem on the family as a whole?
After watching Episode 2, describe:
What did you think of Mr. Levy’s social worker’s ideas?
What were your thoughts of her supervisor’s questions about her suggested therapies and his advice to Mr. Levy’s supervisor?
After watching Episode 3, discuss the following:
What were your thoughts about the way Mr. Levy’s therapist responded to what Mr. Levy had to say?
What were your impressions of how the therapist worked with Mr. Levy? What did you think about the therapy session as a whole?
Informed by your knowledge of pathophysiology, explain the physiology of deep breathing (a common technique that we use in helping clients to manage anxiety). Explain how changing breathing mechanics can alter blood chemistry.
Describe the therapeutic approach his therapist selected. Would you use exposure therapy with Mr. Levy? Why or why not? What evidence exists to support the use of exposure therapy (or the therapeutic approach you would consider if you disagree with exposure therapy)?
In Episode 4, Mr. Levy tells a very difficult story about Kurt, his platoon officer.
Discuss how you would have responded to this revelation.
Describe how this information would inform your therapeutic approach. What would you say/do next?
In Episode 5, Mr. Levy’s therapist is having issues with his story.
Imagine that you were providing supervision to this therapist, how would you respond to her concerns?
Support your approach with evidence-based literature.
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://writingcenter.waldenu.edu/57.htm). 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 “WK6Assgn+last name+first initial.(extension)” as the name.
Click the Week 6 Assignment Rubricto review the Grading Criteria for the Assignment.
Click the Week 6 Assignmentlink. 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 “WK6Assgn+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.
week 10

Learning Objectives

Students will:

Develop client termination summaries
To prepare:

For guidance on writing a Client Termination Summary, review pages 693–712 of the Wheeler text in this week’s Learning Resources.
Identify a client who may be ready to complete therapy.
The Assignment

With the client you selected in mind, address the following in a client termination summary (without violating HIPAA regulations):

Identifying information of client (i.e., hypothetical name, age, etc.)
Date initially contacted therapist, date therapy began, duration of therapy, and date therapy will end
Total number of sessions, including number of missed sessions
Termination planned or unplanned
Presenting problem
Major psychosocial issues
Types of services rendered (i.e., individual, couple/family therapy, group therapy, etc.)
Overview of treatment process
Goal status (goals met, partially met, unmet)
Treatment limitations (if any)
Remaining difficulties and/or concerns
Recommendations
Follow-up plan (if indicated)
Instructions for future contact
Signatures
By Day 7

Submit your Assignment.

Submission

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

Please save your Assignment using the following naming convention: “WK10Assgn1+lastname+first initial”.
Click the Week 10 Assignment 1 link.
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 1, “The Nurse Psychotherapist and a Framework for Practice” (pp. 3–52)
· Fournier, J. C., & Price, R. B. (2014). Psychotherapy and neuroimaging. Psychotherapy: New Evidence and New Approaches, 12(3), 290–298. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207360/
· Holttum, S. (2014). When bad things happen our brains change but psychotherapy and support can help the recovery of our brains and our lives. Mental Health and Social Inclusion, 18(2), 52–58. doi:10.1108/MHSI-02-2014-0006
Note: You will access this article from the Walden Library databases. NURS 6640: Psychotherapy With Individuals.
· Petiprin, A. (2016). Psychiatric and mental health nursing. Nursing Theory. Retrieved from http://www.nursingtheory.org/theories-and-models/psychiatric-and-mental-healthnursing.php

ORDER NOW FOR ORIGINAL PAPER
Fisher, M. A. (2016). Introduction. In Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals (pp. 3–12). Washington, DC: American Psychological Association. doi:10.1037/14860-001 © 2017 Laureate Education, Inc. Page 2 of 31 Week 1 Foundations of Psychotherapy. NURS 6640: Psychotherapy With Individuals.
· Document: Practicum Journal Template
Note: This template is provided by the School of Nursing and is designated to document practicum activity. You are required to use this template for all journal entry submissions.
· Document: Midterm Exam Study Guide
· Document: Final Exam Study Guide
· Document: Nurse Practitioner (NP) Student Clinical Orientation (PowerPoint file)
· Document: Practicum Manual (PDF). Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=735692

Media
· Laureate Education (Producer). (2016). Introduction to psychotherapy with individuals [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 4 minutes. NURS 6640: Psychotherapy With Individuals.
· Laureate Education (Producer). (2015e). Therapies are helpful: Dodo bird conjecture [Video file]. Baltimore, MD:Author.
Provided courtesy of the Laureate International Network of Universities.
Note: The approximate length of this media piece is 2 minutes.

Laureate Education (Producer). (2015f). Therapies change and integrate different approaches over time [Video file]. Baltimore, MD: Author.
Provided courtesy of the Laureate International Network of Universities.
Note: The approximate length of this media piece is 1 minute.
· Sommers-Flanagan, J., & Sommers-Flanagan, R. (2012). Clinical interview: Intake, assessment & therapeutic alliance [Video file]. Mill Valley, CA: Psychotherapy.net. NURS 6640: Psychotherapy With Individuals.
Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 124 minutes.
© 2017 Laureate Education, Inc. Page 3 of 31
Week 1 Foundations of Psychotherapy
· 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 the Introduction and Psychoanalytical Approaches only. You will access this media from the Walden Library databases.
Discussion Does Psychotherapy Have a Biological Basis?

Post on or before Day 3 an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective of the value of psychotherapy treatments. Support your rationale with evidencebased literature.
Read a selection of your colleagues’ responses.
Respond on or before Day 6 to at least two of your colleagues by providing an additional scholarly resource that supports or challenges
their position along with a brief explanation of the resource.
Practicum Week 1 Journal Entry
In preparation for this course’s practicum experience, address the following in your Practicum Journal:
· Review the media Clinical Interview: Intake, Assessment, & Therapeutic Alliance in your Learning Resources.
· Select one nursing theory and one counseling theory to best guide your practice in psychotherapy. Note: For guidance on nursing and counseling theories, refer to the Wheeler textbook in this week’s Learning Resources. NURS 6640: Psychotherapy With Individuals.
· Explain why you selected these theories. Support your approach with evidence-based literature.
· Develop at least three goals and at least three objectives for the practicum experience in this course.
· Create a timeline of practicum activities based on your practicum requirements.
Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.
Submit your Assignment by Day 7 of Week 4.
Looking Ahead Didactic Assignments
© 2017 Laureate Education, Inc. Page 4 of 31
Week 1 Foundations of Psychotherapy
Week 8 Discussion: In 3- to 5-minute Kaltura video, you will discuss a 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
8 Discussion for additional guidance.
Week 10 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.
Looking Ahead Practicum Assignments
Each week, you will complete practicum-related assignments. It is highly recommended that you review the practicum assignments for
Weeks 2–10 before Day 7 of Week 1. This will give you time to connect with your preceptor so that you can fulfill the requirements of
each practicum assignment.

NURS 6640: Psychotherapy With Individuals

Course Schedule – NURS 6640: Psychotherapy With Individuals
This Course Schedule outlines the assignments and due dates for the course. For full assignment details and directions, refer to the corresponding area in the course.

Week 1 Foundations of Psychotherapy
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 1, “The Nurse Psychotherapist and a Framework for Practice” (pp. 3–52)
· Fournier, J. C., & Price, R. B. (2014). Psychotherapy and neuroimaging. Psychotherapy: New Evidence and New Approaches, 12(3), 290–298. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207360/
· Holttum, S. (2014). When bad things happen our brains change but psychotherapy and support can help the recovery of our brains and our lives. Mental Health and Social Inclusion, 18(2), 52–58. doi:10.1108/MHSI-02-2014-0006
Note: You will access this article from the Walden Library databases. NURS 6640: Psychotherapy With Individuals.
· Petiprin, A. (2016). Psychiatric and mental health nursing. Nursing Theory. Retrieved from http://www.nursingtheory.org/theories-and-models/psychiatric-and-mental-healthnursing.php

Fisher, M. A. (2016). Introduction. In Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals (pp. 3–12). Washington, DC: American Psychological Association. doi:10.1037/14860-001 © 2017 Laureate Education, Inc. Page 2 of 31 Week 1 Foundations of Psychotherapy. NURS 6640: Psychotherapy With Individuals.
· Document: Practicum Journal Template
Note: This template is provided by the School of Nursing and is designated to document practicum activity. You are required to use this template for all journal entry submissions.
· Document: Midterm Exam Study Guide
· Document: Final Exam Study Guide
· Document: Nurse Practitioner (NP) Student Clinical Orientation (PowerPoint file)
· Document: Practicum Manual (PDF). Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=735692
Media
· Laureate Education (Producer). (2016). Introduction to psychotherapy with individuals [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 4 minutes. NURS 6640: Psychotherapy With Individuals.
· Laureate Education (Producer). (2015e). Therapies are helpful: Dodo bird conjecture [Video file]. Baltimore, MD:Author.
Provided courtesy of the Laureate International Network of Universities.
Note: The approximate length of this media piece is 2 minutes.

Laureate Education (Producer). (2015f). Therapies change and integrate different approaches over time [Video file]. Baltimore, MD: Author.
Provided courtesy of the Laureate International Network of Universities.
Note: The approximate length of this media piece is 1 minute.
· Sommers-Flanagan, J., & Sommers-Flanagan, R. (2012). Clinical interview: Intake, assessment & therapeutic alliance [Video file]. Mill Valley, CA: Psychotherapy.net. NURS 6640: Psychotherapy With Individuals.
Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 124 minutes.
© 2017 Laureate Education, Inc. Page 3 of 31
Week 1 Foundations of Psychotherapy
· 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 the Introduction and Psychoanalytical Approaches only. You will access this media from the Walden Library databases.
Discussion Does Psychotherapy Have a Biological Basis?
Post on or before Day 3 an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective of the value of psychotherapy treatments. Support your rationale with evidencebased literature.
Read a selection of your colleagues’ responses.
Respond on or before Day 6 to at least two of your colleagues by providing an additional scholarly resource that supports or challenges
their position along with a brief explanation of the resource.
Practicum Week 1 Journal Entry
In preparation for this course’s practicum experience, address the following in your Practicum Journal:
· Review the media Clinical Interview: Intake, Assessment, & Therapeutic Alliance in your Learning Resources.
· Select one nursing theory and one counseling theory to best guide your practice in psychotherapy. Note: For guidance on nursing and counseling theories, refer to the Wheeler textbook in this week’s Learning Resources. NURS 6640: Psychotherapy With Individuals.
· Explain why you selected these theories. Support your approach with evidence-based literature.
· Develop at least three goals and at least three objectives for the practicum experience in this course.
· Create a timeline of practicum activities based on your practicum requirements.
Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.
Submit your Assignment by Day 7 of Week 4.
Looking Ahead Didactic Assignments
© 2017 Laureate Education, Inc. Page 4 of 31
Week 1 Foundations of Psychotherapy
Week 8 Discussion: In 3- to 5-minute Kaltura video, you will discuss a 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
8 Discussion for additional guidance.
Week 10 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.
Looking Ahead Practicum Assignments
Each week, you will complete practicum-related assignments. It is highly recommended that you review the practicum assignments for
Weeks 2–10 before Day 7 of Week 1. This will give you time to connect with your preceptor so that you can fulfill the requirements of
each practicum assignment.
Week 2 Assessment and Diagnosis in Psychotherapy
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 3, “Assessment and Diagnosis” (pp. 95–168)
· Chapter 4, “The Initial Contact and Maintaining the Frame” (pp. 169–224). NURS 6640: Psychotherapy With Individuals.
· American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Note: It is highly recommended that you use this resource as a reference guide throughout the course. You will access this text from the Walden Library databases.
· American Academy of Child and Adolescent Psychiatry. (1995). Practice parameters for the psychiatric assessment of
© 2017 Laureate Education, Inc. Page 5 of 31
Week 2 Assessment and Diagnosis in Psychotherapy children and adolescents. Washington, DC: Author. Retrieved from https://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/psychiatric_assessment_practice_parameter.pdf
· American Psychiatric Association. (2016). Practice guidelines for the psychiatric evaluation of adults (3rd ed.). Arlington, VA:
Author. Retrieved from http://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890 426760
· Walden Library. (2017). NURS 6640 week 2 discussion guide.Retrieved from http://academicguides.waldenu.edu/nurs6640week2discussion
· Walden University. (n.d.). Tests & measures: Home. Retrieved February 6, 2017, from http://academicguides.waldenu.edu/library/testsmeasures
Note: This database may be helpful in obtaining assessment tool information for this week’s Discussion.
Media
· Laureate Education (Producer). (2015a). Counseling
competencies—The application of ethical guides and laws to
record keeping [Video file]. Baltimore, MD: Author.
Provided courtesy of the Laureate International Network of Universities.
Note: The approximate length of this media piece is 23
minutes.
Discussion Assessment Tools
Post on or before Day 3 an explanation of the psychometric
properties of the assessment tool you were assigned. Explain when it
is appropriate to use this assessment tool with clients, including
whether the tool can be used to evaluate the efficacy of
psychopharmacologic medications. Support your approach with
evidence-based literature.NURS 6640: Psychotherapy With Individuals.
Read a selection of your colleagues’ responses.
Respond on or before Day 6 to at least two of your colleagues by
comparing your assessment tool to theirs.
© 2017 Laureate Education, Inc. Page 6 of 31
Week 2 Assessment and Diagnosis in Psychotherapy
Practicum Week 2 Journal Entry
Select a client whom 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 Diagnostic and Statistical Manual of Mental Health
Disorders, 5th edition (DSM-5), explain and justify your
diagnosis for this client.
· Explain any legal and/or ethical implications related to
counseling this client.
· Support your approach with evidence-based literature.
Submit your Assignment by Day 7 of Week 4.
Week 3 Psychodynamic Psychotherapy
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 5, “Supportive and Psychodynamic
Psychotherapy” (pp. 225–238 and pp. 245–258)
· 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.
· Young, J. M., & Solomon, M. J. (2009). How to critically
appraise an article. Nature Clinical Practice. Gastroenterology
& Hepatology, 6(2), 82–91.
For the Assignment:
· Select one of the following articles on psychodynamic therapy
to evaluate in your Assignment:
1. Aznar-Martinez, B., Perez-Testor, C., Davins, M., &
Aramburu, I. (2016). Couple psychoanalytic psychotherapy
© 2017 Laureate Education, Inc. Page 7 of 31
Week 3 Psychodynamic Psychotherapy
as the treatment of choice: Indications, challenges, and
benefits. Psychoanalytic Psychology, 33(1), 1–20.
doi:10.1037/a0038503
2. Karbelnig, A. M. (2016). “The analyst is present”: Viewing the
psychoanalytic process as performance art. Psychoanalytic
Psychology, 33(supplement 1), S153–S172.
doi:10.1037/a0037332
3. LaMothe, R. (2015). A future project of psychoanalytic
psychotherapy: Revisiting the debate between
classical/commitment and analytic therapies. Psychoanalytic
Psychology, 32(2), 334–351. doi:10.1037/a0035982
4. Migone, P. (2013). Psychoanalysis on the Internet: A
discussion of its theoretical implications for both online and
offline therapeutic technique. Psychoanalytic Psychology,
30(2), 281–299. doi:10.1037/a0031507
5. Tummala-Narra, P. (2013). Psychoanalytic applications in a
diverse society. Psychoanalytic Psychology, 30(3), 471–487.
doi:10.1037/a0031375
Note: You will access all of these articles from the Walden
Library databases.
Media
· Laureate Education (Producer). (2015c). The importance of a
therapeutic relationship: Mary Boyle [Video file]. Baltimore,
MD: Author.
Provided courtesy of the Laureate International Network of Universities.
Note: The approximate length of this media piece is 2 minutes.
· Laureate Education (Producer). (2015b). Foundations of
counseling techniques [Video file]. Baltimore, MD: Author.
Provided courtesy of the Laureate International Network of Universities.
Note: The approximate length of this media piece is 32
minutes.
· Laureate Education (Producer). (2013b). Hernandez family
genogram [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 5 minutes.
Assignment Applying Current Literature to Clinical Practice
In a 5- to 10-slide PowerPoint presentation, address the following:
· Provide an overview of the article you selected.
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Week 3 Psychodynamic Psychotherapy
o What population is under consideration?
o What was the specific intervention that was used? Is
this a new intervention or one that was already used?
o 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.
Support your position with evidence-based literature.
Note: The presentation should be 5–10 slides, not including the title
and reference slides. Include presenter notes (no more than ½ page
per slide) and use tables and/or diagrams where appropriate. Be sure
to support your work with specific citations from the article you
selected. Support your approach with evidence-based literature.
Submit your Assignment by Day 7 of Week 3.
Practicum Assessing Clients
Part 1: Comprehensive Client Family Assessment
With this client in mind, address the following in a Comprehensive
Client Family Assessment (without violating HIPAA regulations):
· Demographic information
· Presenting problem
· History or present illness
· Past psychiatric history
· Medical history
· Substance use history
· Developmental history
· Family psychiatric history
· Psychosocial history
· History of abuse/trauma
· Review of systems
· Physical assessment
· Mental status exam
· Differential diagnosis
· Case formulation
· Treatment plan
Part 2: Family Genogram
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Week 3 Psychodynamic Psychotherapy
Prepare a genogram for the client you selected. The genogram
should extend back by at least three generations (great grandparents,
grandparents, and parents).
Submit your Assignment by Day 7 of Week 4.
Week 4 Cognitive Behavioral Therapy
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 8, “Cognitive Behavioral Therapy” (pp. 313–346)
· 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.
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 Behavior Therapy and CognitiveBehavioral
Therapy only. You will access this media from the
Walden Library databases.
· Beck, A. (1994). Aaron Beck on cognitive therapy [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 50
minutes.
· Eysenck, H. (n.d.). Hans Eysenck on behavior therapy [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 50
minutes.
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Week 4 Cognitive Behavioral Therapy
Assignment Cognitive Behavioral Theory Versus Rational Emotive
Behavioral Theory
In a 1- to 2-page paper, address the following:
· Briefly describe how cognitive behavioral therapy (CBT) and
rational emotive behavioral therapy (REBT) are similar.
· Explain at least three differences between CBT and REBT.
Include how these differences might impact your practice as a
mental health counselor.
· Explain which version of cognitive behavioral therapy you
might use with clients and why. Support your approach with
evidence-based literature.
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://writingcenter.waldenu.edu/57.htm). All papers submitted must
use this formatting.
Submit your Assignment by Day 7 of Week 4.
Practicum Week 1 Journal Entry
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*
* The Learning Objectives are related to the Assignment presented in
Week 1.
Submit your Assignment by Day 7 of Week 4. Refer to Week 1 for
additional guidance.
Practicum Week 2 Journal Entry
Students will:
· Develop diagnoses for clients receiving psychotherapy*
· Analyze legal and ethical implications of counseling clients
with psychiatric disorders*
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Week 4 Cognitive Behavioral Therapy
* The Learning Objectives are related to the Assignment presented in
Week 2.
Submit your Assignment by Day 7 of Week 4. Refer to Week 2 for
additional guidance.
Practicum Week 4 Journal Entry
Select a client whom 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.
Submit your Assignment by Day 7 of Week 4.
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
Meditrek account. You will track time individually for each patient you
work with. Please make sure to continuously input your hours
throughout the term.
Week 5 Psychotherapy With Trauma
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.
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Week 5 Psychotherapy With Trauma
· 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.
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.
Discussion Posttraumatic Stress Disorder
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.
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 evidencebased
literature and/or your own experiences with clients.
Practicum Week 5 Journal Entry
Select a client whom you observed or counseled that suffers from a
disorder related to trauma. Then, address the following in your
Practicum Journal:
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Week 5 Psychotherapy With Trauma
· 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 any of the therapeutic approaches in this
week’s Learning Resources would be effective with this client.
Include expected outcomes based on these therapeutic
approaches. Support your approach with evidence-based
literature.
· Explain any legal and/or ethical implications related to
counseling this client.
Submit your Assignment by Day 7 of Week 7.
Week 6 Psychotherapy for Addictive Disorders
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 from
http://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
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Week 6 Psychotherapy for Addictive Disorders
· Walden University. (2016). ASC success strategies: Studying
for and taking a test. Retrieved from
http://academicguides.waldenu.edu/ASCsuccess/ASCtesting
Media
· Laureate Education (Producer). (2013c). Levy family: Episodes
1–5 [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 25
minutes.
· Laureate Education (Producer). (2012c). In their own words
[Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 25
minutes.
Assignment Assessing Clients With Addictive Disorders
In a 2- to 3-page paper, address the following:
· After watching Episode 1, describe:
o What is Mr. Levy’s perception of the problem?
o What is Mrs. Levy’s perception of the problem?
o What can be some of the implications of the problem on
the family as a whole?
· After watching Episode 2, describe:
o What did you think of Mr. Levy’s social worker’s ideas?
o What were your thoughts of her supervisor’s questions
about her suggested therapies and his advice to Mr.
Levy’s supervisor?
· After watching Episode 3, discuss the following:
o What were your thoughts about the way Mr. Levy’s
therapist responded to what Mr. Levy had to say?
o What were your impressions of how the therapist
worked with Mr. Levy? What did you think about the
therapy session as a whole?
o Informed by your knowledge of pathophysiology,
explain the physiology of deep breathing (a common
technique that we use in helping clients to manage
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Week 6 Psychotherapy for Addictive Disorders
anxiety). Explain how changing breathing mechanics
can alter blood chemistry.
o Describe the therapeutic approach his therapist
selected. Would you use exposure therapy with Mr.
Levy? Why or why not? What evidence exists to support
the use of exposure therapy (or the therapeutic
approach you would consider if you disagree with
exposure therapy)?
· In Episode 4, Mr. Levy tells a very difficult story about Kurt, his
platoon officer.
o Discuss how you would have responded to this
revelation.
o Describe how this information would inform your
therapeutic approach. What would you say/do next?
· In Episode 5, Mr. Levy’s therapist is having issues with his
story.
o Imagine that you were providing supervision to this
therapist, how would you respond to her concerns?
· Support your approach with evidence-based literature.
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://writingcenter.waldenu.edu/57.htm). All papers submitted must
use this formatting.
Submit your Assignment by Day 7 of Week 6.
Exam Midterm Exam
Students will:
· Assess knowledge of concepts and principles related to the
psychotherapy of individuals
This exam will cover the following topics, which relate to
psychotherapy with individuals in the Wheeler textbook and the
Fisher textbook excerpts:
· The Nurse Psychotherapist and a Framework for Practice
· Confidentiality Limits in Psychotherapy: Ethics Checklists for
Mental Health Professionals
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Week 6 Psychotherapy for Addictive Disorders
· Assessment and Diagnosis
· The Initial Contact and Maintaining the Frame
· Cognitive Behavioral Therapy
· Supportive and Psychodynamic Psychotherapy
· Stabilization for Trauma and Dissociation
· Motivational Interviewing
· Psychotherapeutic Approaches for Addictions and Related
Disorders
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.
Practicum Week 6 Journal Entry
Select a client whom 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 motivational interviewing would be effective
with this client. Include expected outcomes based on this
therapeutic approach. Support your approach with evidencebased
literature.
· Explain any legal and/or ethical implications related to
counseling this client.
Submit your Assignment by Day 7 of Week 7.
Week 7 Supportive and Interpersonal Psychotherapy
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 Psychodynamic
Psychotherapy” (pp. 238–242)
o Chapter 9, “Interpersonal Psychotherapy” (pp. 347–368)
© 2017 Laureate Education, Inc. Page 17 of 31
Week 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:10.1037/12353-048
Note: You will access this resource from the Walden Library
databases.
· 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 notes
and HIPAA. Journal of AHIMA, 73(2), 38–39. Retrieved from
http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4http://libr
ary.ahima.org/doc?oid=58162#.V5J0__krLZ4
· U.S. Department of Health & Human Services. (n.d.). HIPAA
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.
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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.
Assignment Supportive Psychotherapy Versus Interpersonal Psychotherapy
In a 1- to 2-page paper, address the following:
· Briefly describe how supportive and interpersonal
psychotherapies are similar.
· Explain at least three differences between these therapies.
Include how these differences might impact your practice as a
mental health counselor.
· Explain which therapeutic approach you might use with clients
and why. Support your approach with evidence-based
literature.
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://writingcenter.waldenu.edu/57.htm). All papers submitted must
use this formatting.
Submit your Assignment by Day 7 of Week 7.
Practicum Assessing Client Progress
Part 1: Progress Note
Using the client from your Week 3 Assignment, address the following
in a progress note (without violating HIPAA regulations):
· Treatment modality used and efficacy of approach
· Progress and/or lack of progress toward the mutually agreedupon
client goals (reference the Treatment plan—progress
towards goals)
· Modification(s) of the treatment plan that were made based on
progress/lack of progress
· Clinical impressions regarding diagnosis and/or symptoms
· Relevant psychosocial information or changes from original
assessment (i.e., marriage, separation/divorce, new
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Week 7 Supportive and Interpersonal Psychotherapy
relationships, move to a new house/apartment, change of job,
etc.)
· Safety issues
· Clinical emergencies/actions taken
· Medications used by the patient (even if the nurse
psychotherapist was not the one prescribing them)
· Treatment compliance/lack of compliance
· Clinical consultations
· Collaboration with other professionals (i.e., phone
consultations with physicians, psychiatrists, marriage/family
therapists, etc.)
· Therapist’s recommendations, including whether the client
agreed to the recommendations
· Referrals made/reasons for making referrals
· Termination/issues that are relevant to the termination process
(i.e., client informed of loss of insurance or refusal of insurance
company to pay for continued sessions)
· Issues related to consent and/or informed consent for
treatment
· Information concerning child abuse, and/or elder or dependent
adult abuse, including documentation as to where the abuse
was reported
· Information reflecting the therapist’s exercise of clinical
judgment
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.
· The privileged note should include items that you would not
typically include in a note as part of the clinical record.
· Explain why the items you included in the privileged note
would not be included in the client’s progress note.
· Explain whether your preceptor uses privileged notes, and if
so, describe the type of information he or she might include. If
not, explain why.
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Week 7 Supportive and Interpersonal Psychotherapy
Submit your Assignment by Day 7 of Week 7.
Practicum Week 5 Journal Entry
Students will:
· Develop diagnoses for clients receiving psychotherapy*
· Evaluate the efficacy of therapeutic approaches for clients*
· Analyze legal and ethical implications of counseling clients
with psychiatric disorders*
*These Learning Objectives are related to the Assignment from Week
5.
Submit your Assignment by Day 7 of Week 7. Refer to Week 5 for
additional guidance.
Practicum Week 6 Journal Entry
Students will:
· Develop diagnoses for clients receiving psychotherapy*
· Evaluate the efficacy of motivational interviewing techniques
for clients*
· Analyze legal and ethical implications of counseling clients
with psychiatric disorders*
*These Learning Objectives are related to the Assignment from Week
6.
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 Meditrek
account. You will track time individually for each patient you work
with. Please make sure to continuously input your hours throughout
the term.
Looking Ahead Week 8 Clinical Supervision Discussion
Week 8 Discussion: In 3- to 5-minute Kaltura video, you will discuss
a 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.
Week 8 Existential-Humanistic Therapy
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 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 mastering
core issues (pp. 185–198). Washington, DC: American
Psychological Association. doi:10.1037/12345-010
Note: You will access this resource from the Walden Library
databases.
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, PersonCentered
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 9
minutes.
© 2017 Laureate Education, Inc. Page 22 of 31
Week 8 Existential-Humanistic Therapy
· 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 108
minutes.
Discussion Clinical Supervision
Post on or before Day 3 a 3- to 5-minute Kaltura video that
addresses the following:
· Describe a client you are counseling whom you do not think is
adequately progressing according to expected clinical
outcomes. Note: Do not use the client’s actual name.
· Explain your therapeutic approach with the client, including the
perceived effectiveness of your approach.
· Identify any additional information about this client that may
potentially impact expected outcomes.
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
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.
Practicum Week 8 Journal Entry
This week, you complete a two-part journal entry.
© 2017 Laureate Education, Inc. Page 23 of 31
Week 8 Existential-Humanistic Therapy
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. NURS 6640: Psychotherapy With Individuals.
· 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?
Submit your Assignment by Day 7 of Week 10.
Week 9 Psychotherapy With Children and Adolescents
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 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 31
Week 9 Psychotherapy With Children and Adolescents
· Bass, C., van Nevel, J., & Swart, J. (2014). A comparison
between dialectical behavior therapy, mode deactivation
therapy, 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/h0100991
Note: 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 Library
databases.
· Zilberstein, K. (2014). The use and limitations of attachment
theory in child psychotherapy. Psychotherapy, 51(1), 93–103.
doi:10.1037/a0030930
Note: You will access this article from the Walden Library
databases.
Media
· Laureate Education (Producer). (2013a). Disruptive behaviors
[Multimedia file]. Baltimore, MD: Author.
· Walker, R. (n.d.). Making child therapy work [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.
© 2017 Laureate Education, Inc. Page 25 of 31
Week 9 Psychotherapy With Children and Adolescents
Discussion Counseling 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 based
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 evidencebased
literature and/or your own experiences with clients.
Practicum Week 9 Journal Entry
Select a child or adolescent client whom 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 any legal and/or ethical implications related to
counseling this client.
· Support your position with evidence-based literature.
Submit your Assignment by Day 7 of Week 10.
Looking Ahead Week 10 Clinical Supervision Discussion
Week 10 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
Week 10 Psychotherapy With Older Adults
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 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:10.1037/14469-002
Note: You will access this resource from the Walden Library
databases.
Discussion Clinical Supervision
Post on or before Day 3 a 3- to 5-minute Kaltura video that
addresses the following:
· Describe an older client you are counseling whom you do not
think is adequately progressing according to expected clinical
outcomes. Note: Do not use the client’s actual name.
· Explain your therapeutic approach with the client, including the
perceived effectiveness of your approach.
· Identify any additional information about this client that may
potentially impact expected outcomes.
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Week 10 Psychotherapy With Older Adults
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 upload
media for the Clinical Supervision Discussions.
Practicum Client Termination Summary
With the client you selected in mind, address the following in a client
termination summary (without violating HIPAA regulations):
· Identifying information of client (i.e., hypothetical name, age,
etc.)
· Date initially contacted therapist, date therapy began, duration
of therapy, and date therapy will end
· Total number of sessions, including number of missed
sessions
· Termination planned or unplanned
· Presenting problem
· Major psychosocial issues
· Types of services rendered (i.e., individual, couple/family
therapy, group therapy, etc.)
· Overview of treatment process
· Goal status (goals met, partially met, unmet)
· Treatment limitations (if any)
· Remaining difficulties and/or concerns
· Recommendations
· Follow-up plan (if indicated)
· Instructions for future contact
· Signatures
Submit your Assignment by Day 7 of Week 10.
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Week 10 Psychotherapy With Older Adults
Practicum Week 8 Journal Entry
Students will:
· Develop diagnoses for clients receiving psychotherapy*
· Evaluate the efficacy of existential-humanistic therapy for
clients*
· Analyze legal and ethical implications of counseling clients
with psychiatric disorders*
· Analyze clinical supervision experiences*
*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.
Practicum Week 9 Journal Entry
Students will:
· Develop diagnoses for clients receiving psychotherapy*
· Analyze legal and ethical implications of counseling clients
with psychiatric disorders*
*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.
Practicum Week 10 Journal Entry
Reflect on your overall practicum experience in this course. Then,
address the following in your Practicum Journal:
· Explain whether your therapeutic theory has changed as a
result of your practicum experiences. Recall the theories you
selected in Week 1.
· Explain how you integrated the therapeutic approaches from
this course in your clinical practice. Include how this helped
you achieve the goals and objectives you developed in Week
1.
· Explain how you might impact social change through your
work with clients who have mental health issues.
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Week 10 Psychotherapy With Older Adults
· Support your approach with evidence-based literature.
Submit your Assignment by Day 7 of Week 10.
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 Meditrek
account. You will track time individually for each patient you work
with. Please make sure to continuously input your hours throughout
the term.
Week 11 Psychotherapy With Personality Disorders
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 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 Library
databases.
· 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 Library
databases.
· Lorentzen, S., Ruud, T., Fjeldstad, A., & Høglend, P. A.
(2015). Personality disorder moderates outcome in short- and
long-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:10.1037/14469-002
Note: You will access this resource from the Walden Library
databases.
Discussion Therapy for Clients With Personality Disorders
Post on or before Day 3 a description of the personality disorder you
selected. Explain a therapeutic approach (including psychotropic
medications if appropriate) you might use to treat a client presenting
with this disorder, including how you would share your diagnosis of
this disorder to the client in order to avoid damaging the therapeutic
relationship. 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 evidencebased
literature and/or your own experiences with clients.
Exam Final Exam
Students will:
· Assess knowledge of concepts, principles, and theories related
to the psychotherapy of individuals
This exam will cover the following topics from the Wheeler textbook,
which relate to psychotherapy of individuals:
· Supportive and Psychodynamic Psychotherapy
· Interpersonal Psychotherapy
· Humanistic-Existential and Solution-Focused Approaches to
Psychotherapy
© 2017 Laureate Education, Inc. Page 31 of 31
Week 11 Psychotherapy With Personality Disorders
· Psychotherapy With Children
· Psychotherapy With Older Adults
· Termination and Outcome Evaluation
Complete the Final Exam by Day 7 of Week 11. 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. NURS 6640: Psychotherapy With Individuals.
Course
Evaluation
Complete your Course Evaluation by Day 7.

NURS 6640: Psychotherapy With Individuals


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