NU646 Theory and Practice of Contemporary Psychotherapies
Week 2 Discussion
Personal Triggers
What are some specific topic areas that have the potential to trigger countertransference for you? How can you identify your triggers and potential reactions to manage your own countertransferences as a therapist?
In psychoanalytic theory, how is transference and countertransference defined?
NU646 Theory and Practice of Contemporary Psychotherapies
Week 3 Discussion
Exploring Informed Consent
In your initial post, address the following:
What is the purpose of informed consent?
What are the main components of informed consent?
Research psychiatric mental health/psychotherapy/and or counseling clinics and practices online. Share your findings with the class. Post an example of the informed consent forms offered either on the website or in pdf format. If there is a link to the informed consent document, post that as well.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 4 Discussion
Rogers, Person-Centered Therapy
This week’s discussion deals with Carl Rogers and his patient-centered approach to therapy. The core of Rogers’ therapeutic approach involves 1) trying to genuinely understand the client, 2) genuinely and unconditionally caring about the client, and 3) being authentic in the therapeutic relationship.
What do you think of these conditions for change, growth, and drawing out the potential of the client?
Are there aspects of his approach you have concerns about or disagree with?
What do you like and dislike most about his approach?
How is empathy, therapeutic communication, and positive regard integrated into this therapy modality?
What diagnoses would you correlate best with this therapy modality, and why?
NU646 Theory and Practice of Contemporary Psychotherapies
Week 6 Discussion
CBT Case Study Discussion
This discussion is based on a case study (Word) of the client Alana. You will read her history of treatment and formulate continuing care with a CBT approach. For this week’s discussion, you will answer the questions below related to CBT and the case.
For your initial post, answer the following questions in APA format.
What cognitive behavioral techniques might be appropriate to use with Alana as she explores her frustration and anger related to stressors?
How would you use cognitive behavioral therapy techniques in a culturally/gender sensitive manner to address Alana feelings about being a woman as a minority in the finance industry? How might the principles from CBT be applied to the case study?
NU646 Theory and Practice of Contemporary Psychotherapies
Week 8 Discussion
Personality Disorders and Childhood Trauma
Read the following article after reviewing your reading and learning materials for this week’s topics.
Cattane, N., Rossi, R., Lanfredi, M., & Cattaneo, A. (2017). Borderline personality disorder and childhood trauma: Exploring the affected biological systems and mechanisms. BMC psychiatry, 17(1), 221.
For this week’s discussion answer the follow questions related to the learning material for this week.
What is one thing that stands out to you the most about ACEs research?
Why is the ACEs assessment instrument/tool so important in psychiatric mental health care?
What are the barriers to responding to the ACEs research?
Consider borderline personality as a biological response to trauma; what are the best options for treatment and why?
NU646 Theory and Practice of Contemporary Psychotherapies
Week 10 Discussion
Provider Self-Care
In the resources section of Week 10, there are specifics related to self-care as a provider. Review the information and then consider what you have learned throughout the course thus far. Knowing your own personality and coping skills, what boundaries and self-care mechanisms do you have as goals to put in place to keep yourself healthy and deter burnout as a provider?Your post should be a minimum of 300 words. Please do not include any sources. You are expected to describe your thoughts only for this discussion.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 12 Discussion
Therapy Modality Incorporation in Practice
Write an initial post detailing what style of therapy you intend to provide and why. Even if you intend to focus on medication management, academia, or any other non-therapy job description professionally, for the purposes of this assignment imagine that you will be acting as a nurse psychotherapist as part of your PMHNP role at some point of your career.
Your post should be a minimum of 300 words. Please do not include any sources. You are expected to describe your thoughts only for this discussion.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 14 Discussion
Individual Poster Presentation Discussion
This is a student presentation discussion. Each student is responsible for posting their completed poster presentation for peer feedback and discussion. Please title your initial post with the name of the therapy modality you researched and are presenting.
Remember that on Day 3 of this week, each student will be responsible for posting their completed poster presentation for everyone to review. During this week, each student should participate in the discussion by being engaged and replying to peers. This will allow collaboration for you to improve your final poster before turning it in to the dropbox, as well as sharing knowledge content from your research with your peers. Once you have completed your revisions, submit your poster to Week 14 Assignment 1: Individual Poster Presentation.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 2 Assignment
Foundational Theories of Human Development Paper
Instructions
Review this week's readings, and include specific information with citation within your written response as appropriate.
Write a three- to four-page paper (excluding APA title page and reference pages) comparing Freud, Mahler, and Adler. Compare and contrast the developmental models of Freud and Mahler, and then contrast these two developmental theories with Adler’s theory. Be sure to also address the following:
A brief description of each theory. Which perspective appeals to you more, and why?
What are some ways the Adlerian approach can be applied to group counseling? What are some advantages of using a group format with this approach?
What concepts from these psychoanalytic approaches do you see as being potentially useful in your work as a nurse psychotherapist? Describe.
Why should the nurse psychotherapist understand developmental theories for application in clinical practice?
You should cite a minimum of three APA references.
Please refer to the Grading Rubric for details on how this activity will be graded.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 2 Assignment
Term-Long Portfolio Project
As you have learned from several of your readings, diagnosing psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments. This can aid you in defining a treatment plan and choosing specific therapy modalities to use in the care of your clients.
Each week, you will identify a standardized assessment instrument or tool to measure the disorders about which you will be reading. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms.
Additionally, you will record specific components of the therapy modality we are learning for the week. This will help solidify your new knowledge and allow you to make correlations between therapy modalities and to which diagnoses they can be applied or when they can be utilized in practice.
Instructions
Instrument/Tool criteria:
For each assessment tool you select, you will identify an instrument and do the following:
Identify a scholarly, peer-reviewed article that addresses the use of the instrument.
Discuss if the instrument is appropriate for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.
Describe whether or not the instrument can be used to measure patient response to therapy/treatment.
Discuss the psychometrics/scoring of the instrument, including reliability and validity.
Discuss any limitations associated with the use of the instrument.
Therapy criteria:
Identify the therapy modality by name.
Identify the originator (creator) of the specific modality.
Identify a specific diagnosis or population this modality is especially helpful with.
Note specific focus, emphasis, and/or goals of this modality.
Instruments/Tools for diagnosis of (one instrument/tool for each diagnosis):
ADHD (children)
Autism spectrum disorder
Therapy modalities (define criteria for each modality):
Psychoanalytic therapy
Alderian therapy
Use the Portfolio Template Assessment Instruments (Word) and Portfolio Template Therapy Modalities (Word) to complete your portfolio assignments. Your information can be in bulleted format or just a couple sentences for each criterion listed. However, you must use APA citations. You are NOT required to write this in a paper format. Turn in one document for each of this week’s topics. (However, create a file on your desktop to compile your portfolio as you move through the term. This will ensure you can have easy access once you begin clinicals and practice.)
ALL criteria must be present to receive credit.
You may refer to the Assessment Instruments Student Example (Word) to assist you in preparing this assignment.
Please refer to the Grading Rubric for details on how this activity will be graded.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 3 Assignment
Psychiatric Interview
Overview
The purpose of this assignment is for you to complete a comprehensive psychiatric mental health assessment of an adult/older adult as practice for entry into PMHNP clinical practice and to continue the growth in your interviewing skills throughout the term.
Instructions
You will complete a comprehensive psychiatric mental health assessment of an adult/older adult. This should not be a patient you have encountered in your work but, instead, a family member or a friend. Your assessment should be comprehensive, and you should refer to course texts to inform items for inclusion in your assessment. Keep in mind that you will be responsible for covering those areas addressed in the reading assignments up to this point. The documentation should remain HIPAA-compliant even though this is not a real patient. (DO NOT USE REAL PATIENT IDENTIFIERS.) The patient will be referred to as Jane Doe or Jack Doe.
Use the Initial Psychiatric SOAP Note Template (Word) to complete this assignment. Please refer to the Grading Rubric for details on how this activity will be graded.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 3 Assignment
Term-Long Portfolio Project
Overview
As you have learned from several of your readings, diagnosing psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments. This can aid you in defining a treatment plan and choosing specific therapy modalities to use in the care of your clients.
Each week, you will identify a standardized assessment instrument or tool to measure the disorders about which you will be reading. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms.
Additionally, you will record specific components of the therapy modality we are learning for the week. This will help solidify your new knowledge and allow you to make correlations between therapy modalities and to which diagnoses they can be applied or when they can be utilized in practice.
Instructions
Instrument/Tool criteria:
For each assessment tool you select, you will identify an instrument and do the following:
Identify a scholarly, peer-reviewed article that addresses the use of the instrument.
Discuss if the instrument is appropriate for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.
Describe whether or not the instrument can be used to measure patient response to therapy/treatment.
Discuss the psychometrics/scoring of the instrument, including reliability and validity.
Discuss any limitations associated with the use of the instrument.
Therapy criteria:
Identify the therapy modality by name.
Identify the originator (creator) of the specific modality.
Identify a specific diagnosis or population this modality is especially helpful with.
Note specific focus, emphasis, and/or goals of this modality.
Instruments/Tools for diagnosis of (one instrument/tool for each diagnosis):
Self-injurious behavior
Suicide assessment (Everyone should choose the Gold Standard: CSSRS.)
Therapy modalities (define criteria for each modality):
Existential therapy
Gestalt therapy
Use the Portfolio Template Assessment Instruments (Word) and Portfolio Template Therapy Modalities (Word) to complete your portfolio assignments. Your information can be in bulleted format or just a couple sentences for each criterion listed above. However, you must use APA citations. You are NOT required to write this in a paper format. Turn in one document for each of this week’s topics. (However, create a file on your desktop to compile your portfolio as you move through the term. This will ensure you can have easy access once you begin clinicals and practice.)
ALL criteria must be present to receive credit.
You may refer to the Assessment Instruments Student Example (Word) to assist you in preparing this assignment. Please refer to the Grading Rubric for details on how this activity will be graded.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 4 Assignment
Term-Long Portfolio Project
Overview
As you have learned from several of your readings, diagnosis of a variety of psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis.
This approach can include the use of standardized assessment instruments. These can, then, aid you in defining a treatment plan and choosing specific therapy modalities to use in the care of your clients.
Each week, you will identify a standardized assessment instrument/tool to measure the disorders about which you will be reading. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms.
Additionally, you will record specific components of the therapy modality we are learning about in that week. This will help solidify your new knowledge and allow you to make correlations between therapy modalities and to which diagnoses they can be applied or when they can be utilized in practice.
Instructions
Instrument/Tool Criteria
For each assessment you select, you will identify an instrument and:
Identify a scholarly, peer-reviewed article that addresses the use of the instrument.
Discuss if the instrument is appropriate for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.
Describe whether or not the instrument can be used to measure patient response to therapy/treatment.
Discuss the psychometrics/scoring of the instrument, including reliability and validity.
Discuss any limitations associated with the use of the instrument.
Therapy Criteria:
Identify the therapy modality by name.
Identify the originator (creator) of the specific modality.
Identify a specific diagnosis or population this modality is especially helpful with.
Note the specific focus, emphasis, and/or goals of this modality.
Instruments/Tools for Diagnosis (choose one instrument/tool for each diagnosis):
Anxiety Disorder
Major Depressive Disorder
Therapy Modalities (define criteria for each modality):
Person-Centered Therapy
Use the Portfolio Template Assessment Instruments (Word) and Portfolio Template Therapy Modalities (Word) to complete your portfolio assignments. Your information can be in bulleted format or just a couple of sentences for each criteria listed. However, you must use APA citations. You are NOT required to write this in a paper format.
Turn in one document for each week’s topics. (However, create a file on your desktop to compile your portfolio as you move through the term. This will ensure you can have easy access once you begin clinicals and practice.)
NU646 Theory and Practice of Contemporary Psychotherapies
Week 5 Assignment
Therapeutic Video Case Self-Injurious Client
Week 5 – Self-Injurious Client
Case Study: You are seeing a current client for a follow-up session with new developments of self-harm. This is not an initial interview. For this session, focus on the psychodynamic therapy modality to engage with the teen.
Psychodynamic psychotherapy – This type of therapy helps individuals explore issues lurking at the subconscious or unconscious level that often stem from negative childhood experiences and painful memories.
A 17-year-old female patient named Stella Jess, who recently broke up with her boyfriend, reveals she has been cutting her arms. While rolling up her sleeves to display the cuts, she expresses suicidal ideation. She has a suicidal plan, overdosing on her depression medication (Prozac) and alcohol, but says she doubts she would ever actually attempt to take her life. She reports no serious previous attempts. Her history includes some neglect from her parents when she was a younger child, and she now lives with her grandmother. Her mother is still involved in her life, but not on a daily basis. She is an A student, does not miss school, and states she has a group of close friends with whom she enjoys spending free time.
Vitals:
BP: 122/68
HR: 74
R: 18
T: 97
O2: 99%
Pain: 2 on 0–10 scale
Consent to treat the minor signed by parents.
Contact Your Partner
Identify a time that both of you can meet online to record your video. Allot about 60 minutes for discussion with your partner and the recording of the video.
Your partner groups are assigned in the first few weeks of the course by your instructor. You will keep the same partner group throughout the entire semester. During the video session, you will both practice the assigned skills for this week, which are based on your readings, handouts, and other weekly materials.
During Your Meeting with Your Partner
Each session should include the skills you used in prior weeks in the current video, don’t forget the skills you previously learned).
In your practice session, role play the case study with your partner using empathy and other skills you have reviewed this week. Your partner becomes the client. You play the role of the therapist.
Each partner will record a 15-minute video for each week using Zoom (see the instructional video on how to record a video at the beginning of the course). Provide a brief description (verbally) of the patient situation at the beginning of the video.
Video Recordings Need to Have the Following Components
The recording should show both you and the client during the entire session.
Both of your faces and body language should be shown.
Attire should be appropriate and professional.
Set up the room as if it were a therapy office (that is, chairs; a quiet, private space).
The recording needs to be clear and audible. Ensure there is no background noise when you are recording.
The lighting of the room needs to be appropriate; that is, it should illuminate the faces of the client and the therapist.
After the Video Recording
After your recording is complete, follow these instructions to create an unlisted YouTube video. You will need the YouTube video URL for this assignment. Submit your YouTube video URL. The best way to do this is to copy and paste the hyperlink URL for the YouTube video into a Word document. Your faculty will access your video via the link. Do not upload a video file (mp4).
Then, go to your Reflective Journal (after you have posted the video) to respond to the assigned journal questions and reflect on your interaction with the client.
Please refer to the Grading Rubric for details on how this activity will be graded.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 5 Assignment
Self Reflections and SOAP Note
Your reflection should address all of the following questions with between 750 to 1,000 words. Appropriate spelling, grammar, and punctuation are required. Complete sentences are expected. All writing should be in your own words. Use APA references as needed to support your ideas; there is no requirement on the number of references to include. Be sure to use APA format.
Which skills did you use in the session? How?
How did the assigned Corey readings, PowerPoints, Handouts, and videos inform your therapy session? Please explain in detail.
What were your strengths in the interview?
What were your weaknesses/areas in need of further development in the interview?
How could you improve your interviewing skills? Are there steps you plan on taking? What are those steps?
Was there any time when you felt stuck or uncertain how to respond? Describe what was happening then. Were there times you felt more confident in your responses with the client? Times you were less confident? How? Does this come through in the session?
How were you impacted by the client…your emotions, thoughts, physical reactions, transference, and countertransference, body language?
What was your overall response to the interview? Did you feel connected to the client? Distracted? Disengaged?
What was the quality of your engagement, your empathy?
If you were to continue seeing this particular client, what future directions would you take? How would you conceptualize the case and what would be some of your treatment goals? How would you pursue these goals?
In relation to your partner:
What were your partner’s strengths in the interview?
What were your partner’s weaknesses/areas in need of further development in the interview?
How could your partner improve his/her interviewing skills?
SOAP Note:
Fill in the SOAP note in the template based on your session visit. This should be a follow-up note, as this session was NOT an initial interview.
Create a Session Reflection & SOAP Note based on your session with the client.
Use the Therapy Session SOAP and Reflection Template (Word) for the assignment.
Please refer to the Grading Rubric for details on how this activity will be graded.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 6 Assignment
Individual Adult Interview and Psychotherapy Treatment Plan
Ms. Alana, a 24-year-old married female Muslim client was referred for psychological intervention in the Psychiatry Outpatient Department. She was assigned to the present therapist and was diagnosed as depression by the psychiatrist. She and her husband would like to build a new life not associated with her past. In the assessment sessions she presented her problems along with history. Her problems are presented in the following summary in clustered fashion according to different areas of functioning.
The client believed that she was suffering from psychological illness. The client complained lack of concentration, lack of self-confidence, and indecisiveness. She also complained of depressed mood, feeling of guilt, lack of pleasure, anger and hopelessness. She felt irritability and fear. She avoids social gathering, friends and sometimes occasionally she used to cry. The client complained of headache, palpitation. She also complained that family members usually irritate her especially eldest brother. Her dress up, appearance and behavior appeared to be culturally appropriate. At the initial interview she spoke willingly about her problems. She was well motivated and interested to work collaboratively with therapist.
Exploration of history revealed that the client was in a middle-class family of a rural area with three brothers and three sisters. Her father is 57 year old and he was a small business man. Her mother is a 45 year old house wife. From her childhood she experienced that the relationship between her parents was not good. The eldest son of their family maintains everything of the whole family. Her eldest brother was very dominating. She had to lead her life as to his liking. She was the last issue of her parents. Though she was meritorious student fromchildhood she was always underestimated instead of being encouraged. The senior most brothers always used to apply pressure on her for studies. They were not happy with the results she obtained. During any bad occurrence in her family if she protested, she had been termed as “disobedient”. She likes reading story, listening to music and reciting poetry which are not supported by her elder brother. Her brother doesn’t even like her writing skills. She was physically tortured several times for doing these. She was sexually abused for several times. At the age of five or six years old, some of her playmates abused her. When she was in class seven her cousin tried the same way. During college life one of her uncles tried to abuse her also. She couldn’t tell these to her family with a fear of receiving disbelief of the family. When she was 15years, she had an affair with a boy. Then due to misunderstanding that broke up. When she was in college she again got involved with a boy only to pass time with that boy. Now she is having third affair. She is a graduate student. Since having all these she thinks that if she had got family support enough, there wouldn’t be so many problems. There was no history of psychiatric problem in her childhood and adolescence.
She is recently married and expecting her first child. She reports her husband is patient and caring and understands her past as a block in their relationship. She reports being hopeful for the future since she has been in America for 5 years now and wants a better life for her children. She currently works as an assistant advocate at the local college in the cultural and community center helping minority women navigate the college experience.
In clinical interview the client was asked the reason for referral, why she sought for help and how long the main complaint had persisted, when did the problem first occur, what was the subsequent development in her life (occupation, living with parents, at school), what were the impairments that have been produced by the her difficulties, how have she and others coped with the problem, what her belief about the problem, what was the attitude to her difficulties, what was her cognitive functioning, what was her prevailing mood, what was her background history, early development history, occupational and educational history, sexual history and what previous psychiatric, psychological or medical help she had taken. The client asked to find out and list up her main problems. Thought diary was applied to assess situation specific negative automatic thoughts (NATs) and corresponding emotion, physiological changes and behavior for the client. It was administered to identify the NATs about the social situation and the relation to changes in emotion, physical reaction, and behavior
Therapist conducted both type of measurement, subjective & objective measurement. In assessment session client mentioned her overall problems severity at ‘100’ point on (0-100) rating scale. For objective measure Depression scale was used to assess the severity of depression. The highest possible score of 30 items form of depression scale was 150 and the lowest possible score was 30. Higher score on the scale indicates high level of depression and lower score indicates low level of depression. Her anxiety was assessed on a scale of 0-10 through objective measurement questions as well. She scored an 8.
Consider what psychotherapy plan you would develop for this client. Incorporate additional therapy modalities with CBT if you feel they are valid in this case.
The plan should follow the template supplied. Fill in as much information as you have, for any other not provided state “information not provided”.
Review the case study (Word) of the client Alana.
You will read her history of treatment and formulate continuing care with a CBT approach.
Please use the Therapy Session SOAP and Psychotherapy Treatment Plan template (Word) (complete in its entirety; intake and treatment plan).
The attached Grading Rubric will be used to assess this assignment. Your paper should be prepared with appropriate grammar and spelling, cited in APA format, and completed in a Word document.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 6 Assignment
Term-Long Portfolio Project
As you have learned from several of your readings, diagnosis of a variety of psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments. This then aids you in defining a treatment plan and choosing specific therapy modalities to use in the care of your clients.
Each week, you will identify a standardized assessment instrument/tool to measure the disorders about which you will be reading. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms.
Additionally, you will record specific components of the therapy modality we are learning for the week. This will help solidify your new knowledge and allow you to make correlations between therapy modalities and to which diagnoses they can be applied or when they can be utilized in practice.
Instructions
Instrument/Tool criteria:
For each assessment you select, you will identify an instrument and:
Identify a scholarly, peer-reviewed article that addresses the use of the instrument.
Discuss if the instrument is appropriate for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.
Describe whether or not the instrument can be used to measure patient response to therapy/treatment.
Discuss the psychometrics/scoring of the instrument, including reliability and validity.
Discuss any limitations associated with the use of the instrument
Therapy Criteria:
Identify the therapy modality by name.
Identify the originator (creator) of specific modality.
Identify a specific diagnosis or population this modality is especially helpful with.
Note specific focus, emphasis, and/or goals of this modality.
Instruments/Tools for Diagnosis (one instrument/tool for each diagnosis):
Depression
CBT skills
Therapy Modalities (define criteria for each modality):
CBT
ACT
Use the Portfolio Template Assessment Instruments (Word) and Portfolio Template Therapy Modalities (Word) to complete your portfolio assignments. Your information can be in bulleted format, or just a couple sentences for each criteria listed above. However you must use APA citations. You are NOT required to write this in a paper format. Turn in one document for each week’s topics. (However, create a file on your desktop to compile your portfolio as you move through the term. This will ensure you can have easy access once you begin clinicals and practice.)
NU646 Theory and Practice of Contemporary Psychotherapies
Week 8 Assignment
Term-Long Portfolio Project
As you have learned from several of your readings, the diagnosis of a variety of psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments. This then aids you in defining a treatment plan and choosing specific therapy modalities to use in care of your clients.
Each week, you will identify a standardized assessment instrument/tool to measure the disorders about which you will be reading. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms.
Additionally, you will record specific components of the therapy modality we are learning for the week. This will help solidify your new knowledge and allow you to make correlations between therapy modalities and to which diagnoses they can be applied or when they can be utilized in practice.
Instructions
Instrument/ Tool Criteria:
For each assessment, you select, you will identify an instrument and:
Identify a scholarly, peer-reviewed article that addresses the use of the instrument.
Discuss if the instrument is appropriate for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.
Describe whether or not the instrument can be used to measure patient response to therapy/treatment.
Discuss the psychometrics/scoring of the instrument, including reliability and validity.
Discuss any limitations associated with the use of the instrument
Therapy Criteria:
Identify the therapy modality by name.
Identify the originator (creator) of specific modality.
Identify a specific diagnosis or population this modality is especially helpful with.
Note specific focus, emphasis, and/or goals of this modality.
Instruments/Tools for Diagnosis (one instrument/tool for each diagnosis):
Trauma: (use the ACEs Screening Tool)
PTSD
Therapy Modalities (define criteria for each modality):
Eye Movement Desensitization and Reprocessing
Dialectal Behavior Therapy (DBT)
Use the Portfolio Template Assessment Instruments (Word) and Portfolio Template Therapy Modalities (Word) to complete your portfolio assignments. Your information can be in bulleted format, or just a couple sentences for each criteria listed above. However, you must use APA citations. You are NOT required to write this in a paper format. Turn in one document for each week’s topics. (However, create a file on your desktop to compile your portfolio as you move through the term. This will ensure you have easy access once you begin clinicals and practice.)
ALL criteria must be present to receive credit.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 9 Assignment
Therapeutic Video Case: Perinatal Mood and Anxiety Disorders
Instructions
Read through the assigned case study for this week.
Perinatal Mood and Anxiety Disorders
For this session, focus on solution focused brief therapy, narrative, and/or feminist therapy modalities to engage with the client.
Solution Focused Brief Therapy: This type of therapy focuses on the here and now and breaks down each issue into small steps where solutions can be identified and implemented. It is a goal-directed and collaborative approach to change that is performed through observation of a client’s responses to a series of precisely constructed questions.
Narrative Therapy: This type of therapy allows the client to tell a story then reflect.
Feminist Therapy: This type of therapy focuses on societal, cultural, and political causes and solutions to issues faced by women or minority groups.
A very depressed 36-year-old African American woman named Mindy is referred to outpatient therapy five months after giving birth to her third child. She states she has two boys and the newest is a girl. She talks with a flat affect when describing her lack of interest in being a mother. She also expresses concern over recurring thoughts of seeing herself drop her baby, and cries as she discusses it, stating, “I would never hurt my baby. Why do I keep having images of dropping her down the stairs or in the bathtub? It is so distressing.” It has been difficult for her to get out of bed in the morning, and showering/hygiene has been poor. She presents to the appointment wearing leggings, an oversized shirt, very messy hair, and house slippers. She reports her husband is upset because he wants things to get back to "normal." She also expresses fear of letting others hold the baby, as she has similar images of dropping the baby during transfer to the other person.
She reports no complications during pregnancy or delivery, but states she was much more emotional this pregnancy but is unsure why. She reports she is breastfeeding and that this is the only piece of motherhood she feels she is coping well with. She cries more as she discusses missing her life before the third baby, and how her other two children were such good babies. She states, “This one . . . she just never sleeps. I can’t get any rest. I am so tired.” She struggles a great deal to transition to taking care of three children versus two and expresses she is a failure and things are never going to be “normal” again. She has decided not to return to her job as a financial advisor and, instead, has decided to stay home full time.
Her husband does accompany her to the clinic, but she reports to the session alone, leaving him and the baby in the waiting room.
Vitals:
136/78
98.2
20
74
99%
5’9”
178 lbs
Review the PMAD Fact Sheet (PDF).
Contact your Partner
Identify a time that both of you can meet online to record your video session. Allot about 60 minutes for discussion with your partner and the recording of the video.
Your partner groups were assigned in the first few weeks of the course. You will keep the same partner group throughout the entire semester. During the video session, you will both practice the assigned skills for this week, which are based on your readings, handouts, other weekly materials, and any additional resources provided. You will take notes during the session so you can complete a SOAP note.
During Your Meeting with Your Partner
Every practice therapy video session should include skills you used in prior weeks in the current video; don’t forget the skills you previously learned.
In your practice session, role play the case study with your partner using empathy and other skills you have reviewed this week. Your partner becomes the client. You play the role of the therapist.
Each partner will record a 15-minute video for the week using Zoom (see instructional video on how to record video at the beginning of the course). Provide a brief description (verbally) of the patient situation at the beginning of the video. (You do not need to read the entire case; simply state the title and one sentence as a summary.)
Video Recordings Need to Have the Following Components
The recording should show both you and the client during the entire session.
Both of your faces and body language should be shown.
Attire should be appropriate and professional.
Set up the room as if it were a therapy office (that is, chairs; quiet, private space).
The recording needs to be clear and audible. Ensure there is no background noise when you are recording.
The lighting of the room needs to be appropriate; that is, it should illuminate the faces of the client and the therapist.
After the Video Recording
After your recording is complete, follow these instructions to create an unlisted YouTube video. You will need the YouTube video URL for this assignment. Submit your YouTube video URL. The best way to do this is to copy and paste the hyperlink URL for the YouTube video into a Word document. Your faculty will access your video via the link. Do not upload a video file (mp4).
Then complete the SOAP Note and Reflection Template (Word) and turn it in to the assignment dropbox.
Please refer to the Grading Rubric for details on how this activity will be graded.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 9 Assignment
Session Reflection and SOAP Note
Instructions
This assignment should be completed only after you have posted the video in?Week 9 Assignment 1: Perinatal Mood and Anxiety Disorders
Your reflection should address all of the following questions, using 750 to 1,000 words. Appropriate spelling, grammar, and punctuation are required. Complete sentences are expected. All writing should be in your own words. Use APA references as needed to support your ideas; there is no requirement on the number of references to include. Be sure to use APA format.
Which skills did you use in the session? How?
How did the assigned Corey readings, PowerPoints, handouts, and videos inform your therapy session? Please explain in detail.
What were your strengths in the interview?
What were your weaknesses/areas in need of further development in the interview?
How could you improve your interviewing skills? Are there steps you plan on taking? What are those steps?
Was there any time when you felt stuck or uncertain how to respond? Describe what was happening then. Were there times you felt more confident in your responses with the client? Times you were less confident? How? Does this come through in the session?
How were you impacted by the client . . . your emotions, thoughts, physical reactions, transference, and countertransference, body language?
What was your overall response to the interview? Did you feel connected to the client? Distracted? Disengaged?
What was the quality of your engagement, your empathy?
If you were to continue seeing this particular client, what future directions would you take? How would you conceptualize the case and what would be some of your treatment goals? How would you pursue these goals?
In relation to your partner:
What were your partner’s strengths in the interview?
What were your partner’s weaknesses/areas in need of further development in the interview?
How could your partner improve his/her interviewing skills?
NU646 Theory and Practice of Contemporary Psychotherapies
Week 10 Assignment
Psychiatric Interview (Pediatric)
Overview
The purpose of this assignment is for you to complete a comprehensive psychiatric mental health assessment of a child/adolescent as practice for entry into PMHNP clinical practice and continued growth in interviewing skills throughout the term.
Instructions
To complete your assignment:
You will complete a comprehensive psychiatric mental health assessment of an child/adolescent. This should NOT be a patient you have encountered in your work but, instead, should be a family member or friend (who gives consent). You should note that all information will be confidential and that their private information will NOT be shared as part of this assignment. Your assessment should be comprehensive, and you should refer to course texts to inform items for inclusion in your assessment. Keep in mind that you will be responsible for covering those areas addressed in the reading assignments up to this point. The documentation should remain HIPAA-compliant even though this is not a real patient. (DO NOT USE REAL PATIENT IDENTIFIERS.)
The patient will be referred to as Jane Doe or Jack Doe.
Use the Initial Psychiatric SOAP Note Template (Word) to complete this assignment.
Please refer to the Grading Rubric for details on how this activity will be graded.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 11 Assignment
Therapeutic Video Case—Substance-Seeking Behaviors
Instructions
Read the assigned case study for this week.
Week 11: Xanax-Seeking Client
You are seeing a new client but have completed the majority of the initial interview. As you wrap up, you will move through some psychotherapy utilizing motivational interviewing to collect the remainder of the data.
Motivational interviewing (MI) practitioners are similar to guides; that is, someone who does not choose the destination but offers information about the paths the client might choose. The evoking (immediacy) phase of MI focuses on recognizing and reinforcing change talk and eliciting and strengthening change talk. It utilizes techniques for rolling with resistance. This week, you will be introduced to question-asking techniques that will elicit and clarify change talk using the OARS and DARN- CAT techniques.
You will be applying these techniques in the video recording this week and will discuss them in your peer and self-reflection.
Case Study
Because a patient, 36-year-old Hispanic-American male, Kevin , has been showing signs of addiction to Xanax, the primary care provider decides to discontinue the patient's Xanax prescription and refer for psychotherapy. The patient responds with anger, pleading that he can't function without the medication.
As you move through the initial assessment, the patient states that he had a back injury on the job. He works for a concrete company and fell into a prepped basement area before the concrete was poured. He had some pain meds during recovery and was given Xanax for increased anxiety. He states he enjoys his job very much and that he cannot lose it as he is the sole provider for his family.
He lives with his wife and twin boys, age eight. He stresses again that he works hard for his family and can’t afford to miss work due to anxiety so he needs the Xanax to function. He denies any substance abuse or past medical history other than the back injury eight months prior. He has no legal history and no military history. His extended family lives near, and he reports a pleasant childhood with continued support even still.
Vitals:
BP 138/90
HR 76
R 20
T 97.2
O2 99%
Pain 5 on 0– 10 scale (back pain)
Contact Your Partner
Identify a time that both of you can meet online to record your video. Allot about 60 minutes for discussion with your partner and the recording of the video.
Your partner groups are assigned in the first few weeks of the course. You will keep the same partner group throughout the entire semester. During the video session, you will both practice the assigned skills for this week, which are based on your readings, handouts, and other weekly materials.
During Your Meeting with Your Partner
Each session should include the skills you used in prior weeks in the current video; don’t forget the skills you previously learned.
In your practice session, role play the case study with your partner using empathy and other skills you have reviewed this week. Your partner becomes the client. You play the role of the therapist.
Each partner will record a 15-minute video for each week using Zoom (see the instructional video on how to record a video at the beginning of the course). Provide a brief description (verbally) of the patient situation at the beginning of the video.
Video Recordings Need to Have the Following Components
The recording should show both you and the client during the entire session.
Both of your faces and body language should be shown.
Attire should be appropriate and professional.
Set up the room as if it were a therapy office (that is, chairs; a quiet, private space).
The recording needs to be clear and audible. Ensure there is no background noise when you are recording.
The lighting of the room needs to be appropriate; that is, it should illuminate the faces of the client and the therapist.
After the Video Recording
After your recording is complete, follow these instructions to?create an unlisted YouTube video. You will need the YouTube video URL for this assignment. Submit your YouTube video URL. The best way to do this is to copy and paste the hyperlink URL for the YouTube video into a Word document. Your faculty will access your video via the link. Do not upload a video file (mp4).
Then, go to your Reflection and SOAP Note (after you have posted the video) to respond to the assigned journal questions and reflect on your interaction with the client.
Please refer to the?Grading Rubric?for details on how this activity will be graded.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 11 Assignment
Session Reflection and SOAP Note
Instructions
This assignment should be completed only after you have posted the video in Week 11 Assignment 1: Therapeutic Video Case—Substance-Seeking Behaviors.
Your reflection should address?all of?the following questions, using between 750 to 1,000 words. Appropriate spelling, grammar, and punctuation required. Complete sentences are expected. All writing should be in your own words. Use APA references as needed to support your ideas; there is no requirement on number of references to include. Be sure to use APA format.
Which skills did you use in the session? How?
How did the assigned Corey readings, PowerPoints, handouts, and videos inform your therapy session? Please explain in detail.
What were your strengths in the interview?
What were your weaknesses/areas in need of further development in the interview?
How could you improve your interviewing skills? Are there steps you plan on taking? What are those steps?
Was there any time when you felt stuck or uncertain how to respond? Describe what was happening then. Were there times you felt more confident in your responses with the client? Times you were less confident? How? Does this come through in the session?
How were you impacted by the client . . . your emotions, thoughts, physical reactions, transference, and countertransference, body language?
What was your overall response to the interview? Did you feel connected to the client? Distracted? Disengaged?
What was the quality of your engagement, your empathy?
If you were to continue seeing this?particular client, what future directions would you take? How would you conceptualize the case and what would be some of your treatment goals? How would you pursue these goals?
In relation to your partner:
What were your partner’s strengths in the interview?
What were your partner’s weaknesses/areas in need of further development in the interview?
How could your partner improve his/her interviewing skills?
SOAP Note:
Fill in the SOAP note in the template based on your session visit. This should be a follow-up note, as this session was NOT an initial interview.
NU646 Theory and Practice of Contemporary Psychotherapies
Week 13 Assignment
Therapeutic Video Case—Geriatric Safety Planning
Instructions
Read through the assigned case study for this week.
Week 13 – Lonely Client who Recently Experienced Loss
You are seeing a current client for a follow-up session with new developments after a recent loss. This is not an initial interview. For this session, focus on the interpersonal therapy modality to engage with the client
Interpersonal therapy –?This type of therapy focuses on relationships with other people and life transitions. It is based on the foundation that relationships are at the center of psychological problems.
Case Study: An isolated 70-year-old Asian man, Raymond, lost his wife six months ago. Though he has long disliked people, he now finds himself suffering "unbearable" loneliness. He states he hasn't considered suicide but has increased his alcohol consumption. He notes typically drinking "a six-pack every evening in order to stop thinking so that I can fall asleep." Before his wife passed, he had been sober for 20 years. He states he just feels like he is withering away and that he feels like he is almost dead.
Mr. Zing also remarks that, independent of his dizziness symptoms, he feels unsteady on his feet when walking. He has started using a cane but doesn’t like to use it inside. When asked about previous falls, he says he hasn’t fallen. However, he says his elderly neighbor recently fell and is now in a nursing home. Now he’s fearful about falling and becoming a burden to his family. Although Mr. Zing has spinal stenosis, a recent steroid injection has relieved severe low back pain. Now he suffers only from lower back stiffness for several hours in the morning. He denies any specific weakness in his legs.
Medical Problem list
Hypertension
L3-5 spinal stenosis and chronic low back pain and leg numbness/paresthesias
Depression
Benign prostatic hypertrophy, with 3-4x/night nocturia and occasional incontinence
Hyperlipidemia
Gastroesophageal reflux disease
B12 deficiency
Allergic rhinitis
Glaucoma
Nummular eczema
Medications
Valsartan 80 mg daily
Citalopram 40 mg daily
Flomax 0.8 mg at bedtime
Finasteride 5 mg daily
Lipitor 40 mg at bedtime
Omeprazole 20 mg daily
Cyanocobalamin 1 mg daily
Claritin 10 mg daily
Flonase nasal spray two puffs to each nostril daily
Gabapentin 300 mg tabs 2 tabs three times daily
Tylenol 500 mg one to two four times daily prn
Brimonidine tartrate 0.15% ophth 1 drop OU twice daily
Cosopt 2%-0.5% 1 drop OU at hs
Latanoprost 0.005% 2 drops OU at hs
Trazodone 25 mg at hs
Calcium carbonate 500 mg 1-2 tabs three times daily
Review of Systems
Positive for fatigue, poor vision in his left eye, constipation, nocturia three to four times a night, frequent urinary incontinence, low back stiffness, difficulty concentrating, depression, dry skin, hoarseness, and nasal congestion.
Vitals:
Supine – 135/76, 69; Sitting – 112/75, 76; Standing – 116/76, 74
R 20
T 96.8
O2 98%
Pain 3 on 0-10 scale
BMI: 19
Physical Exam Constitutional: This is a thin, alert, older Asian male in no apparent distress, pleasant and cooperative, but with a notably flat affect.
Head: Normocephalic / atraumatic.
ENMT: Wearing glasses.
Acuity 20/30 R, 20/70 L.
CV: Regular rate and rhythm normal S1/S2 without murmurs, rubs, or gallops.
Respiratory: Clear to auscultation bilaterally.
GI: Normal bowel tones, soft, non-tender, non-distended.
Musculoskeletal: Strength: UE strength 5/5 B biceps, triceps, deltoids; LE strength 4+/5 bilateral hip flexors and abductors; 4+/5 bilateral knee flexors/extensors; 5/5 bilateral AF/AE; 5/5 bilateral DF and PF. No knee joint laxity. Foot exam shows no calluses, ulcerations, or deformities.
Neurology: Cognitive screen: recalled 3/3 items. Whisper test for hearing: Intact. Tone/abnormal movements: Tone is mildly increased in both legs; normal tone in both arms. Sensation is intact to light touch and pain throughout. Reflexes are normal and symmetric.
Psych: PHQ-2 = 4/6.
Contact Your Partner
Identify a time that both of you can meet online to record your video. Allot about 60 minutes for discussion with your partner and the recording of the video.?
Your partner groups were assigned in the first few weeks of the course . You will keep the same partner group throughout the entire semester. During the video session, you will both practice the assigned skills for this week, which are based on your readings, handouts, and other weekly materials.?
During Your Meeting with Your Partner?
Each session should include the skills you used in prior weeks in the current video; d on’t forget the skills you previously learned .?
In your practice session, role play the case study with your partner using empathy and other skills you have reviewed this week. Your partner becomes the client. You play the role of the therapist.?
Each partner will record a 15-minute video for each week using Zoom (see the instructional video on how to record a video at the beginning of the course). Provide a brief description (verbally) of the patient situation at the beginning of the video.?
Video Recordings Need to Have the Following Components?
The recording should show both you and the client during the entire session.?
Both of your faces and body language should be shown.?
Attire should be appropriate and professional.?
Set up the room as if it were a therapy office (that is, chairs; a quiet, private space).?
The recording needs to be clear and audible. Ensure there is no background noise when you are recording.?
The lighting of the room needs to be appropriate; that is, it should illuminate the faces of the client and the therapist.?
After the Video Recording?
After your recording is complete, follow these instructions to?create an unlisted YouTube video. You will need the YouTube video URL for this assignment. Submit your YouTube video URL. The best way to do this is to copy and paste the hyperlink URL for the YouTube video into a Word document. Your faculty will access your video via the link. Do not upload a video file (mp4).
Then, go to your Reflection and SOAP Note (after you have posted the video) to respond to the assigned journal questions and reflect on your interaction with the client.
