Practicum Experience Time Log and Journal Template Essay Assignment

Practicum Experience Time Log and Journal Template Essay Assignment

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*

Select a client whom you observed or counseled that suffers from a disorder related to trauma. 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. Practicum Experience Time Log and Journal Template Essay Assignment

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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.

Practicum Experience Time Log and Journal Template Required 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 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.

Required Media

Laureate Education (Producer). (2012a). Academic year in residence: Thompson family case study [Multimedia file]. Baltimore, MD: Author.

 

Ochberg, F. (2012). Psychotherapy for chronic PTSD [Video file]. Mill Valley, CA: Psychotherapy.net.

Optional Resources

Substance Abuse and Mental Health Services Administration. (2012). Behavioral health issues among Afghanistan and Iraq U.S. war veterans. In Brief, 7(1), 1–7. Retrieved from http://store.samhsa.gov/shin/content//SMA12-4670/SMA12-4670.pdf Practicum Experience Time Log and Journal Template Essay Assignment.

 

Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach. Rockville, MD: Author. Retrieved from http://store.samhsa.gov/shin/content//SMA14-4884/SMA14-4884.pdf Practicum Experience Time Log and Journal Template Essay Assignment

 

Wolpe, J. (n.d.). Joseph Wolpe on systematic desensitization [Video file]. Mill Valley, CA: Psychotherapy.net.

Bruce, T., & Jongsma, A. (2010b). Evidence-based treatment planning for post-traumatic stress disorder [Video file]. Mill Valley, CA: Psychotherapy.net.

Wilson, R. (2012). Exposure therapy for phobias [Video file]. Mill Valley, CA: Psychotherapy.net.

Optional Resources

Substance Abuse and Mental Health Services Administration. (2012). Behavioral health issues among Afghanistan and Iraq U.S. war veterans. In Brief, 7(1), 1–7. Retrieved from http://store.samhsa.gov/shin/content//SMA12-4670/SMA12-4670.pdf

 

Substance Abuse and Mental Health Services Administration. Practicum Experience Time Log and Journal Template Essay Assignment. (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach. Rockville, MD: Author. Retrieved from http://store.samhsa.gov/shin/content//SMA14-4884/SMA14-4884.pdf

 

Wolpe, J. (n.d.). Joseph Wolpe on systematic desensitization [Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 59 minutes.

 

Bruce, T., & Jongsma, A. (2010b). Evidence-based treatment planning for post-traumatic stress disorder [Video file]. Mill Valley, CA: Psychotherapy.net. Practicum Experience Time Log and Journal Template Essay Assignment.

 

Wilson, R. (2012). Exposure therapy for phobias [Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 95 minutes.

SAMPLE TEMPLATE FOR THE PRATICAUM ASSIGNMENT

 

Student Name:

 

E-mail Address:

 

Practicum Placement Agency’s Name

Preceptor’s Name:

 

Preceptor’s Telephone:

 

Preceptor’s E-mail Address:

 

 Demographics: The client is a 29-year-old single, African American male who is unemployed. He lives alone in one bedroom apartment subsided by the county administration .He seems proficient in English.  The patient lives alone in a low income urban city in the North. The client reported that he is of Methodist faith and goes to church when he able to go. Practicum Experience Time Log and Journal Template Essay Assignment.

Presenting Problems: The client states, “I have been feeling more depressed recently, I’m not happy with that area I’m living in.”

History of Present Illness: The client is alert and oriented to person, place, time, and situation. He reports that he moved to this apartment complex subsided by the county administration six weeks ago. He is not able to sleep at night because his next door neighbor plays loud music all night that bothers him. I do not feel like doing feel like reading or watch television which I enjoy doing. Usually he sleeps for 6 to 8 hours. But since the move he has been having problem sleeping. This has been going on for the past 5 weeks. Practicum Experience Time Log and Journal Template Essay Assignment.

Past Psychiatric History: The client has been feeling the symptoms of depression since the age of 20. He has had two-inpatient hospitalization for the symptoms of depression. The most recent hospitalization was on 01/20/2017 at the County hospital. He mentioned that he was placed on Lexapro 10 mg every morning and it really worked for him. Patient attended one dialectical behavioral therapy (DBT) class a month ago, but believes it will not help him and the class is “boring.”

Medical History: The client has had two inpatient hospitalization in the past. He does not have any known drug or food allergies. All his immunization are up-to-date.  The patient received the influenza vaccination on 01/06/17. He denies having Hypertension and diabetes, head trauma, seizures. He had his annual physical examination on 03/07/2017.Denies any pain, distress or discomfort.

Substance Abuse History: He denies the use of illicit drug in the past.

Differential Diagnosis:

  • Mood disorder due to another medical condition-After care review of the individual history, physical examination, and laboratory findings there is no reason to include this as a diagnosis (Association, 2013). The patient is otherwise healthy and all lab results were WNL. Practicum Experience Time Log and Journal Template Essay Assignment.
  • Substance/medication-induced depressive disorder-The patient has a previous substance abuse history that included marijuana and alcohol; however the patient has not abused marijuana in 8 years and only drinks alcohol on occasion. In this depressive disorder the depressed mood occurs as a result of withdrawal from a substance (Association, 2013).
  • Adjustment disorder with depressed mood-The full criteria for MMD are not met in adjustment disorder (Association, 2013)Practicum Experience Time Log and Journal Template Essay Assignment.

DSM-5 Diagnosis:

Major Depressive Disorder 296.31

According to Diagnostic and Statistical Manual (DSM) criteria for major depressive disorder is the occurrence of one or more depressive episodes; the client has had two-inpatient hospitalization as a result of symptoms of depression. The client has experienced depression since age 20 years. The client experiences the depression throughout the day and present with flat affect and monotone. The client reports sleeping 4-5 hours a day. Practicum Experience Time Log and Journal Template Essay Assignment.

 

INDIVIDUALIZED TREATMENT PLAN

Medications:

Lexapro                      10mg  1tab PO QAM            Depression

The dosage was chosen because this is medication that is indicated for major depressive disorder.  Since the patient is normal weight I chose to start the patient at the lowest possible dose and see if his symptoms are better on this dose. Lexapro belongs to a drug class called selective serotonin reuptake inhibitors (SSRI). SSRI are absorbed slowly and undergo little first-pass effect. All SSRIs affect CYP450 metabolizing enzyme and will affect the metabolism of other drugs metabolized by this system (Procyshyn, Bezchlibnyk-Butler, & Jeffries, 2015).

 

Referrals with rationales: The client will return to the outpatient clinic as scheduled for a routine follow up in three weeks. Three weeks is enough time to evaluate the course of the medication and to determine if there needs to be any medication adjustments. The patient is referred to Dialectical behavior therapy (DBT). DBT will help the patient learn and utilize coping skills in the community. This can be used in addition to the pharmacologic intervention. Practicum Experience Time Log and Journal Template Essay Assignment.

 

Therapy with rationales: DBT-A standard DBT program includes individual therapy, skills groups, phone coaching, and a DBT consultation team for the treatment providers. Within the individual treatment, the therapist adheres to a treatment hierarchy addressing the following behaviors in order: life threatening, treatment interfering, and quality of life interfering behaviors (Cook & Gorraiz, 2015).

Legal and Ethical Implications of Counseling these Clients

The legal and ethical implications of counseling these clients include protecting their confidentiality and boundaries (Laureate Education, 2015a). Clients undergoing psychotherapy are often embedded in different services and might not understand the importance of the counseling relationship. While the clients may provide personal information freely, it is important to sensitize them on their boundaries and protect their confidentiality. Practicum Experience Time Log and Journal Template Essay Assignment. Before sharing client’s information with friends or family members, it is important to discuss the same with the client, failure to which would result in violation of privacy rights.

Counselors including advanced nurse practitioner need to remain updated on the ethical and legal issues associated with counseling. The ethical implication of offering counseling to these clients is that assistance is provided for patients to cope with their diagnosis and deal with their emotional and psychological concerns. Through counseling, clients explore different ways to address their health condition and lead a normal life. Furthermore, counseling helps clients to cope with lifestyle changes associated with their diagnosis and treatment. Ethically, counselors should provide a physically safe setting for clients (Kaplan, 2014, 143). Counselors should also consider the effects of advice given to a client on family and other third-parties. In the aspect of legal issues, counselors should minimize the risks and bad outcomes associated with counseling. Some of the legal issues include confidentiality of patient information and data protection. Record keeping is another necessity in case the records of a client are required in court. Breach of ethical and legal duties might lead to the intervention of the law.

Practicum Experience Time Log and Journal Template References

Association, A. P. (2013). Diagnostic and statistical manual of mental disorders, 5th edition (DSM-5) (5th ed.). Washington, DC, United States: American Psychiatric Publishing. Practicum Experience Time Log and Journal Template Essay Assignment.

Cook, N. E., & Gorraiz, M. (2015). Dialectical behavior therapy for nonsuicidal self-injury and depression among adolescents: Preliminary meta-analytic evidence. Child and Adolescent Mental Health. doi:10.1111/camh.12112

Kaplan, D. M. (2014). Ethical implications of a critical legal case for the counseling profession: Ward v. Wilbanks. Journal of Counseling & Development, 92(2), 142-146.

Kraus, S. W., Potenza, M. N., Martino, S., & Grant, J. E. (2015). Examining the psychometric properties of the Yale–Brown Obsessive–Compulsive Scale in a sample of compulsive pornography users. Comprehensive psychiatry, 59, 117-122.

Laureate Education (Producer). (2015a). Counseling competencies—the application of ethical guides and laws to record keeping [Video file]. Baltimore, MD: Author

Merikangas, K. R., He, J.-P., Brody, D., Fisher, P. W., Bourdon, K., & Koretz, D. S. (2010). Prevalence and treatment of mental disorders among US children in the 2001-2004 NHANES. Pediatrics, 125, 75-81. doi:10.1542/peds.2008- 2598

Procyshyn, R. M., Bezchlibnyk-Butler, K. Z., & Jeffries, J. J. (Eds.). (2015). Clinical handbook of Psychotropic drugs: 2015. Canada: Hogrefe Publishing. Practicum Experience Time Log and Journal Template Essay Assignment.

Substance Abuse and Mental Health Services Administration. (2011). Major depressive episode and treatment among adolescents: 2009. Rockville, MD: Author

Time Log

List the objective(s) met and briefly describe the activities you completed during each time period. If you are not on-site for a specific week, enter “Not on site” for that week in the Total Hours for This Time Frame column. Journal entries are due in Weeks 4, 8, and 11; include your Time Log with all hours logged (for current and previous weeks) each time you submit a journal entry. Practicum Experience Time Log and Journal Template Essay Assignment.

You are encouraged to complete your practicum hours on a regular schedule, so you will complete the required hours by the END of WEEK 11.

Time Log
Week Dates Times Total Hours for This
Time Frame
Activities/Comments Learning Objective(s) Addressed
2 09/06/2017 7am-6pm 10 Mental status examination, Intake and assessment. Psychotherapy, medication management. Practicum Experience Time Log and Journal Template Essay Assignment. Mental status examination performed, Mini Mental State Examination performed. Beck Depression Scale was used. Initiation of psychotherapy, medication education.
09/07/2017 7am-6pm 10 Mental status examination, Intake and assessment. Psychotherapy, medication management Mental status examination performed, Mini Mental State Examination performed. Beck Depression Scale was used. Initiation of psychotherapy, medication education.

 

Total Hours Completed: 20 hours

 

Journal Entries

  • Include references immediately following the content.
  • Use APA style for your journal entry and references. Practicum Experience Time Log and Journal Template Essay Assignment.