NRNP 6640: Psychotherapy With Individuals
Week 5
IntroductionResourcesDiscussionWeek in Review
NRNP 6640: Psychotherapy With Individuals
Week 5: Psychotherapy With Trauma
Disorders resulting from trauma are significantly different from other psychiatric mental health issues. Unlike disorders such as schizophrenia or major depressive disorder, trauma-related disorders do not occur randomly in the population. Instead, trauma is something that occurs as a result of the lived experience of a traumatic event. According to the National Center for PTSD, more than half of the population will experience trauma during their lifetime (National Center for PTSD, 2010). Although most people will recover from the trauma on their own, some require therapeutic interventions. While there are medications that can help individuals with trauma and posttraumatic stress disorder (PTSD), the foundation of treatment continues to be psychotherapy.
This week, as you explore psychotherapy with trauma, you assess clients presenting with posttraumatic stress disorder. You also examine therapies for treating these clients and consider potential outcomes.
Photo Credit: RoosterHD/Creatas Video/Getty Images
Learning Resources
Required Readings
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
Standard 3 “Outcomes Identification” (pages 48-49)
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 https://store.samhsa.gov/product/Behavioral-Health-Issues-Among-Afghanistan-and-Iraq-U-S-War-Veterans/SMA12-4670
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 https://store.samhsa.gov/system/files/sma14-4884.pdf
Wolpe, J. (n.d.). Joseph Wolpe on systematic desensitization [Video file]. Mill Valley, CA: Psychotherapy.net.
Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 59 minutes.
Bruce, T., & Jongsma, A. (2010b). Evidence-based treatment planning for post-traumatic stress disorder [Video file]. Mill Valley, CA: Psychotherapy.net.
Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 74 minutes.
Wilson, R. (2012). Exposure therapy for phobias [Video file]. Mill Valley, CA: Psychotherapy.net.
Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 95 minutes.
Discussion: Posttraumatic Stress Disorder
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.
By Day 6
Respond to at least two of your colleagues by providing one alternative therapeutic approach. Explain why you suggest this alternative and support your suggestion with evidence-based literature and/or your own experiences with clients.
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Thompson Family Case Study
Student’s Name
Institutional Affiliation
Course
Professor’s Name
Date
Thompson Family Case Study
Within the case study of the Thompson family, William considers multiple identifiers that connect to PTSD that is Post Traumatic Stress Disorder diagnosis. Regarding DSM-5, that is, Diagnosis and statistical manual, the uncovering to the threatened or exact death, sexual violence, and critical injury includes the significant criteria or standards for the particular Diagnosis, especially among the adults (Thompson family case study, 2012). Consequently, the client within this context involves William, who happened to be a veteran in Iraq and experiences a critical situation through the particular war. Also, through a particular case study, the client seems to assume the diagnosis process: PTSD. According to the State ‘states’ mental institutes, circumventing feelings and thoughts connecting to a traumatic incident or situation indicates PTSD classic symptoms. According to the case, the client also does not recognize the Diagnosis associated with him (Wheeler, 2014). Such behaviors are additionally typical in other disorders related to drugs as well. Considering this, William is also an alcohol addict, which has impacted his job and, in turn, increased stress through his overall life and family.
Therefore, the therapeutic strategy to consider though this situation involves CBT is cognitive behavior therapy. This process has been proved and acknowledged to treat clients with PTSD (Ochberg, 2012) effectively. For instance, this therapeutic process shows progress in reducing the negative signs and improving their functioning through their daily lives. Considering specific institutes of mental health like NIMH, clients’ preferred treatment with PTSD involved psychotherapy, and medication therapy. Consequently, the initial line treatment for the involved clients includes SSRI’sSSRI’s like the daily Sertraline 25 mg PO. Moreover, this medication has been under numerous studies and has revealed clinical effectiveness amongst the active group. Therefore, after the medications, the client will show improvement, considering the impairment throughout daily life.
Reference
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.
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.
References
