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Assignment: Practicum – Week 8 Journal Entry Lea

Assignment: Practicum – Week 8 Journal Entry Learning Objectives Students will: • Develop effective documentation skills for group therapy sessions * • Develop diagnoses for clients receiving group psychotherapy * • Evaluate the efficacy of cognitive behavioral therapy for groups * • Analyze legal and ethical implications of counseling clients with psychiatric disorders * * The Assignment related to this Learning Objective is introduced this week and submitted in Week 10. Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session. Then, in your Practicum Journal, address the following: • Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session. • Describe each 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 each client. • Explain whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach. • Explain any legal and/or ethical implications related to counseling each client. • Support your approach with evidence-based literature. Week 8: Cognitive Behavioral Therapy for Groups CBT is the most widely researched psychotherapeutic model with demonstrated effectiveness in the treatment of a wide range of emotional and behavioral problems. CBT is the first order of business and treatment of choice for most patients who need internal resources and coping skills enhanced. —Dr. Sharon M. Freeman Clevenger, Psychotherapy for the Advanced Practice Psychiatric Nurse Although designed for therapy with individuals, cognitive behavioral therapy (CBT) has also proven effective in group settings. With its many benefits, including cost-effectiveness and efficiency, this therapeutic approach allows the psychiatric mental health nurse practitioner to effectively treat a greater number of clients in a relatively short length of time. With the widespread use of CBT with groups, it is important for you to understand how to use this therapeutic approach in clinical settings. This week, as you explore CBT for groups, you compare CBT in group and family settings. You also develop diagnoses for clients receiving group psychotherapy and consider legal and ethical implications of counseling these clients. Learning Resources Required Readings Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books. • Chapter 11, “In the Beginning” (pp. 309–344) Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books. • Chapter 12, “The Advanced Group” (pp. 345–390) American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Bjornsson, A. S., Bidwell, L. C., Brosse, A. L., Carey, G., Hauser, M., Mackiewicz Seghete, K. L., & … Craighead, W. E. (2011). Cognitive-behavioral group therapy versus group psychotherapy for social anxiety disorder among college students: A randomized controlled trial. Depression and Anxiety, 28(11), 1034-1042. doi:10.1002/da.20877 Safak, Y., Karadere, M. E., Ozdel, K., Ozcan, T., Türkçapar, M. H., Kuru, E., & Yücens, B. (2014). The effectiveness of cognitive behavioral group psychotherapy for obsessive-compulsive disorder. Turkish Journal of Psychiatry, 25(4), 225-233.

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