course material

1. Practicum – Week 5 Journal Entry
Practicum – Week 5 Journal Entry Learning ObjectivesStudents 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* The Assignment 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.· 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. Learning ResourcesRequired ReadingsWheeler, 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 MediaLaureate 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: PLEASE SEE AND PAY ATTENTION TO THE
ATTACHED Practicum Journal Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL
ENTRIES) FOR WRITING THIS ASSIGNMENT…..ALSO FOR THE TIME LOG AND JOURNAL
ENTRIES, JUST MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION IN
MENTAL HEALTH NURSING.Expert Solution PreviewIntroduction: In this journal entry
assignment, students are required to describe a client who is suffering from a disorder
related to trauma, identify their pertinent medical history and explain and justify their
diagnosis using DSM-5. They are also required to evaluate whether any of the therapeutic
approaches mentioned in the learning resources would be effective with the client and
explain the legal and ethical implications related to counseling them.1. Describe the client
and identify any pertinent history or medical information, including prescribed
medications.To comply with HIPAA regulations, I cannot provide real client information.
Therefore, let’s consider a hypothetical client, John, who is a 35-year-old male. According to

2. the information provided by John, he has a history of childhood trauma and has been
experiencing nightmares, flashbacks, intrusive thoughts, and anxiety attacks. He has been
prescribed anti-depressants and anti-anxiety medications by his primary care physician.2.
Using DSM-5, explain and justify your diagnosis for this client.Based on the symptoms and
medical history provided by John, it can be concluded that he is suffering from post-
traumatic stress disorder (PTSD). The DSM-5 diagnostic criteria for PTSD include exposure
to actual or threatened death, serious injury, or sexual violence through direct experience,
witness, or learning about the event; intrusive symptoms like flashbacks, nightmares, and
intrusive thoughts; avoidance of stimuli associated with the trauma; negative changes in
mood and cognition, such as persistent negative beliefs and blame about oneself; and
hyperarousal symptoms, including irritability, hypervigilance, and exaggerated startle
response. John meets all the criteria for PTSD, and thus, the diagnosis of PTSD is justified for
him.3. Explain whether any of the therapeutic approaches in this week’s Learning
Resources would be effective with this client.There are different therapeutic approaches
available for treating PTSD, and among them, cognitive-behavioral therapy (CBT) is the
most widely used and effective treatment. The specific type of CBT recommended for
treating PTSD is prolonged exposure therapy, which involves exposing the client to the
memories and triggers associated with the traumatic event(s) in a safe and controlled
environment, and helping them to process and cope with the anxiety and distress that
arises during this process. Another effective therapeutic approach is eye movement
desensitization and reprocessing (EMDR), which involves recalling the traumatic event(s)
while following a visual or auditory stimulus that helps to desensitize the emotional
response associated with those memories. Both CBT and EMDR have evidence-based
literature to support their effectiveness in treating PTSD, and thus, they could be effective to
alleviate John’s PTSD symptoms.4. Explain any legal and/or ethical implications related to
counseling this client.As a medical professional, it is important to be aware of the legal and
ethical implications of treating clients with psychiatric disorders, especially those who have
a history of trauma. It is crucial to maintain confidentiality and protect the client’s privacy,
as any breach of privacy can have legal consequences. Furthermore, the therapist must
ensure that the client is fully informed about the nature and purpose of the treatment, the
risks and benefits involved, and their right to refuse or stop the treatment at any point. In
case the client exhibits any suicidal or harmful behaviors, it is the therapist’s ethical
responsibility to report and provide necessary interventions to ensure the client’s safety.
Lastly, the therapist must maintain a non-judgmental and empathetic attitude towards the
client and respect their autonomy to make decisions about their treatment.#Practicum
#Week #Journal #Entry