Psychotherapy for Addictive Disorders “A long-standing debate has roiled over whether addicts have a choice over their behaviors. The disease creates distortions in thinking, feelings, and perceptions, which drive people to behave in ways that are not understandable to others around them. Simply put, addiction is not a choice. Addictive behaviors are a manifestation of the disease, not a cause." –Dr. Raju Hajela, former president of the Canadian Society of Addiction Medicine A common misconception is that addiction is a choice, and addicts are often labeled as individuals who lack morals, willpower, or responsibility. However, addiction is a clinical disorder that must be treated with the support of a health care professional. Although many people who are exposed to potentially addictive substances and behaviors continue life unaltered by their experiences, some people are fueled by these experiences and spiral out of control. In your role as the psychiatric mental health nurse practitioner, you must be prepared to not only work with these individuals who struggle with addiction, but also help them and their families overcome the social stigmas associated with addictive behavior. This week, as you explore psychotherapy for addiction, you assess clients presenting with addictive disorders. You also examine therapies for treating these clients and consider potential outcomes. Finally, you develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients. Learning Objectives Students will: · Develop diagnoses for clients receiving psychotherapy* · Evaluate the efficacy of motivational interviewing techniques for clients* · Analyze legal and ethical implications of counseling clients with psychiatric    disorders*    Select a client whom you observed or counseled this week. 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 motivational interviewing would be effective with this client.       Include expected outcomes based on this therapeutic approach. Support your      approach with evidence-based literature. ·  Explain any legal and/or ethical implications related to counseling this client. ·  Support your approach with evidence-based literature. · NOTE: PLEASE SEE 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. 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 Com.

1. Psychotherapy for Addictive Disorders
“A long-standing debate has roiled over whether addicts have a
choice over their behaviors. The disease creates distortions in
thinking, feelings, and perceptions, which drive people to
behave in ways that are not understandable to others around
them. Simply put, addiction is not a choice. Addictive behaviors
are a manifestation of the disease, not a cause."
–Dr. Raju Hajela, former president of the Canadian Society of
Addiction Medicine
A common misconception is that addiction is a choice, and
addicts are often labeled as individuals who lack morals,
willpower, or responsibility. However, addiction is a clinical
disorder that must be treated with the support of a health care
professional. Although many people who are exposed to
potentially addictive substances and behaviors continue life
unaltered by their experiences, some people are fueled by these
experiences and spiral out of control. In your role as the
psychiatric mental health nurse practitioner, you must be
prepared to not only work with these individuals who struggle
with addiction, but also help them and their families overcome
the social stigmas associated with addictive behavior.
This week, as you explore psychotherapy for addiction, you
assess clients presenting with addictive disorders. You also
examine therapies for treating these clients and consider
potential outcomes. Finally, you develop diagnoses for clients
receiving psychotherapy and consider legal and ethical
implications of counseling these clients.

2. Learning Objectives
Students will:
· Develop diagnoses for clients receiving psychotherapy*
· Evaluate the efficacy of motivational interviewing techniques
for clients*
· Analyze legal and ethical implications of counseling clients
with psychiatric
disorders*
Select a client whom you observed or counseled this week.
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 motivational interviewing would be effective
with this client.
Include expected outcomes based on this therapeutic
approach. Support your
approach with evidence-based literature.

3. · Explain any legal and/or ethical implications related to
counseling this client.
· Support your approach with evidence-based literature.
· NOTE: PLEASE SEE 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.
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 7, “Motivational Interviewing” (pp. 299–312)
Chapter 16, “Psychotherapeutic Approaches for Addictions
and Related Disorders” (pp. 565–596)
American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author.
Albrecht, U., Kirschner, N. E., & Grusser, S. M. (2007).

4. Diagnostic instruments for behavioral addiction: An overview.
German Medical Science Psycho-Social-Medicine
, 4, 1–11. Retrieved from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2736529/
Fisher, M. A. (2016). The ethical ABCs of conditional
confidentiality. In
Confidentiality limits in psychotherapy: Ethics checklists for
mental health professionals
(pp. 13–25). Washington, DC: American Psychological
Association. doi:10.1037/14860-002
PLEASE, PAY ATTENTION TO THE QUESTIONS AND
INCLUDE OTHER NEEDED INFORMATION THAT WERE
NOT ADDED IN THE EXAMPLE