Assignment 1: Practicum – Week 8 Journal Entry Paper

Assignment 1: Practicum – Week 8 Journal Entry Paper

This week, you complete a two-part journal entry.
Learning Objectives
Students will:
• Develop diagnoses for clients receiving psychotherapy*
• Evaluate efficacy of existential-humanistic therapy for clients*
• Analyze legal and ethical implications of counseling clients with psychiatric disorders*
• Analyze clinical supervision experiences*

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* The Assignment related to this Learning Objective is introduced this week and submitted in Week 10.
For Part 1, select a client whom you observed or counseled this week (other than the client used for this week’s Discussion). Then, address the following in your Practicum Journal: Assignment 1: Practicum – Week 8 Journal Entry Paper
• Describe the client and identify any pertinent history or medical information, including prescribed medications.
Information about the client as follows: Pt is a 67year old black African American male in a nursing home.
Psychiatric Diagnosis of Bipolar disorder I, anxiety and depression.
Medical diagnosis: CVA with left side weakness, Hypertension, hyperlipidemia.
Psych Medication:
Seroquel 50mg at bedtime- Bipolar disorder
Ativan 1mg PO at bedtime for anxiety
Trazodone 100mg PO at bedtime for depression with insomnia
Chief complaint: Pt with symptoms of depression and thinks his health is not improving in terms of muscle strength weakness. Complain about sleep disturbance. Get angry at times with staff at nursing home when care is done well. C/o somatic pains to legs
Social history: Divorced. Former smoker. Alert and oriented x3. Speech clear. No auditory hallucination. or suicidal ideation . Mood is slightly depressed. Speech is coherent and goal directed.. Energy and appetite is low. Pt feels family ( especially his adopted daughters have abandoned him as they are leaving with the ex-wife and do not come to visit him any longer.  Assignment 1: Practicum – Week 8 Journal Entry Paper

• Using the DSM-5, explain and justify your diagnosis ( Psychiatric Diagnosis of Bipolar disorder I and depression )for this client. Main diagnosis should be Bipolar I with depression
• Explain whether existential-humanistic therapy would be beneficial with this client. Include expected outcomes based on this therapeutic approach.
• Explain any legal and/or ethical implications related to counseling this client.
• Support your approach with evidence-based literature.
Assignment 1: Practicum – Week 8 Journal Entry Paper
For Part 2, reflect on your clinical supervision experiences. Then, address the following in your Practicum Journal:
• How often are you receiving clinical supervision from your preceptor? ( 3 TIMES A WEEK )
• What are the sessions like? ( RECEIVED SESSION (1HR SECTION ) BEFORE PRACTICUM HOURS ON THE TYPE OF PATIENT WITH DIAGNOSIS AND PSYCHOTHERAPY APPROPRIATE TO USE), TEACHINGS IN BETWEEN EACH PATIENT COUNSELING
• What is the preceptor bringing to your attention? – Talk about psychotherapy for clients
• How are you translating these sessions to your clinical practice? Assignment 1: Practicum – Week 8 Journal Entry Paper