Weeks 9 & 10 Journal Entries and Journal Submission.

PRAC 6640: Psychotherapy With Individuals Practicum Week 10 Assignment: Practicum – Weeks 9 & 10 Journal Entries and Journal Submission Develop diagnoses for clients receiving psychotherapy Analyze legal and ethical implications of counseling clients with psychiatric disorders Analyze how nursing and counseling theories guided personal practice in psychotherapy Reflect on your overall practicum experience in this course.Weeks 9 & 10 Journal Entries and Journal Submission.

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Then, address the following in your Practicum Journal: Explain whether your therapeutic theory has changed as a result of your practicum experiences. Recall the theories you selected in Week 1. Explain how you integrated the therapeutic approaches from this course in your clinical practice. Include how this helped you achieve the goals and objectives you developed in Week 1. Explain how you might impact social change through your work with clients who have mental health issues. Support your approach with evidence-based literature. References Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse:Weeks 9 & 10 Journal Entries and Journal Submission. A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. Tiziana C. Callari, Louise Moody, Janet Saunders, Gill Ward, Julie Woodley. (2020) Stakeholder Requirements for an Ethical Framework to Sustain Multiple Research Projects in an Emerging Living Lab Involving Older Adults. Journal of Empirical Research on Human Research Ethics 15:3, pages 111-127. Linda Battistuzzi, Chris Papadopoulos, Tetiana Hill, Nina Castro, Barbara Bruno, Antonio Sgorbissa. (2020) Socially Assistive Robots, Older Adults and Research Ethics: The Case for Case-Based Ethics Training. International Journal of Social Robotics 2. Reyhan Arslan. (2018) A Review on Ethical Issues and Rules in Psychological Assessment. Journal of Family, Counseling and Education 3:1, pages 17-29. Wendy Killam, Bill Weber. (2014) Career Adaptation Wheel to Address Issues Faced by Older Workers. Adultspan Journal 13:2, pages 68-78. https://dsm-psychiatryonline-org.ezp.waldenulibrary.org/doi/book/10.1176/appi.books.9780890425596.Weeks 9 & 10 Journal Entries and Journal Submission.

Weeks 9 & 10 Journal Entries and Submission

Reflection on overall practicum experience

The practicum offered an opportunity to practice concepts learned in the class interactions with tutors. It offered a view a practical view of a career that I expect to be rewarding with a focus on lifetime learning, acceptance and giving. It has been a priceless glimpse into personal and professional truths. Firstly, I have learned to be adaptable to the situation and not have a rigid plan. I must confess that although I am typically intent on controlling things round me with plans, I have learned to be more adaptable to the changing situations. Humans are not always predictable, and it is prudent to allow for the unpredictability when offering psychiatric care.Weeks 9 & 10 Journal Entries and Journal Submission. Weeks 9 & 10 Journal Entries and Journal Submission.Besides that, clients have their own truths that may not appear logical or objective, but must be accepted. Given that the objective of psychotherapy is to improve life, then a client’s subjective truth cannot be considered a lie, and would be perceived as simply a different perspective on the truth. This awareness has helped me to better understand my clients and meet their unique psychotherapy needs (Wheeler, 2014).Weeks 9 & 10 Journal Entries and Journal Submission.

Secondly, I have learned that psychotherapy is a growing science and practice best supported by continued research, understanding the unique client populations, practicing in different settings, and constantly reviewing past practices. Although having certification and licensure is an impotent step for delivering competent practice, there is a need to have an inquisitive attitude that is always looking for opportunities. I learned this from observing the more experienced and knowledgeable psychotherapists who admitted that they are always learning. Similarly, I must always learn in order to remain relevant in the in my career and make meaningful change to client populations (Wheeler, 2014).

Thirdly, I have learned that different counseling theories have salient features that would resonate with me in different situations. Prior to the practicum, I thought that I would primarily focus on psychodynamic/psychoanalysis theory, cognitive theory, and behavioral theory. Although I still closely identify with the three theories, I am thankful for my knowledge of integrative/holistic theory and humanistic theory as they have improved my practice. A combination of the concepts acquired from the different theories are sometimes more congruent with the needs of my clients. This has allowed me to be more open to what works for my clients (Gehart, 2016).Weeks 9 & 10 Journal Entries and Journal Submission.

Fourthly, I have learned not to make assumptions based on what I have learned in class and from reading books. Even if two clients present with the same diagnosis, each client is a unique individual requiring a personalized psychotherapy approach. This identifies psychotherapy as an art and science that relies on opportunity and practice. Besides that, clients have would have different responses and progress to treatment with some of them responding faster than others. This does not imply that some clients have a greater desire to get better than other clients. Rather, it implies the unique circumstances of each client have implications for psychotherapy outcomes (Capuzzi&Staufer, 2016).Weeks 9 & 10 Journal Entries and Journal Submission.

Finally, I learned that clients intuitively know when a psychotherapist is invested in their care, and this is something that cannot simply be faked.  Clients who feel that the psychotherapist is invested in providing them with care will typically be grateful and emotionally offer a word of thanks, sometimes while in tears. It is hard to believe that attending regular sessions helps to break through barriers of mistrust and help to heal the client (Jones-Smith, 2016). I am certain that I will continue to learn as I continue to engage in psychotherapy practices.Weeks 9 & 10 Journal Entries and Journal Submission.

Explain whether your therapeutic theory has changed as a result of your practicum experiences.

Following the practicum experiences, my therapeutic theory has changed. Previously, my therapeutic theory was an amalgamation of psychodynamic/psychoanalysis theory, cognitive theory, and behavioral theory. However, it has since evolved to include integrative/holistic theory and humanistic theory. The initial theory made use of psychodynamic/psychoanalysis theory to explain that unconscious forces drive behavior.Weeks 9 & 10 Journal Entries and Journal Submission. In addition, it made use of cognitive theory to explain how a client’s thought processes change behaviors and feelings. Besides that, it made use of behavioral theory to explain that behavior is learned and conditioned. The three theories validate the use of psychotherapy as an intervention (Gehart, 2016). However, practicum experiences have resulted in the initial therapeutic theory evolving into an amalgamated theory that includes two more theories. Firstly, concepts from integrative/holistic theory have been included to emphasize the need for personalizing psychotherapy to each client by including non-traditional (such as hypnotherapy) and traditional therapies (such as talk therapy). Secondly, concepts from humanistic theory have been included to emphasize self-actualization and self-growth as important for encouraging the goodness within the client and helping to achieve their highest potential (Sharf, 2014).Weeks 9 & 10 Journal Entries and Journal Submission.

Explain how you integrated the therapeutic approaches from this course in your clinical practice.

The different therapeutic theories and approaches were utilized through an integrative approach that blended them in a complementary manner with a focus on the most effective way to help the client. This allowed for a flexible approach that enabled the counseling experience to be tailored to the individual style and needs of each client. To be more precise, I understand that no one theory works for all my clients, and so it is helpful to apply an integrative approach that is flexible enough to switch between different therapeutic approaches if what is being used is noted not to work for that particular client (Capuzzi& Stauffer, 2016).Weeks 9 & 10 Journal Entries and Journal Submission.

Explain how you might impact social change through your work with clients who have mental health issues.

Psychotherapy practice presents an opportunity for impacting social change among clients with mental health issues. This occurs by identifying and addressing commonalities between clinical psychology and social psychology with a focus on building community cohesion and tolerance. Firstly, psychotherapy approaches used in addressing anxiety among clients can help to address pathological anxiety and intergroup anxiety in social settings. Secondly, psychotherapy approaches used in addressing coping and stress among clients can help to address the same social concerns at interpersonal and intergroup levels.Weeks 9 & 10 Journal Entries and Journal Submission. Thirdly, psychotherapy approaches used in addressing distorted thinking among clients can help to address cognitive bias and intergroup bias in social settings. On this bases, psychotherapy can bring about social change (Birtel& Crisp, 2015).Weeks 9 & 10 Journal Entries and Journal Submission.