Week 9: Psychotherapy With Children and Adolescents / Withdrawn Child.

Week 9: Psychotherapy With Children and Adolescents Withdrawn Child https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6640/09/mm/disruptive_behaviors_01/index.html https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6640/09/mm/disruptive_behaviors_02/index.html Reflect on What you just observed. Record your responses in the boxes provided then press \’Continue\’. What is your initial reaction to the behavior? How might you respond to the child with this behavior? How would you like to respond to the child with this behavior? Week 9: Psychotherapy With Children and Adolescents / Withdrawn Child.

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Counseling Session One: What approach did the counselor employ? What is effective?Why or why not? Post by Day 4, a brief description of the child or adolescent whom you may be most comfortable counseling, and which child or adolescent whom you may be least comfortable counseling, and explain why. Then, explain one way that your reactions might positively or negatively influence the development of a therapeutic relationship with the children or adolescents whom you chose.Week 9: Psychotherapy With Children and Adolescents / Withdrawn Child. Finally, explain one way that you might transform a negative reaction into an appropriate therapeutic response and how. Be specific and use examples. Discussion: Post an explanation of your observations of the client in the case study you selected, including behaviors that align to the criteria in DSM-5. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support your approach with evidence-based literature. Resources: American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.Week 9: Psychotherapy With Children and Adolescents / Withdrawn Child. https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6640/09/mm/disruptive_behaviors_01/index.html 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.

Psychotherapy with Children and Adolescents: Withdrawn Child

The selected scenario “the withdrawn child”. The child manifests sad affect and is withdrawn. However, he denies having any problem. While it is normal for children to withdrawal from parents and identify more with their friends and peers, social withdrawal, especially from peers and friends may be an indication of a mental disorder.According to the DSM-5 Diagnostic Criteria, withdrawal is perceived as a symptom and thus it is associated with various mental disorders such as depression, anxiety, and personality disorders (American Nurses Association, 2014).Week 9: Psychotherapy With Children and Adolescents / Withdrawn Child.

Therapeutic Approaches

Cognitive-behavioral therapy (CBT) will be used for the withdrawn child. CBT combines models regarding how people think and interpret the events and happenings in their lives, and theories regarding how people learn and behave (James et al., 2015). Using CBT, the therapist will work together with the child to identify the maladaptive and unhelpful thinking and behavior pattern. The unhelpful behaviors that maintain the symptoms such as withdrawing from others in this child are also identified through CBT(Mohamadian et al., 2018).

The therapist and the client then work together to identify how the thinking pattern and behaviors affect the feelings. For example, if the child believes that no one loves him, he might withdraw from others to avoid interacting with people who do not love them. In turn, this can result in feelings of sadness and emptiness. After identifying the negative thinking patterns, feelings, and negative behaviors, carefully developed exercises are then utilized to assist the client to analyze and replace the negative thoughts and behaviors with more positive and healthy thoughts, feelings, and behaviors (Mohamadian et al., 2018). The client can also be taught coping skills so that he can gain skills to handle stressful and complex situations in his life. At this point, psychotropic medications would not be prescribed for the child because the exact cause of social withdrawal in the child has not been identified yet.Week 9: Psychotherapy With Children and Adolescents / Withdrawn Child.

Expected Outcomes

It is expected that the child would show significant symptom improvement as manifested by the child interacting with others and his mood improving. This is because CBT has shown to be effective in changing the maladaptive thoughts and replacing them with more helpful thoughts (Mohamadian et al., 2018).  Therefore, withdrawal and sad affect in this child are the symptoms expected to improve. Week 9: Psychotherapy With Children and Adolescents / Withdrawn Child.

Conclusion

The selected scenario “the withdrawn child”. The withdrawal may indicate some mental problems or deeper issues for this child. Because withdrawal is a symptom of mental disorders like depression, anxiety, and personality disorders. The appropriate treatment choice for the child is CBT. The expected outcome is that the child will start socializing.Week 9: Psychotherapy With Children and Adolescents / Withdrawn Child.

References

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

James, A. C., James, G., Cowdrey, F. A., Soler, A., & Choke, A. (2015). Cognitive-behavioral therapy for anxiety disorders in children and adolescents. The Cochrane database of systematic reviews, 2015(2), CD004690. https://doi.org/10.1002/14651858.CD004690.pub4

Mohamadian, F., Bagheri, M., Hashemi, M. S., &Komeili Sani, H. (2018). The Effects of Cognitive Behavioral Therapy on Depression and Anxiety among Patients with Thalassemia: a Randomized Controlled Trial. Journal of caring sciences, 7(4), 219–224. https://doi.org/10.15171/jcs.2018.033

Week 9: Psychotherapy With Children and Adolescents / Withdrawn Child.