Practicum Journal Entry 5 Essay.

Practicum Journal Entry 5 Essay.


Learning Objectives
Students will:
• Develop effective documentation skills for family therapy sessions *
• Develop diagnoses for clients receiving family psychotherapy *
• Evaluate the efficacy of solution-focused therapy and cognitive behavioral therapy for families *
• Analyze legal and ethical implications of counseling clients with psychiatric disorders *Practicum Journal Entry 5 Essay.


Select two clients you observed or counseled this week during a family therapy session.

Clients (2):

Client 1 – 40year old female, W. F., client is African American female with severe Opioid use disorder. Client participated in the group session and talked during the therapy, client spoke more than she listened, seem to dominate the discussion. Members were reminded of needs for all members the opportunity to share their experience. Ct actively participated in the group discussion, dominated the discussion sometimes, client perception of her addiction seem poor as evidenced by client sharing negative beliefs, Client stated that she some people had told hers that she is annoying, useless, and manipulative and that may be true. A member of the group openly shares that no one should allow a negative thoughts to reap his/her brain just because someone has tried to bring them down. At the end of therapy, client stated that she will take home what one of the group members discussed in the group and work on it.Practicum Journal Entry 5 Essay.

Client 2
D: L.U., is a 32year old male with depression disorder, Severe. Client participated well in group psychotherapy discussion. Client share instances of how he had applied nice respectable skills to his daily activities to deal with depression. Client also states that he realize how delighted it can be having family members visits him at any time without having anything to guilt, client stated that he is sticking to therapy and will continue to apply all that is required, like coping skills . Client was accepted all the material provide.Practicum Journal Entry 5 Essay.
A: Client is alert/oriented x 4, speech was clear, low tone, coherent, mood noted with good humor, smiles, cheerful, insight good. No evidence of mania or delusion noted, affect congruent with mood.
P: Client will implement regulated skills into his daily living to keep up with treatment
Group Discussion: Members checked into psychotherapy session, copies of handout were provided to members, to identified current mood, stressors and prevent relapse. Psychodynamic approach was utilized during session. During and open floor discussion, members provided feedback and support to one another. The handout contained an overview of emotion regulation skills. Members of the group will be able to process emotion regulation and state the practical application of skills needed when managing emotions. Clients identified practical application of skills and appropriate way to utilize them.Practicum Journal Entry 5 Essay.

Note: The two clients you select must have attended the same family session.

Then, address in your Practicum Journal the following:
• Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.
• Describe each client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.Practicum Journal Entry 5 Essay.
• Using the DSM-5, explain and justify your diagnosis for each client.
• Explain whether solution-focused or cognitive behavioral therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches.
• Explain any legal and/or ethical implications related to counseling each client.
• Support your approach with evidence-based literature.

Group therapy has been effective in the management of various psychiatric disorders. In this case, the therapy was utilized to manage symptoms of various mental problems presented by the group members. The paper will focus on the selected clients W.F and L. U, who was diagnosed with severe Opioid use disorder and severe depressive disorder, respectively. Additionally, the paper will discuss the effectiveness of cognitive-behavioural therapy (CBT) in changing clients’ negative thoughts. Finally, it will discuss ethical principles that would be adhered toduring the counselling session.Practicum Journal Entry 5 Essay.

Clients’ Description

            The first client,W. F., is 40years old, an African American female with severe Opioid use disorder.She was active during the group session and seemed to dominate the discussion denying other members a chance to share their thoughts and experience. W.F talked more and listened less during the therapy. She portrayed poor perception of her addictionby sharing negative beliefs. Specifically, she approved some negative remarks about herself, including being annoying, useless, and manipulative.Practicum Journal Entry 5 Essay.

The second client L.U. is a 32year old male with severe depressive disorder. He participated well in group psychotherapy discussion. L.U revealed how he applied skills to his daily activities to manage the symptoms of depression. The thought of family members visiting him at any time without feeling guilty delighted him. He was impressed by the therapy, and he would continue applying the acquired coping skills. Additionally, he acceptedall materials that were provided during the therapy.Practicum Journal Entry 5 Essay.

Justification of Clients’ Diagnosis

            The first client W. F was diagnosed with severe Opioid use disorder. According to the DSM-5,Opioid use disorder is characterized with multiple symptoms, including euphoria, general discontent, inability to regulate the use of opioid, uncontrollable cravings, drowsiness, changes in sleep habits, frequent flu-like symptoms, weight loss, reduced libido, lack of hygiene, isolation from family or friends, and changes in exercise habits (Turner et al., 2018). This client portrays euphoria since she is too confident and wants to dominate the group discussion. Additionally, she is speaking more and listening less. Additionally, the client portrays general discontent. She is not contented with how others perceive her as annoying, useless, and manipulative.Practicum Journal Entry 5 Essay.

The second client, L.U, was diagnosed with severe depressive disorder. As stated in, this condition is characterized with various symptoms, including anxiety, general discontent, apathy, guilt, hopelessness, loss of interest in various activities, sadness, excessive crying, agitation and irritability, restlessness, change in sleep patterns, loss of appetite, change in weight, and social isolation(Grobler,2013).Feeling of guilt is evident in this client. He states that he would be delighted if his family members could visit him at any time without feeling guilty. Additionally, the client had isolated from himself from his family due to guilty.Practicum Journal Entry 5 Essay.

Recommendable Therapy for the Group

A cognitive-behavioural therapy (CBT) would be recommendable for this family. This type of psychotherapeutic treatment assists individuals to learn how to point out and change destructive thought patterns, which influence their behaviours and emotions negatively(Gautam et al., 2020).Multiple techniques such as journaling, relaxation strategies, role-playing,and mental distractions are utilized to assist individuals in overcoming these thoughts.CBT aims at changing one’s negative thoughts automatically. The targeted thoughts are likely to worsen the emotional difficulties, anxiety, and depression. These negative thoughts have an adverse impact on one’s mood.Therefore,CBT would be effective for this group since it would assist the clients in identifying their negative thoughtsand replaced them with positive ones.Specifically, the therapy would assist W. F to identify her negative thoughts, including being annoying, useless, and manipulative and replace them with more positive ones. Additionally, CBT would assist L.U to identify his guiltiness and replace it with other positive thoughts. Practicum Journal Entry 5 Essay.

Ethical Implications

Ethical principles guide therapeutic sessions. These ethical measures apply to the counselling of both clients. Protection from harm is the primary ethical principle applicable while counselling the first client, W. F. This ethical principle states that psychologists should protect the participants from any form of harm(Sajjad Kabir,2020).Thus, this guideline implies that a psychologist should protect the client from being exposed to psychological torture. W. F is likely to be bullied by other members due to his annoying habit of dominating the discussion, which denies others a chance to express their thoughts.Practicum Journal Entry 5 Essay.

On the other hand, the ethical principle of confidentiality is applicable while counselling the second client, L.U. This principle states that psychologists should ensure that one’s results are anonymous and confidential(Sajjad Kabir, 2020). Therefore, the psychologist should not reveal the identity of W. F or disclose the results of the therapeutic session to unauthorized individuals.Practicum Journal Entry 5 Essay.

Ethical guidelines of right to withdrawal and informed consent are applicable in the counselling of both clients. Withdrawal right allows clients to leave the therapeutic session at any time(Sajjad Kabir, 2020). Thus, the therapist should permit the clients to leave if they want to do so. Informed consent states that participants should be briefed about the counselling session before its commencement and allow them to decide whether to take part or not(Sajjad Kabir, 2020). This ethical guideline implies that the therapist should inform both clients about what to expect during the counselling session. They should sign a consent form before the commencement of the therapeutic session.Practicum Journal Entry 5 Essay.

The selected clients W.F and L. Uwere diagnosed with severe Opioid use disorder and severe depressive disorder, respectively. Cognitive-behavioural therapy (CBT) would be effective in changing clients’ negative thoughts and replacing them with positive ones.Ethical principles, including protection from harm, confidentiality, right to withdrawal, and informed consent would be applicable during the counselling sessions. Practicum Journal Entry 5 Essay.