Nursing and Counseling Theories


Week 1 journal deals with nursing and counseling theories, the main goal of which is to help the advanced practice mental help practitioner to develop the necessary approaches to improve patients’ health. The paper will investigate the use of both theories in psychotherapy.

Nursing Theory

According to Freud’s psychoanalytic theory, psychotic disorders occur due to the lack of control of the human mind (Fitzgerald, 2017; Meltzer, 2018; Wieser, 2013). The theory of psychoanalysis is based on the dynamic interaction between one’s id, ego, and superego (Wheeler, 2014). Hence, the therapy will concentrate on promoting the identification of the conflict and increasing the patient’s awareness of the core reasons for their behaviors.

The Goals of the Practicum Experience

  1. Obtaining counseling skills;
  2. Developing the feeling of productivity;
  3. Becoming familiar with various responsibilities and clinical roles

Timeline

  • June 2–3: learning interview techniques, taking interviews;
  • June 9–10: interviewing patients, taking notes;
  • June 16–17: learning the intake process, keeping documentation;
  • June 23–24: studying about diagnostics and treatment;
  • June 30–July 1: performing joint care with the instructor;
  • July 7–8: performing joint care and searching appropriate psychotherapy;
  • July 14–15: carrying out joint care.

Patient History

A. O. is 35 y.o., Asian American, has trouble sleeping, low concentration, feels helpless and hopeless; lost ten pounds in the past four weeks; in her teenage years, she was treated as an outcast; her father died when she was fifteen. Presents no steady eye contact; poor concentration; denies visual or auditory hallucinations; denies suicidal intention. Montgomery-Asberg Depression Rating Scale: 51.

Diagnosis

Based on the patient’s symptoms, she has a major depression (American Psychiatric Association, 2013; Braam et al., 2014).

Assessing the Efficacy of Therapeutic Approaches

Interpersonal psychotherapy is a productive method of eliminating symptoms of depression and promoting enthusiastic expressiveness along with increasing one’s life satisfaction (“About ISIPT,” n.d.; Cornes & Frank, 1994). The primary treatment goal is the improved social behavior of the patient. The short-term goal is encouraging the patient suffering from depression to adjust behavior (Markowitz & Weissman, 2004).

Sometimes, a therapist may feel as if he or she is abandoning the patient when therapy ends. This issue can be dealt with by recommending elective service providers to the patient.

References

About ISIPT. (n.d.). International Society for Interpersonal Psychotherapy. Web.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.

Braam, A. W., Schaap-Jonker, H., van der Horst, M. L., Steunenberg, B., Beekman, A. T. F., van Tilburg, W., & Deeg, D. J. H. (2014). Twelve-year history of late-life depression and subsequent feelings to God. The American Journal of Geriatric Psychiatry, 22(11), 1272-1281. Web.

Cornes, C. L., & Frank, E. (1994). Interpersonal psychotherapy for depression. Clinical Psychologist, 47(3), 9-10.

Fitzgerald, M. (2017). Why did Sigmund Freud refuse to see Pierre Janet? Origins of psychoanalysis: Janet, Freud or both? History of Psychiatry, 28(3), 358-364.

Markowitz, J. C., & Weissman, M. M. (2004). Interpersonal psychotherapy: Principles and applications. World Psychiatry, 3(3), 136-139.

Meltzer, D. (2018). Dream life: A re-examination of the psychoanalytical theory and technique. The Harris Meltzer Trust.

Wheeler, K. (2014). Supportive and psychodynamic psychotherapy. In K. Wheeler (Ed.), Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.) (pp. 225-260). Springer Publishing Company.

Wieser, M. (2013). From the EEL to the EGO: Psychoanalysis and the remnants of Freud early scientific practice. Journal of the History of the Behavioral Sciences, 49(3), 259-280. Web.