NURS 6650 Week 2 practicum journal entry Essay Assignment Paper
NURS 6650 Week 2 practicum journal entry Essay Assignment Paper
PW has diagnosis of alcohol abuse disorder which according to DSM-5 client with symptoms of alcohol craving, not able to control self, and physically depending on others falls on alcohol category. MJ suffers from Generalized Anxiety Disorder (GAD), Post Stress Traumatic Disorder (PSTD), and Major Depression Disorder (MDD) which were outlined through DSM-5. “Generalized Anxiety Disorder (GAD) is characterized by excessive, often irrational, worry about events and situations such as work, school, health, relationships, finances or routine activities and the anxiety persists for at least six months, is difficult to control, and interferes with occupational, social or other areas of functioning” (Gilmour, 2016). “According to DSM-5, client experiencing symptoms such as depressed mood, having difficult time sleeping, losing weight, not eating well, and having fatigue for several weeks qualifies that client as having diagnosis of depression. Also, clients who have these significant symptoms without been caused by alcohol use or substance abuse or any other psychological disorder are categorized is been having depression disorder. “Diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) include the following: Excessive anxiety and worry for at least six months, difficulty controlling the worrying. Anxiety and worry associated with at least three of the following: Restlessness or feeling keyed up or on edge, being easily fatigued, difficulty in concentrating or mind going blank, irritability, muscle tension, and sleep disturbance” (Munir, & Hughes, 2018). The best intervention for the clients is cognitive behavioral therapy which will help them to overcome their problems by changing how they think will help them to avoid having any harmful behavior, stay off stress emotions, and help them in practicing and recognizing the healthy ways of thinking.
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Legal and Ethical Implications
It is important for the therapist to inform the client that she will be tested for substance abuse. Making sure that they get consent from the client who and what information will be shared. Informing the clients what medications will be prescribed and the side effects. It is very important for the therapist to keep that information received from the client confidential and shared whatever that client wants the therapist to share. “In working with certain population, each clinician may be working with an immigrant client(s) from specific cultural background, socioeconomic status or mental health care system, for places where it exists, that have a unique perspective of what a visit to a mental health clinician really means and informed consent defines the roles of the clinician and the client(s) during the therapeutic interaction” (Lewis, Paik, & Tseng, 2017). It is very important for the mental health professional has to refer to the facility’s ethical policy when caring for the needs of the client that are outside the professional scope of practice.
