Psychotherapy with groups and families.

Psychotherapy with groups and families.

 

Just make up two people and I need the form back Students will: Develop effective documentation skills for group therapy sessions * Develop diagnoses for clients receiving group psychotherapy * Evaluate the efficacy of cognitive behavioral therapy for groups * Analyze legal and ethical implications of counseling clients with psychiatric disorders * * The Assignment related to this Learning Objective is introduced this week and submitted in Week 10. Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session. Then, in your Practicum Journal, address the following: Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session. Psychotherapy with groups and families.

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Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications. Using the DSM-5, explain and justify your diagnosis for each client. Explain whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach. Explain any legal and/or ethical implications related to counseling each client. Support your approach with evidence-based literature. Psychotherapy with groups and families.

Part 1.

The case involved a family that sought psychotherapy for spousal and domestic abuse. The family seeking therapy is comprised of two members. The first member is the mother, Maria, a 24 year old women of Latino descent. She is a housewife with no marketable skills and moved into the country seven years ago upon getting married to her husband. She reports that her husband has been physically and emotionally abusive towards her. He does not allow her to have friends of contact with her family. She further adds that the abuse has escalated to an extent that she feared for her life. Although she is currently separated from her husband after the police intervened after the neighbors made repeated reports to them. She is fearful that she does not have any marketable skills or a social support system in place thus making her vulnerable to manipulation from her husband. She is not on any prescription medication. Psychotherapy with groups and families.

The second member is the daughter, Angela, a 7 year old child. She is non-communicative and appears fearful in the presence of adult males. She has scars from beatings by her father. She is not on any prescription medication.

Part 2.

Using DSM-5, Maria has been diagnosed as suffering from intimate partner violence. The diagnosis is based on the set criteria that includes being subjected to violence and aggression from an intimate partner who was her husband in this case. She has experienced severe and chronic episodes of spousal violence over the course of her marriage. To be more precise, she meets two out of four conditions for this diagnosis. Besides that, she has been repeatedly subjected to emotional abuse (psychological aggression). These aspects of her relationship support the diagnosis (Sperry, 2016). Psychotherapy with groups and families.

Using DSM-5, Angela has been diagnosed as suffering from child physical and psychological abuse. This diagnosis is based on the scars on her body that act as evidence of physical abuse. In addition, her fear of male adults and non-communicative nature are evidence that she has been psychologically abused by her father (Sperry, 2016). Psychotherapy with groups and families.

Part 3.

The family therapy should apply cognitive behavioral therapy (CBT) as an appropriate approach. The family are victims of physical and psychological abuse that was targeted at controlling them. This had a negative effect on their behaviors, emotions and thoughts. CBT addresses the negative effects of the abuse through applying a stepwise methodology that identifies the problem, reflects on past abuse, evaluates how the abuse was justified, reflecting on how emotions affected thoughts that ultimately affected behavior, and developing self-talk that changes and challenges the negative emotions to protect the clients (Wheeler, 2014). Psychotherapy with groups and families.

Part 4.

Counseling Maria has legal implications over confidentiality and disclosures. The abuse has legal implications and there could be sensational details that the counselor is obligated to report to law enforcement officers. This is particularly the case if the abuse is still ongoing and the police are not aware. This could be challenging since Maria has been assured of confidentiality and that none of the information she discloses will be shared with a third party without her prior informed permission (Cautlin & Lilienfeld, 2015). Psychotherapy with groups and families.

Counseling Angela has ethical implications. She is a child and issues of informed consent come into play since she is not consulted on whether or not she wants to attend therapy. In addition, there is an issue of confidentiality since the mother expects to be informed about the case details even if Angela expresses a desire to have all the case details kept confidential and not disclosed to other parties (Cautlin & Lilienfeld, 2015). Psychotherapy with groups and families.

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