Solution-focused and Cognitive Behavioral Therapy Essay Paper

Solution-focused and Cognitive Behavioral Therapy Essay Paper


Solution-focused and cognitive-behavioral therapies are psychotherapeutic modes of treatment for patients with mental health illnesses. Solution-focused therapy majors on finding the possible mental health solutions to the patient. It helps the client to determine how to move on with their life in the most practical ways. Cognitive-behavioral therapy is an effective evidence-based psychological treatment for patients with a mental health disorder. The psychotherapeutic treatment approach helps learn the patient’s behavior, emotions, psychological sensations, and cognition. It also helps in understanding the patient part of self-regulation and the objectives they desire to achieve. This paper describes the application of solution-focused and cognitive behavioral therapy approaches and ethical implications in a family setting for a patient with depression. Depression is a mental health disorder that presents with extreme sadness, loss of interest, and maladaptive behavior. Solution-focused and Cognitive Behavioral Therapy Essay Paper


Patient’s History And Medical Information

The patient is J.A 36-year old white American female attending therapeutic sessions for depression. Recently, She presented at the outpatient department with sleep disturbance, loss of appetite, and generalized body weakness. She reported to the doctor that she feels a lot of hatred for her children, she feels self-unworthy, and has had suicidal ideations.  She reports that the onset of these symptoms was after her husband divorced her after 16 years of marriage. She lost her job as a call center manager due to anger outbursts to her office workmates and poor work ethics. Currently, she is living with her parents and her two children. She takes spirits, smokes tobacco, and marijuana when she feels overwhelmed. Her mental assessment reports of neat looking appearance, maintaining eye contact, speech tone and volume was normal. The thought process was congruent, with no hallucinations and suicidal ideations. She is currently on fluoxetine 40mg monthly dose.

Patient’s Diagnosis And Justification

Depression is a psychiatric illness that presents with persistent sadness and loss of interest. According to the DSM-5 criteria of diagnosing mental health illnesses, patients with depression present with reduced pleasure or interest, sleep disturbances, suicidal ideations, fatigue, impaired concentration, and thoughts of self-worthlessness (Tundo, et al, 2020). J.A presented with almost similar symptoms at the outpatient department; feeling unworthy, suicidal ideation, sleep disturbance, fatigue, and reduced appetite. The patient’s symptoms meet the DSM-5 criteria hence, the diagnosis is depression.

The Most Effective Psychotherapeutic Approach With The Family Expected Outcome

Both solution-based and cognitive-behavioral therapies are effective and efficient approaches in the management of mental health disorders. Solution-based therapy aims are solving the problem at the family and social interactive level to improve the quality of life and decrease distress (Mehrabi, et al, 2020). This would best apply to the patient to solve the underlying issues with his family and a place of work.

Cognitive-behavioral therapy aims at restructuring the patient’s thinking and behavior (Brantnell, et al, 2020). It will be effective for this patient since it will help in changing the suicidal thoughts, feeling worthless, and hatred for her children. It will help the patient to avoid indulging in alcohol, marijuana, and tobacco in cases of emotional outbursts. The patient will eventually cope well as a single mother and will have good work relations in her next work station. Solution-focused and Cognitive Behavioral Therapy Essay Paper

Ethical Considerations For Each Patient

Ethical principles are essential when handling patients with mental health disorders. Before initiating any form of treatment, the care provider should seek a fully informed patient. The nurse should have the best interest in patient management and protect the patient from harm in cases where they have to make decisions for the patient. The nurse needs to keep the patient’s personal information private and confidential to avoid stigma in society (Chenneville, & Gabbidon,  2020). Most psychiatric patients tend to go against the advised method of treatment which makes the nurse violate the principle of autonomy.


Patients with depression present with loss of interest or pleasure and a sad mood. It is treated by both psychotherapy and pharmacotherapy. Psychotherapy modes are solution-focused and cognitive behavioral therapy. Ethical considerations in treating patients with depression are informed consent, beneficence, non-maleficence, autonomy, and confidentiality.

Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session. Do not select the same family you selected for Week 2. 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. 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. Solution-focused and Cognitive Behavioral Therapy Essay Paper


Brantnell, A., Woodford, J., Baraldi, E., van Achterberg, T., & von Essen, L. (2020). Views of Implementers and Nonimplementers of Internet-Administered Cognitive Behavioral Therapy for Depression and Anxiety: Survey of Primary Care Decision Makers in Sweden. Journal of medical Internet research22(8), e18033.

Chenneville,  & Gabbidon,  (2020). Application of the APA ethics code for psychologists working in integrated care settings: Potential conflicts and resolutions. Ethics & Behavior30(4), 264-274.

Mehrabi, N., Yousefzadeh, S., Asghari Nekah, S. M., & Saki, A. (2020). Effect of Solution-focused Group Counseling Approach on the Happiness of Postmenopausal Women Suffering from Empty Nest Syndrome. Journal of Midwifery and Reproductive Health9(1), 2548-2554.

Tundo, A., Musetti, L., Del Grande, C., de Filippis, R., Proietti, L., Marazziti, D., … & Dell’Osso, L. (2020). The relationship between depression with anxious distress DSM-5 specifier and mixed depression: a network analysis. CNS spectrums, 1-7. Solution-focused and Cognitive Behavioral Therapy Essay Paper

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