Psychodynamic Psychotherapy and Comprehensive Client Family Assessment
Learning Resources
Week 3 Psychodynamic Psychotherapy Resources Readings
- American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
- Standard 2 “Diagnosis” (pages 46-47)
- Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
- Chapter 5, “Supportive and Psychodynamic Psychotherapy” (pp. 225–238 and pp. 245–258)
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Note: You will access this text from the Walden Library databases.
- Young, J. M., & Solomon, M. J. (2009). How to critically appraise an article. Nature Clinical Practice. Gastroenterology & Hepatology, 6(2), 82–91.
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Learning Objectives
Students will:
- Evaluate the application of current literature to clinical practice
Assignment 2: Practicum – Assessing Clients
PART 1
Learning Objectives
Students will:
- Assess clients presenting for psychotherapy
- Develop genograms for clients presenting for psychotherapy
To prepare:
- Select a client whom you have observed or counseled at your practicum site.
- Review pages 137–142 of the Wheeler text and the Hernandez Family Genogram video in this week’s Learning Resources. Reflect on elements of writing a Comprehensive Client Assessment and creating a genogram for the client you selected. Psychodynamic Psychotherapy and Comprehensive Client Family Assessment.
The Assignment
Part 1: Comprehensive Client Family Assessment
With this client in mind, address the following in a Comprehensive ClientAssessment (without violating HIPAA regulations):
- Demographic information
- Presenting problem
- History or present illness
- Past psychiatric history
- Medical history
- Substance use history
- Developmental history
- Family psychiatric history
- Psychosocial history
- History of abuse/trauma
- Review of systems
- Physical assessment
- Mental status exam
- Differential diagnosis
- Case formulation
- Treatment plan
Assignment 2: Practicum – Assessing Clients
Part 2: Family Genogram
Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents). Psychodynamic Psychotherapy and Comprehensive Client Family Assessment.
Rubric Detail
Select Grid View or List View to change the rubric’s layout.
Name: NURS_6640_Week3_Assignment2_Rubric
| Satisfactory | Unsatisfactory | |||
| Quality of Work Submitted: The extent of which work meets the assignned criteria and work reflects graduate level critical and analytic thinking. | 26 (26%) – 30 (30%)
Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics. |
0 (0%) – 25 (25%)
Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed. |
||
| Quality of Work Submitted: The purpose of the paper is clear. Psychodynamic Psychotherapy and Comprehensive Client Family Assessment. | 4 (4%) – 5 (5%)
Purpose of the assignment is stated, yet is brief and not descriptive. |
0 (0%) – 3 (3%)
No purpose statement was provided. |
||
| Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to: Understand and interpret the assignment’s key concepts. |
8 (8%) – 10 (10%)
Demonstrates a clear understanding of key concepts. |
0 (0%) – 7 (7%)
Shows a lack of understanding of key concepts, deviates from topics. |
||
| Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to:
Apply and integrate material in course rsources (i.e. video, required readings, and textook) and credible outside resources. |
16 (16%) – 20 (20%)
Integrates specific information from 1 credible outside resource and 2-3 course resources to support major points and point of view. |
0 (0%) – 15 (15%)
Includes and integrates specific information from 0 to 1 resource to support major points and point of view. |
||
| Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to: Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections. |
16 (16%) – 20 (20%)
Summarizes information gleaned from sources to support major points, but does not synthesize. |
0 (0%) – 15 (15%)
Rarely or does not interpret, apply, and synthesize concepts, and/or strategies. |
||
| Written Expression and Formatting Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance. |
4 (4%) – 5 (5%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 80% of the time. |
0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity < 60% of the time. |
||
| “Written Expression and Formatting English writing standards: Correct grammar, mechanics, and proper punctuation” |
3 (3%) – 5 (5%)
Contains a few (1-2) grammar, spelling, and punctuation errors. |
0 (0%) – 2 (2%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. |
||
| “Written Expression and Formatting The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.” |
3 (3%) – 5 (5%)
Contains a few (1-2) APA format errors. |
0 (0%) – 2 (2%)
Contains many (≥ 5) APA format errors. |
||
| Total Points: 100 | ||||
Name: NURS_6640_Week3_Assignment2_Rubric
Patient’a Name: G. M., DOB 3/27/1959
Primary Insurance: CareFirst BlueCross BlueShield MD Region, TER83480955
Presenting Problem
Glenice is an employed married 60 yr. old African American female who has been married for 17 years to her husband who is 48 yrs old. She has 3 sons and one was murdered. Glenice is referred by her employer’s EAP doctor for stress related concerns.
Current Mental Status
| General Appearance: | Appropriate |
| Dress: | Appropriate |
| Motor Activity: | Unremarkable |
| Insight: | Good |
| Judgment: | Good |
| Affect: | Appropriate |
| Mood: | Euthymic |
| Orientation: | X3: Oriented to Person, Place, and Time |
| Memory: | Intact |
| Attention/Concentration: | Good |
| Thought Content: | Appropriate |
| Perception: | Unremarkable |
| Flow of Thought: | Unremarkable |
| Interview Behavior: | Appropriate |
| Speech: | Normal |
Safety Issues
Patient has intent to act:not specified
Patient has plan to act:not specified
Patient has means to act:not specified
Background Information
Identification:Glenice is a Christian and attends church.
History of Present Problem:Glenice reports feeling like she needs help w/trying to figure out why she is always being taken advantage of. As a result she has been feeling angry and wonders is she a piece of crap. She cries about 5 days a week for various compiled reasons. The stress also drains her to the point of feeling tired and wants to sleep. Glenice feels like she does not have anyone. She also over thinks a lot about her health issues and her husband’s drama. He cheated on her and she still struggles w/his issues of infidelity and being unable to get past the pain. In addition, he snorts heroin and she is currently responsible for all the household’s finances. Glenice also asked her husband to leave in March 2019 and is now able to get at least 6 hrs of continuous sleep. Prior to him leaving she was getting about 4 hrs of sleep. Glenice also reports being a stress eater and gains weight during the winter months.
Past Psychiatric History:Glenice was last seen by a therapist about 3 months ago for marital issues and stress related concerns.
Trauma History:Glenice was raped around the age of 7. In addition, she grew up in a household w/an alcoholic mother and was exposed to different instances of potentially being molested.
Family Psychiatric History:Alcoholism runs on mother side and father injected heroin.
Medical Conditions & History:-Thyroid problems affecting esophagus.
-Neck disc problems
-Back surgery in 2015
-Total knee replacement on 1 knee in 2016
-Diagnosed w/stage one breast cancer on 2/2018 and had a lumpnectomy in May and June 2018.
-Diagnosed w/tendinitis in right foot
-Stomach ulcer
Current Medications:-Lisinipril – high blood pressure
-Linzess
-Gabapentin (nerve pain)
-Oxycodone 10mg as needed for pain
Substance Use:-Alcohol- age of 1st use reports as 12 and last use reports as 6/6/19. Typically drinks about a half red cup of Coconut Rum Cream about 1-2 days a week.
-Marijuana- experimental as a child.
-Cocaine and Crack- age of 1st use reports as mid 20s and last use reports as 2012.
Family History:Raised by her mother in New York who was an alcoholic and father was not present due to drug use. Both parents are deceased. Her father passed away from a heroin overdose. Glenice has 3 siblings and one is deceased. In addition, Glenice has 2 sons who are 39 and 43. Her youngest son was murdered on November 9, 2002.
Social History:Glenice reports her oldest son does not talk to her and her middle son is no longer speaking to her. She has not spoken to her oldest son since some time 2018 because she does not agree w/how he treats women. In addition, she has a great relationship w/her brothers.
Developmental History:Glenice has issues w/spelling.
Educational / Occupational History:Highest grade completed in high-school is the 10th and received GED around 1984. Currently employed by the DC metro system for the past year and 3 months. Prior to she was working w/the City Wide Transportation for a yr. Glenice also worked for Kennedy Krieger for 7 yrs. as a patient care tech. Psychodynamic Psychotherapy and Comprehensive Client Family Assessment.
Legal History:Arrested in 1999 for a drug related offense and was incarcerated for 1 yr.
Strengths / Liabilities:S- determined
N- genuine love
A- good at encouraging people
P- None
Other Information:-Family hx of high blood pressure that contributed to the deaths of her mother and brother.
-Glenice moved to Maryland in 1997.
Diagnosis
| F41.1 | Generalized Anxiety Disorder |
| F43.21 | Adjustment Disorder, With depressed mood |
Psychodynamic Psychotherapy and Comprehensive Client Family Assessment