PLEASE PAY ATTENTION TO THE INFO BELOWZERO PLAGIARISM4 REFERENCES NOT MORE THAN 5 YEARSScenarioPatient is 62 years old AAM, who was seen today in the facility. Patient reported that prior to the admission into the facility; she was living with an abusive husband who physically abuses her and after divorcing him she became very depressed to extend that she wanted to kill herself. She overdoses on her pain medicine and end up in the hospital. Patient up till now still hearing her husband voice saying words to her. Patient reported that now she is in a safe place with all the care she is receiving. Patient was started on Alprazolam 2mg PO daily, by her psychiatrist. Patient still feeling depressed and also having, trouble sleeping. Anbiem 5mg 1 tab PO at bedtime Develop diagnoses for clients receiving psychotherapy* Evaluate the efficacy of motivational interviewing techniques for clients* 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 7.Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal: Describe the 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 this client. Explain whether motivational interviewing would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature. Explain any legal and/or ethical implications related to counseling this client.
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Introduction:
In this scenario, a 62-year-old African American male patient (AAM) is seeking medical attention after experiencing domestic violence and subsequent depression. This individual attempted suicide by overdosing on pain medication but is now in a safe environment and receiving care. They have been prescribed Alprazolam for depression and Ambien for sleep troubles. This assignment will require us to develop diagnoses for clients receiving psychotherapy, evaluate the efficacy of motivational interviewing techniques, and analyze the legal and ethical implications of counseling clients with psychiatric disorders.
Answer:
1. Develop diagnoses for clients receiving psychotherapy:
For this client, the potential diagnoses based on the provided information could include:
– Major Depressive Disorder: due to the reported depressive symptoms, suicidal ideation, and history of depression after the abusive relationship.
– Post-traumatic Stress Disorder (PTSD): resulting from the domestic violence experienced and continued auditory hallucinations of the husband’s voice.
– Substance Use Disorder: if there is evidence of problematic use of pain medication leading to the overdose.
2. Evaluate the efficacy of motivational interviewing techniques for clients:
Motivational interviewing is a client-centered counseling approach that aims to enhance intrinsic motivation and commitment to change. In this case, motivational interviewing could be effective in helping the client explore their values, goals, and ambivalence towards change. By collaborating with the client and building rapport, the therapist can encourage self-reflection and motivation to overcome depressive symptoms, improve sleep, and address past trauma. Expected outcomes of using motivational interviewing could include increased engagement in therapy, improved confidence in making positive changes, and reduced ambivalence towards seeking help. Evidence-based literature supports the effectiveness of motivational interviewing in addressing mental health concerns and promoting behavior change.
3. Analyze legal and ethical implications of counseling clients with psychiatric disorders:
When counseling clients with psychiatric disorders, it is essential to consider both legal and ethical implications. In this case, some key considerations include:
– Confidentiality and HIPAA regulations: Privacy and confidentiality must be maintained to protect the client’s personal health information. Any information shared or documented should adhere to HIPAA guidelines.
– Duty to warn and protect: If the client expresses any intent to harm themselves or others, mental health professionals have a duty to warn and take appropriate actions to ensure safety.
– Informed consent: The client should be provided with all necessary information regarding the counseling process, potential risks, benefits, and the therapist’s credentials. Informed consent should be obtained before initiating treatment.
– Cultural sensitivity: Being aware of and respecting the client’s cultural background is critical to providing culturally competent care. This includes understanding the impact of cultural factors on illness perception, help-seeking behaviors, and treatment preferences.
– Professional boundaries: Maintaining appropriate boundaries and avoiding any dual relationships is necessary to ensure a professional therapeutic relationship.
It is important for the counselor to review and follow relevant legal and ethical guidelines specific to their practice setting and jurisdiction to provide appropriate mental health care.
