Introduction

According to Galovski et al., (2013), anxiety disorders are the most prevalent in the United States and are associated with a high illness burden. Anxiety disorders may include panic disorders, agoraphobias, or generalized anxiety disorders. They are characterized by feelings of fear, worry about the future and anxiety. In most primary care settings, they are not only undertreated but also under-recognized. The indication for treatment of anxiety disorders is linked to a patient showing distress or suffers from the resultant complications. Cognitive Behavioral therapy and SSRIs drugs have proven to be highly effective in the management of anxiety disorders. More specifically, Selective Serotonin Reuptake inhibitors are the first line drugs for treating anxiety disorders. This paper discusses the use of CBT as the therapeutic approach of choice for a patient with post-traumatic stress disorder in clinical settings Clinical Supervision Sample Essay Discussion Paper.

ORDER A PLAGIARISM-FREE PAPER HERE

Client Description

SK is a 35 year old female has a previous diagnosis of Post-Traumatic Stress Disorder (PTSD) and is on follow-up.  She presents with complaints of flashbacks and nightmares. The patient frequently and openly expresses feelings of resentment against her mother blaming her for not intervening when she would be raped by her father when she was between 5-15 years old Clinical Supervision Sample Essay Discussion Paper. She acknowledges that she experiences uncontrollable thoughts about the rape incidences occasionally during the day and night and this has thus deferred her further studies at the moment.

Explanation Of The Therapeutic Approach To Be Used With The Client And Perceived Effectiveness Of The Approach

The therapeutic approach that would be most effective for this patient is cognitive behavioral therapy. Patients who suffer from PTSD are bitter about traumatic events that they may have experienced in the past. Collectively, these feelings, behaviors and thoughts give rise to psychological issues that present in the form of extreme fear, anxiety and anger (Syros, 2017). The most significant techniques of CBT to be used for this patient include: self-monitoring, cognitive restructuring and conducting behavioral experiments. In Self-restructuring, the patient will be asked to individual write down her thoughts to specific situations more so those that result to anxiety. In cognitive restructuring, the patient will be helped to evaluate whether or not she accurately interprets her thoughts (Kar, 2014).  In conducting behavioral experiments, the client will be helped to device newer ways of looking at situation, circumstances and the world. Clinical Supervision Sample Essay Discussion Paper.

The perceived effectiveness of CBT on patients with anxiety disorder is that it helps them to change their negative thoughts and anxious states. Apart from focusing and recognizing their thought patterns, CBT helps patients with PTSD to change their anxious thinking patterns that frequently result to feelings of worry and social withdrawal (Ehlers, et al., 2013). Clinical Supervision Sample Essay Discussion Paper. More importantly, CBT is highly effective in helping the patient with anxiety to limit distorted thoughts by realistically looking at individual worries. Syros (2017) also notes that, the use of SSRIs medications alongside CBT is highly effective in reducing the symptoms of anxiety in patients with PTSD, therefore, alongside psychotherapy, SSRIs will be prescribed.

Additional Information About This Client That May Have Potential Impact On Expected Outcomes

SK is not married and marriage is not part of any of her current plans. Most of her company/circles of friends are girls who are slightly younger than her or approximately the same age. She has reportedly had several arguments and conflicts with men in social gatherings and at work where she often takes everything to a personal level. She has however not been consistent with both pharmacological medications as well as psychotherapy for the past six months but she has no good explanation as to why. Clinical Supervision Sample Essay Discussion Paper.

Conclusion

Anxiety disorders are the most prevalent psychological disorders in the US that are likely to be undertreated or under-recognized. Although they are many, post-traumatic stress disorder is a perfect example where patients present with feelings of fear, nightmares, flashbacks and blame. The best therapeutic approach for PTSD is cognitive behavioral therapy alongside SSRIs medications to reduce symptoms of anxiety. Clinical Supervision Sample Essay Discussion Paper CBT helps patients to do self-monitoring, cognitive restructuring and to conduct behavioral experiments to view the work and issues from a different perspective.

References

Ehlers, A., Clark, D. M., Hackmann, A., Grey, N., Liness, S., Wild, J., McManus, F. (2013).

Intensive Cognitive Therapy for PTSD: A Feasibility Study. Behavioural and Cognitive Psychotherapy, 38(4), 383–398.

Galovski, T. E., Monson, C., Bruce, S. E., & Resick, P. A. (2013). Does Cognitive–Behavioral

Therapy for PTSD Improve Perceived Health and Sleep Impairment? Journal of Traumatic Stress, 22(3), 197–204. Clinical Supervision Sample Essay Discussion Paper.

Kar, N. (2014). Cognitive behavioral therapy for the treatment of post-traumatic stress disorder:

a review. Neuropsychiatric Disease and Treatment, 7, 167–181.

Syros, I. (2017). Cognitive behavioral therapy for the treatment of PTSD. European Journal of

Psychotraumatology, 8(sup4), 1351219.

Discussion: Clinical Supervision

Clinical Supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this Clinical Supervision, consider a client whom you do not think is adequately progressing according to expected clinical outcomes Clinical Supervision Sample Essay Discussion Paper.

Learning Objectives

Students will:

• Analyze clients presenting for treatment of anxiety disorders
• Evaluate effectiveness of therapeutic approaches for clients diagnosed with an anxiety disorder

To Prepare:

• Review this week’s Learning Resources concerning treating patients with anxiety disorders.
• Reflect on a child or adolescent client you are currently counseling or have previously counseled at your practicum site who has been diagnosed with an anxiety disorder.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post Clinical Supervision Sample Essay Discussion Paper. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post a 3- to 5-minute Kaltura video in which you do the following:

• Describe the client. Note:Do not use the client’s actual name.
• Explain your therapeutic approach with the client, including the perceived effectiveness of your approach. Clinical Supervision Sample Essay Discussion Paper.
• Identify any additional information about this client that may potentially impact expected outcomes.

Note: Nurse practitioners must have strong oral communication skills. This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner.

View a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by suggesting an alternate therapeutic approach. Support your feedback with evidence-based literature and/or your own experiences with clients. Clinical Supervision Sample Essay Discussion Paper.

Introduction

According to Galovski et al., (2013), anxiety disorders are the most prevalent in the United States and are associated with a high illness burden. Anxiety disorders may include panic disorders, agoraphobias, or generalized anxiety disorders. They are characterized by feelings of fear, worry about the future and anxiety. In most primary care settings, they are not only undertreated but also under-recognized Clinical Supervision Sample Essay Discussion Paper. The indication for treatment of anxiety disorders is linked to a patient showing distress or suffers from the resultant complications. Cognitive Behavioral therapy and SSRIs drugs have proven to be highly effective in the management of anxiety disorders. More specifically, Selective Serotonin Reuptake inhibitors are the first line drugs for treating anxiety disorders. This paper discusses the use of CBT as the therapeutic approach of choice for a patient with post-traumatic stress disorder in clinical settings. Clinical Supervision Sample Essay Discussion Paper.

Client Description

SK is a 35 year old female has a previous diagnosis of Post-Traumatic Stress Disorder (PTSD) and is on follow-up.  She presents with complaints of flashbacks and nightmares. The patient frequently and openly expresses feelings of resentment against her mother blaming her for not intervening when she would be raped by her father when she was between 5-15 years old. She acknowledges that she experiences uncontrollable thoughts about the rape incidences occasionally during the day and night and this has thus deferred her further studies at the moment.

Explanation Of The Therapeutic Approach To Be Used With The Client And Perceived Effectiveness Of The Approach

The therapeutic approach that would be most effective for this patient is cognitive behavioral therapy. Patients who suffer from PTSD are bitter about traumatic events that they may have experienced in the past. Collectively, these feelings, behaviors and thoughts give rise to psychological issues that present in the form of extreme fear, anxiety and anger (Syros, 2017). The most significant techniques of CBT to be used for this patient include: self-monitoring, cognitive restructuring and conducting behavioral experiments. Clinical Supervision Sample Essay Discussion Paper. In Self-restructuring, the patient will be asked to individual write down her thoughts to specific situations more so those that result to anxiety. In cognitive restructuring, the patient will be helped to evaluate whether or not she accurately interprets her thoughts (Kar, 2014).  In conducting behavioral experiments, the client will be helped to device newer ways of looking at situation, circumstances and the world.

The perceived effectiveness of CBT on patients with anxiety disorder is that it helps them to change their negative thoughts and anxious states. Apart from focusing and recognizing their thought patterns, CBT helps patients with PTSD to change their anxious thinking patterns that frequently result to feelings of worry and social withdrawal (Ehlers, et al., 2013). More importantly, CBT is highly effective in helping the patient with anxiety to limit distorted thoughts by realistically looking at individual worries. Syros (2017) also notes that, the use of SSRIs medications alongside CBT is highly effective in reducing the symptoms of anxiety in patients with PTSD, therefore, alongside psychotherapy, SSRIs will be prescribed. Clinical Supervision Sample Essay Discussion Paper.

Additional Information About This Client That May Have Potential Impact On Expected Outcomes

SK is not married and marriage is not part of any of her current plans. Most of her company/circles of friends are girls who are slightly younger than her or approximately the same age. She has reportedly had several arguments and conflicts with men in social gatherings and at work where she often takes everything to a personal level. She has however not been consistent with both pharmacological medications as well as psychotherapy for the past six months but she has no good explanation as to why Clinical Supervision Sample Essay Discussion Paper.

Conclusion

Anxiety disorders are the most prevalent psychological disorders in the US that are likely to be undertreated or under-recognized. Although they are many, post-traumatic stress disorder is a perfect example where patients present with feelings of fear, nightmares, flashbacks and blame. The best therapeutic approach for PTSD is cognitive behavioral therapy alongside SSRIs medications to reduce symptoms of anxiety. CBT helps patients to do self-monitoring, cognitive restructuring and to conduct behavioral experiments to view the work and issues from a different perspective.

 References

Ehlers, A., Clark, D. M., Hackmann, A., Grey, N., Liness, S., Wild, J., McManus, F. (2013).

Intensive Cognitive Therapy for PTSD: A Feasibility Study. Behavioural and Cognitive Psychotherapy, 38(4), 383–398. Clinical Supervision Sample Essay Discussion Paper.

Galovski, T. E., Monson, C., Bruce, S. E., & Resick, P. A. (2013). Does Cognitive–Behavioral

Therapy for PTSD Improve Perceived Health and Sleep Impairment? Journal of Traumatic Stress, 22(3), 197–204.

Kar, N. (2014). Cognitive behavioral therapy for the treatment of post-traumatic stress disorder:

a review. Neuropsychiatric Disease and Treatment, 7, 167–181.

Syros, I. (2017). Cognitive behavioral therapy for the treatment of PTSD. European Journal of

Psychotraumatology, 8(sup4), 1351219. Clinical Supervision Sample Essay Discussion Paper.