NURS 6640: Psychotherapy With Individuals

Course Schedule – NURS 6640: Psychotherapy With Individuals

This Course Schedule outlines the assignments and due dates for the course. For full assignment details and directions, refer to the corresponding area in the course.

Week 1 Foundations of Psychotherapy

Resources Readings

 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 1, “The Nurse Psychotherapist and a Framework for Practice” (pp. 3–52)

 Fournier, J. C., & Price, R. B. (2014). Psychotherapy and neuroimaging. Psychotherapy: New Evidence and New Approaches, 12(3), 290–298. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207360/

 Holttum, S. (2014). When bad things happen our brains change but psychotherapy and support can help the recovery of our brains and our lives. Mental Health and Social Inclusion, 18(2), 52–58. doi:10.1108/MHSI-02-2014-0006

Note: You will access this article from the Walden Library databases. NURS 6640: Psychotherapy With Individuals.

 Petiprin, A. (2016). Psychiatric and mental health nursing. Nursing Theory. Retrieved from http://www.nursingtheory.org/theories-and-models/psychiatric-and-mental-healthnursing.php

ORDER A CUSTOM-WRITTEN PAPER NOW

 Fisher, M. A. (2016). Introduction. In Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals (pp. 3–12). Washington, DC: American Psychological Association. doi:10.1037/14860-001 © 2017 Laureate Education, Inc. Page 2 of 31 Week 1 Foundations of Psychotherapy. NURS 6640: Psychotherapy With Individuals.

 Document: Practicum Journal Template

Note: This template is provided by the School of Nursing and is designated to document practicum activity. You are required to use this template for all journal entry submissions.

 Document: Midterm Exam Study Guide

 Document: Final Exam Study Guide

 Document: Nurse Practitioner (NP) Student Clinical Orientation (PowerPoint file)

 Document: Practicum Manual (PDF). Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=735692

Media

 Laureate Education (Producer). (2016). Introduction to psychotherapy with individuals [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 4 minutes. NURS 6640: Psychotherapy With Individuals.

 Laureate Education (Producer). (2015e). Therapies are helpful: Dodo bird conjecture [Video file]. Baltimore, MD:Author.

Provided courtesy of the Laureate International Network of Universities.

Note: The approximate length of this media piece is 2 minutes.

 Laureate Education (Producer). (2015f). Therapies change and integrate different approaches over time [Video file]. Baltimore, MD: Author.

Provided courtesy of the Laureate International Network of Universities.

Note: The approximate length of this media piece is 1 minute.

 Sommers-Flanagan, J., & Sommers-Flanagan, R. (2012). Clinical interview: Intake, assessment & therapeutic alliance [Video file]. Mill Valley, CA: Psychotherapy.net. NURS 6640: Psychotherapy With Individuals.

Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 124 minutes.

Week 1 Foundations of Psychotherapy

 Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video file]. Mill Valley, CA: Psychotherapy.net.

Note: For this week, view the Introduction and Psychoanalytical Approaches only. You will access this media from the Walden Library databases.

Discussion Does Psychotherapy Have a Biological Basis?

Post on or before Day 3 an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective of the value of psychotherapy treatments. Support your rationale with evidencebased literature.

Read a selection of your colleagues’ responses.

Respond on or before Day 6 to at least two of your colleagues by providing an additional scholarly resource that supports or challenges

their position along with a brief explanation of the resource.

Practicum Week 1 Journal Entry

In preparation for this course’s practicum experience, address the following in your Practicum Journal:

 Review the media Clinical Interview: Intake, Assessment, & Therapeutic Alliance in your Learning Resources.

 Select one nursing theory and one counseling theory to best guide your practice in psychotherapy. Note: For guidance on nursing and counseling theories, refer to the Wheeler textbook in this week’s Learning Resources. NURS 6640: Psychotherapy With Individuals.

 Explain why you selected these theories. Support your approach with evidence-based literature.

 Develop at least three goals and at least three objectives for the practicum experience in this course.

 Create a timeline of practicum activities based on your practicum requirements.

Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

Submit your Assignment by Day 7 of Week 4.

Looking Ahead Didactic Assignments

Week 1 Foundations of Psychotherapy

Week 8 Discussion: In 3- to 5-minute Kaltura video, you will discuss a client you have observed and/or counseled during your practicum

experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week

8 Discussion for additional guidance.

Week 10 Discussion: In 3- to 5-minute Kaltura video, you will discuss an older adult client you have observed and/or counseled during your practicum experience. Be sure to make arrangements with your preceptor so you can fulfill the requirements of the Discussion. Refer to the Week 10 Discussion for additional guidance.

Looking Ahead Practicum Assignments

Each week, you will complete practicum-related assignments. It is highly recommended that you review the practicum assignments for

Weeks 2–10 before Day 7 of Week 1. This will give you time to connect with your preceptor so that you can fulfill the requirements of

each practicum assignment.

Week 2 Assessment and Diagnosis in Psychotherapy

Resources Readings

 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 3, “Assessment and Diagnosis” (pp. 95–168)

 Chapter 4, “The Initial Contact and Maintaining the Frame” (pp. 169–224). NURS 6640: Psychotherapy With Individuals.

 American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Note: It is highly recommended that you use this resource as a reference guide throughout the course. You will access this text from the Walden Library databases.

 American Academy of Child and Adolescent Psychiatry. (1995). Practice parameters for the psychiatric assessment of

Week 2 Assessment and Diagnosis in Psychotherapy children and adolescents. Washington, DC: Author. Retrieved from https://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/psychiatric_assessment_practice_parameter.pdf

 American Psychiatric Association. (2016). Practice guidelines for the psychiatric evaluation of adults (3rd ed.). Arlington, VA:

Author. Retrieved from http://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890 426760

 Walden Library. (2017). NURS 6640 week 2 discussion guide.Retrieved from http://academicguides.waldenu.edu/nurs6640week2discussion

 Walden University. (n.d.). Tests & measures: Home. Retrieved February 6, 2017, from http://academicguides.waldenu.edu/library/testsmeasures

Note: This database may be helpful in obtaining assessment tool information for this week’s Discussion.

Media

 Laureate Education (Producer). (2015a). Counseling

competencies—The application of ethical guides and laws to

record keeping [Video file]. Baltimore, MD: Author.

Provided courtesy of the Laureate International Network of Universities.

Note: The approximate length of this media piece is 23

minutes.

Discussion Assessment Tools

Post on or before Day 3 an explanation of the psychometric

properties of the assessment tool you were assigned. Explain when it

is appropriate to use this assessment tool with clients, including

whether the tool can be used to evaluate the efficacy of

psychopharmacologic medications. Support your approach with

evidence-based literature.NURS 6640: Psychotherapy With Individuals.

Read a selection of your colleagues’ responses.

Respond on or before Day 6 to at least two of your colleagues by

comparing your assessment tool to theirs.

Week 2 Assessment and Diagnosis in Psychotherapy

Practicum Week 2 Journal Entry

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 Diagnostic and Statistical Manual of Mental Health

Disorders, 5th edition (DSM-5), explain and justify your

diagnosis for this client.

 Explain any legal and/or ethical implications related to

counseling this client.

 Support your approach with evidence-based literature.

Submit your Assignment by Day 7 of Week 4.

Week 3 Psychodynamic Psychotherapy

Resources Readings

 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.

For the Assignment:

 Select one of the following articles on psychodynamic therapy

to evaluate in your Assignment:

1. Aznar-Martinez, B., Perez-Testor, C., Davins, M., &

Aramburu, I. (2016). Couple psychoanalytic psychotherapy

Week 3 Psychodynamic Psychotherapy

as the treatment of choice: Indications, challenges, and

benefits. Psychoanalytic Psychology, 33(1), 1–20.

doi:10.1037/a0038503

2. Karbelnig, A. M. (2016). “The analyst is present”: Viewing the

psychoanalytic process as performance art. Psychoanalytic

Psychology, 33(supplement 1), S153–S172.

doi:10.1037/a0037332

3. LaMothe, R. (2015). A future project of psychoanalytic

psychotherapy: Revisiting the debate between

classical/commitment and analytic therapies. Psychoanalytic

Psychology, 32(2), 334–351. doi:10.1037/a0035982

4. Migone, P. (2013). Psychoanalysis on the Internet: A

discussion of its theoretical implications for both online and

offline therapeutic technique. Psychoanalytic Psychology,

30(2), 281–299. doi:10.1037/a0031507

5. Tummala-Narra, P. (2013). Psychoanalytic applications in a

diverse society. Psychoanalytic Psychology, 30(3), 471–487.

doi:10.1037/a0031375

Note: You will access all of these articles from the Walden

Library databases.

Media

 Laureate Education (Producer). (2015c). The importance of a

therapeutic relationship: Mary Boyle [Video file]. Baltimore,

MD: Author.

Provided courtesy of the Laureate International Network of Universities.

Note: The approximate length of this media piece is 2 minutes.

 Laureate Education (Producer). (2015b). Foundations of

counseling techniques [Video file]. Baltimore, MD: Author.

Provided courtesy of the Laureate International Network of Universities.

Note: The approximate length of this media piece is 32

minutes.

 Laureate Education (Producer). (2013b). Hernandez family

genogram [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 5 minutes.

Assignment Applying Current Literature to Clinical Practice

In a 5- to 10-slide PowerPoint presentation, address the following:

 Provide an overview of the article you selected.

Week 3 Psychodynamic Psychotherapy

o What population is under consideration?

o What was the specific intervention that was used? Is

this a new intervention or one that was already used?

o What were the author’s claims?

 Explain the findings/outcomes of the study in the article.

Include whether this will translate into practice with your own

clients. If so, how? If not, why?

 Explain whether the limitations of the study might impact your

ability to use the findings/outcomes presented in the article.

Support your position with evidence-based literature.

Note: The presentation should be 5–10 slides, not including the title

and reference slides. Include presenter notes (no more than ½ page

per slide) and use tables and/or diagrams where appropriate. Be sure

to support your work with specific citations from the article you

selected. Support your approach with evidence-based literature.

Submit your Assignment by Day 7 of Week 3.

Practicum Assessing Clients

Part 1: Comprehensive Client Family Assessment

With this client in mind, address the following in a Comprehensive

Client Family Assessment (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

Part 2: Family Genogram

Week 3 Psychodynamic Psychotherapy

Prepare a genogram for the client you selected. The genogram

should extend back by at least three generations (great grandparents,

grandparents, and parents).

Submit your Assignment by Day 7 of Week 4.

Week 4 Cognitive Behavioral Therapy

Resources Readings

 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 8, “Cognitive Behavioral Therapy” (pp. 313–346)

 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.

Media

 Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013).

Counseling and psychotherapy theories in context and practice

[Video file]. Mill Valley, CA: Psychotherapy.net.

Note: For this week, view Behavior Therapy and CognitiveBehavioral

Therapy only. You will access this media from the

Walden Library databases.

 Beck, A. (1994). Aaron Beck on cognitive therapy [Video file].

Mill Valley, CA: Psychotherapy.net.

Note: You will access this media from the Walden Library

databases. The approximate length of this media piece is 50

minutes.

 Eysenck, H. (n.d.). Hans Eysenck on behavior therapy [Video

file]. Mill Valley, CA: Psychotherapy.net.

Note: You will access this media from the Walden Library

databases. The approximate length of this media piece is 50

minutes.

Week 4 Cognitive Behavioral Therapy

Assignment Cognitive Behavioral Theory Versus Rational Emotive

Behavioral Theory

In a 1- to 2-page paper, address the following:

 Briefly describe how cognitive behavioral therapy (CBT) and

rational emotive behavioral therapy (REBT) are similar.

 Explain at least three differences between CBT and REBT.

Include how these differences might impact your practice as a

mental health counselor.

 Explain which version of cognitive behavioral therapy you

might use with clients and why. Support your approach with

evidence-based literature.

Note: The School of Nursing requires that all papers submitted

include a title page, introduction, summary, and references. The

Sample Paper provided at the Walden Writing Center provides an

example of those required elements (available at

http://writingcenter.waldenu.edu/57.htm). All papers submitted must

use this formatting.

Submit your Assignment by Day 7 of Week 4.

Practicum Week 1 Journal Entry

Students will:

 Analyze nursing and counseling theories to guide practice in

psychotherapy*

 Develop goals and objectives for personal practicum

experiences*

 Create timelines for practicum activities*

* The Learning Objectives are related to the Assignment presented in

Week 1.

Submit your Assignment by Day 7 of Week 4. Refer to Week 1 for

additional guidance.

Practicum Week 2 Journal Entry

Students will:

 Develop diagnoses for clients receiving psychotherapy*

 Analyze legal and ethical implications of counseling clients

with psychiatric disorders*

Week 4 Cognitive Behavioral Therapy

* The Learning Objectives are related to the Assignment presented in

Week 2.

Submit your Assignment by Day 7 of Week 4. Refer to Week 2 for

additional guidance.

Practicum Week 4 Journal Entry

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 cognitive behavioral therapy 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.

Submit your Assignment by Day 7 of Week 4.

Practicum

Reminder

Time Logs

You are required to keep a log of the time you spend related to your

practicum experience and enter every patient you see each

day. You can access your time log from the Welcome Page in your

Meditrek account. You will track time individually for each patient you

work with. Please make sure to continuously input your hours

throughout the term.

Week 5 Psychotherapy With Trauma

Resources Readings

 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.

Week 5 Psychotherapy With Trauma

 Chapter 13, “Stabilization for Trauma and Dissociation” (pp.

469–508)

 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.

Media

 Laureate Education (Producer). (2012a). Academic year in

residence: Thompson family case study [Multimedia file].

Baltimore, MD: Author.

 Ochberg, F. (2012). Psychotherapy for chronic PTSD [Video

file]. Mill Valley, CA: Psychotherapy.net.

Note: You will access this media from the Walden Library

databases. The approximate length of this media piece is 84

minutes.

Discussion Posttraumatic Stress Disorder

Post on or before Day 3 an explanation of your observations of the

client William in Thompson Family Case Study, including behaviors

that align to the PTSD criteria in DSM-5. Then, explain therapeutic

approaches you might use with this client, including psychotropic

medications if appropriate. Finally, explain expected outcomes for the

client based on these therapeutic approaches. Support your

approach with evidence-based literature.

Read a selection of your colleagues’ responses.

Respond on or before Day 6 to at least two of your colleagues by

providing one alternative therapeutic approach. Explain why you

suggest this alternative and support your suggestion with evidencebased

literature and/or your own experiences with clients.

Practicum Week 5 Journal Entry

Select a client whom you observed or counseled that suffers from a

disorder related to trauma. Then, address the following in your

Practicum Journal:

Week 5 Psychotherapy With Trauma

 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 any of the therapeutic approaches in this

week’s Learning Resources would be effective with this client.

Include expected outcomes based on these therapeutic

approaches. Support your approach with evidence-based

literature.

 Explain any legal and/or ethical implications related to

counseling this client.

Submit your Assignment by Day 7 of Week 7.

Week 6 Psychotherapy for Addictive Disorders

Resources Readings

 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 7, “Motivational Interviewing” (pp. 299–312)

 Chapter 16, “Psychotherapeutic Approaches for Addictions

and Related Disorders” (pp. 565–596)

 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.

 Albrecht, U., Kirschner, N. E., & Grusser, S. M. (2007).

Diagnostic instruments for behavioral addiction: An overview.

German Medical Science Psycho-Social-Medicine, 4, 1–11.

Retrieved from

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2736529/

 Fisher, M. A. (2016). The ethical ABCs of conditional

confidentiality. In Confidentiality limits in psychotherapy: Ethics

checklists for mental health professionals (pp. 13–25).

Washington, DC: American Psychological Association.

doi:10.1037/14860-002

Week 6 Psychotherapy for Addictive Disorders

 Walden University. (2016). ASC success strategies: Studying

for and taking a test. Retrieved from

http://academicguides.waldenu.edu/ASCsuccess/ASCtesting

Media

 Laureate Education (Producer). (2013c). Levy family: Episodes

1–5 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 25

minutes.

 Laureate Education (Producer). (2012c). In their own words

[Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 25

minutes.

Assignment Assessing Clients With Addictive Disorders

In a 2- to 3-page paper, address the following:

 After watching Episode 1, describe:

o What is Mr. Levy’s perception of the problem?

o What is Mrs. Levy’s perception of the problem?

o What can be some of the implications of the problem on

the family as a whole?

 After watching Episode 2, describe:

o What did you think of Mr. Levy’s social worker’s ideas?

o What were your thoughts of her supervisor’s questions

about her suggested therapies and his advice to Mr.

Levy’s supervisor?

 After watching Episode 3, discuss the following:

o What were your thoughts about the way Mr. Levy’s

therapist responded to what Mr. Levy had to say?

o What were your impressions of how the therapist

worked with Mr. Levy? What did you think about the

therapy session as a whole?

o Informed by your knowledge of pathophysiology,

explain the physiology of deep breathing (a common

technique that we use in helping clients to manage

Week 6 Psychotherapy for Addictive Disorders

anxiety). Explain how changing breathing mechanics

can alter blood chemistry.

o Describe the therapeutic approach his therapist

selected. Would you use exposure therapy with Mr.

Levy? Why or why not? What evidence exists to support

the use of exposure therapy (or the therapeutic

approach you would consider if you disagree with

exposure therapy)?

 In Episode 4, Mr. Levy tells a very difficult story about Kurt, his

platoon officer.

o Discuss how you would have responded to this

revelation.

o Describe how this information would inform your

therapeutic approach. What would you say/do next?

 In Episode 5, Mr. Levy’s therapist is having issues with his

story.

o Imagine that you were providing supervision to this

therapist, how would you respond to her concerns?

 Support your approach with evidence-based literature.

Note: The School of Nursing requires that all papers submitted

include a title page, introduction, summary, and references. The

Sample Paper provided at the Walden Writing Center provides an

example of those required elements (available at

http://writingcenter.waldenu.edu/57.htm). All papers submitted must

use this formatting.

Submit your Assignment by Day 7 of Week 6.

Exam Midterm Exam

Students will:

 Assess knowledge of concepts and principles related to the

psychotherapy of individuals

This exam will cover the following topics, which relate to

psychotherapy with individuals in the Wheeler textbook and the

Fisher textbook excerpts:

 The Nurse Psychotherapist and a Framework for Practice

 Confidentiality Limits in Psychotherapy: Ethics Checklists for

Mental Health Professionals

Week 6 Psychotherapy for Addictive Disorders

 Assessment and Diagnosis

 The Initial Contact and Maintaining the Frame

 Cognitive Behavioral Therapy

 Supportive and Psychodynamic Psychotherapy

 Stabilization for Trauma and Dissociation

 Motivational Interviewing

 Psychotherapeutic Approaches for Addictions and Related

Disorders

Complete the Midterm Exam by Day 7 of Week 6. Prior to starting

the exam, you should review all of your materials. There is a 2-hour

time limit to complete this 75-question exam. You may only attempt

this exam once.

Practicum Week 6 Journal Entry

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 evidencebased

literature.

 Explain any legal and/or ethical implications related to

counseling this client.

Submit your Assignment by Day 7 of Week 7.

Week 7 Supportive and Interpersonal Psychotherapy

Resources Readings

 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.

o Chapter 5, “Supportive and Psychodynamic

Psychotherapy” (pp. 238–242)

o Chapter 9, “Interpersonal Psychotherapy” (pp. 347–368)

Week 7 Supportive and Interpersonal Psychotherapy

 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.

 Abeles, N., & Koocher, G. P. (2011). Ethics in psychotherapy.

In J. C. Norcross, G. R. VandenBos, D. K. Freedheim, J. C.

Norcross, G. R. VandenBos, & D. K. Freedheim (Eds.), History

of psychotherapy: Continuity and change (pp. 723–740).

Washington, DC: American Psychological Association.

doi:10.1037/12353-048

Note: You will access this resource from the Walden Library

databases.

 Cameron, S., & Turtle-Song, I. (2002). Learning to write case

notes using the SOAP format. Journal of Counseling and

Development, 80(3), 286–292. Retrieved from the Academic

Search Complete database. (Accession No. 7164780)

Note: You will access this article from the Walden Library

databases.

 Nicholson, R. (2002). The dilemma of psychotherapy notes

and HIPAA. Journal of AHIMA, 73(2), 38–39. Retrieved from

http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4http://libr

ary.ahima.org/doc?oid=58162#.V5J0__krLZ4

 U.S. Department of Health & Human Services. (n.d.). HIPAA

privacy rule and sharing information related to mental health.

Retrieved from http://www.hhs.gov/hipaa/forprofessionals/special-topics/mental-health/

Media

 Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013).

Counseling and psychotherapy theories in context and practice

[Video file]. Mill Valley, CA: Psychotherapy.net.

Note: For this week, view Reality Therapy, Feminist Therapy,

and Solution-Focused Therapy only. You will access this

media from the Walden Library databases.

Week 7 Supportive and Interpersonal Psychotherapy

 Stuart, S. (2010). Interpersonal psychotherapy: A case of

postpartum depression [Video file]. Mill Valley, CA:

Psychotherapy.net.

Note: You will access this media from the Walden Library

databases. The approximate length of this media piece is 110

minutes.

Assignment Supportive Psychotherapy Versus Interpersonal Psychotherapy

In a 1- to 2-page paper, address the following:

 Briefly describe how supportive and interpersonal

psychotherapies are similar.

 Explain at least three differences between these therapies.

Include how these differences might impact your practice as a

mental health counselor.

 Explain which therapeutic approach you might use with clients

and why. Support your approach with evidence-based

literature.

Note: The School of Nursing requires that all papers submitted

include a title page, introduction, summary, and references. The

Sample Paper provided at the Walden Writing Center provides an

example of those required elements (available at

http://writingcenter.waldenu.edu/57.htm). All papers submitted must

use this formatting.

Submit your Assignment by Day 7 of Week 7.

Practicum Assessing Client Progress

Part 1: Progress Note

Using the client from your Week 3 Assignment, address the following

in a progress note (without violating HIPAA regulations):

 Treatment modality used and efficacy of approach

 Progress and/or lack of progress toward the mutually agreedupon

client goals (reference the Treatment plan—progress

towards goals)

 Modification(s) of the treatment plan that were made based on

progress/lack of progress

 Clinical impressions regarding diagnosis and/or symptoms

 Relevant psychosocial information or changes from original

assessment (i.e., marriage, separation/divorce, new

Week 7 Supportive and Interpersonal Psychotherapy

relationships, move to a new house/apartment, change of job,

etc.)

 Safety issues

 Clinical emergencies/actions taken

 Medications used by the patient (even if the nurse

psychotherapist was not the one prescribing them)

 Treatment compliance/lack of compliance

 Clinical consultations

 Collaboration with other professionals (i.e., phone

consultations with physicians, psychiatrists, marriage/family

therapists, etc.)

 Therapist’s recommendations, including whether the client

agreed to the recommendations

 Referrals made/reasons for making referrals

 Termination/issues that are relevant to the termination process

(i.e., client informed of loss of insurance or refusal of insurance

company to pay for continued sessions)

 Issues related to consent and/or informed consent for

treatment

 Information concerning child abuse, and/or elder or dependent

adult abuse, including documentation as to where the abuse

was reported

 Information reflecting the therapist’s exercise of clinical

judgment

Note: Be sure to exclude any information that should not be found in

a discoverable progress note.

Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy

note that you would use to document your impressions of therapeutic

progress/therapy sessions for your client from the Week 3 Practicum

Assignment.

 The privileged note should include items that you would not

typically include in a note as part of the clinical record.

 Explain why the items you included in the privileged note

would not be included in the client’s progress note.

 Explain whether your preceptor uses privileged notes, and if

so, describe the type of information he or she might include. If

not, explain why.

Week 7 Supportive and Interpersonal Psychotherapy

Submit your Assignment by Day 7 of Week 7.

Practicum Week 5 Journal Entry

Students will:

 Develop diagnoses for clients receiving psychotherapy*

 Evaluate the efficacy of therapeutic approaches for clients*

 Analyze legal and ethical implications of counseling clients

with psychiatric disorders*

*These Learning Objectives are related to the Assignment from Week

Submit your Assignment by Day 7 of Week 7. Refer to Week 5 for

additional guidance.

Practicum Week 6 Journal Entry

Students will:

 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*

*These Learning Objectives are related to the Assignment from Week

Submit your Assignment by Day 7 of Week 7. Refer to Week 6 for

additional guidance.

Practicum

Reminder

Time Logs

You are required to keep a log of the time you spend related to your

practicum experience and enter every patient you see each day. You

can access your time log from the Welcome Page in your Meditrek

account. You will track time individually for each patient you work

with. Please make sure to continuously input your hours throughout

the term.

Looking Ahead Week 8 Clinical Supervision Discussion

Week 8 Discussion: In 3- to 5-minute Kaltura video, you will discuss

a client you have observed and/or counseled during your practicum

experience. Be sure to make arrangements with your preceptor so

Week 7 Supportive and Interpersonal Psychotherapy

you can fulfill the requirements of the Discussion. Refer to the Week

8 Discussion for additional guidance. NURS 6640: Psychotherapy With Individuals.

Week 8 Existential-Humanistic Therapy

Resources Readings

 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 10, “Humanistic-Existential and Solution-Focused

Approaches to Psychotherapy” (Review pp.369–406)

 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.

 Nagy, T. F. (2011). Ethics in psychotherapy. In Essential ethics

for psychologists: A primer for understanding and mastering

core issues (pp. 185–198). Washington, DC: American

Psychological Association. doi:10.1037/12345-010

Note: You will access this resource from the Walden Library

databases.

Media

 Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013).

Counseling and psychotherapy theories in context and practice

[Video file]. Mill Valley, CA: Psychotherapy.net.

Note: For this week, view Existential Therapy, PersonCentered

Therapy, and Gestalt Therapy only. You will access

this media from the Walden Library databases

 Laureate Education (Producer). (2012b). Clinical supervision

follow-up [Video file]. Baltimore, MD: Author.

Note: This is a follow-up to the Thompson family media piece

in Week 5. The approximate length of this media piece is 9

minutes.

Week 8 Existential-Humanistic Therapy

 Laureate Education (Producer). (2015d). On a hamster wheel

[Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 2 minutes.

 Bugental, J. (n.d.). Existential-humanistic psychotherapy

[Video file]. Mill Valley, CA: Psychotherapy.net.

Note: You will access this media from the Walden Library

databases. The approximate length of this media piece is 108

minutes.

Discussion Clinical Supervision

Post on or before Day 3 a 3- to 5-minute Kaltura video that

addresses the following:

 Describe a client you are counseling whom you do not think is

adequately progressing according to expected clinical

outcomes. Note: Do not use the client’s actual name.

 Explain your therapeutic approach with the client, including the

perceived effectiveness of your approach.

 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.

Respond on or before Day 6 to at least two of your colleagues by

providing feedback based on an existential-humanistic therapeutic

perspective. Support your feedback with evidence-based literature

and/or your own experiences with clients.

Note about uploading media: Refer to the Kaltura Media Uploader

instructions document, which provides guidance on how to upload

media for the Clinical Supervision Discussions.

Practicum Week 8 Journal Entry

This week, you complete a two-part journal entry.

Week 8 Existential-Humanistic Therapy

For Part 1, select a client whom you observed or counseled this week

(other than the client used for this week’s Discussion). Then, address

the following in your Practicum Journal:

 Describe the client and identify any pertinent history or medical

information, including prescribed medications.

 Using the DSM-5, explain and justify your diagnosis for this

client. NURS 6640: Psychotherapy With Individuals.

 Explain whether existential-humanistic therapy would be

beneficial with this client. Include expected outcomes based on

this therapeutic approach.

 Explain any legal and/or ethical implications related to

counseling this client.

 Support your approach with evidence-based literature.

For Part 2, reflect on your clinical supervision experiences. Then,

address the following in your Practicum Journal:

 How often are you receiving clinical supervision from your

preceptor?

 What are the sessions like?

 What is the preceptor bringing to your attention?

 How are you translating these sessions to your clinical

practice?

Submit your Assignment by Day 7 of Week 10.

Week 9 Psychotherapy With Children and Adolescents

Resources Readings

 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.

o Chapter 17, “Psychotherapy With Children” (pp. 597–

624)

 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.

Week 9 Psychotherapy With Children and Adolescents

 Bass, C., van Nevel, J., & Swart, J. (2014). A comparison

between dialectical behavior therapy, mode deactivation

therapy, cognitive behavioral therapy, and acceptance and

commitment therapy in the treatment of adolescents.

International Journal of Behavioral Consultation and Therapy,

9(2), 4–8. doi:10.1037/h0100991

Note: You will access this article from the Walden Library

databases.

 Koocher, G. P. (2003). Ethical issues in psychotherapy with

adolescents. Journal of Clinical Psychology, 59(11), 1247–

1256. PMID:14566959

Note: You will access this article from the Walden Library

databases.

 McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow,

M. A., Weisz, J. R., & Kendall, P. C. (2016). The role of setting

versus treatment type in alliance within youth therapy. Journal

of Consulting and Clinical Psychology, 84(5), 453–464.

doi:10.1037/ccp0000081

Note: You will access this article from the Walden Library

databases.

 Zilberstein, K. (2014). The use and limitations of attachment

theory in child psychotherapy. Psychotherapy, 51(1), 93–103.

doi:10.1037/a0030930

Note: You will access this article from the Walden Library

databases.

Media

 Laureate Education (Producer). (2013a). Disruptive behaviors

[Multimedia file]. Baltimore, MD: Author.

 Walker, R. (n.d.). Making child therapy work [Video file]. Mill

Valley, CA: Psychotherapy.net.

Note: You will access this media from the Walden Library

databases. The approximate length of this media piece is 95

minutes.

Week 9 Psychotherapy With Children and Adolescents

Discussion Counseling Adolescents

Post on or before Day 3 an explanation of your observations of the

client in the case study you selected, including behaviors that align to

the criteria in DSM-5. Then, explain therapeutic approaches you

might use with this client, including psychotropic medications if

appropriate. Finally, explain expected outcomes for the client based

on these therapeutic approaches. Support your approach with

evidence-based literature.

Read a selection of your colleagues’ responses.

Respond on or before Day 6 to at least two of your colleagues by

providing one alternative therapeutic approach. Explain why you

suggest this alternative and support your suggestion with evidencebased

literature and/or your own experiences with clients.

Practicum Week 9 Journal Entry

Select a child or adolescent 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 any legal and/or ethical implications related to

counseling this client.

 Support your position with evidence-based literature.

Submit your Assignment by Day 7 of Week 10.

Looking Ahead Week 10 Clinical Supervision Discussion

Week 10 Discussion: In 3- to 5-minute Kaltura video, you will

discuss an older adult client you have observed and/or counseled

during your practicum experience. Be sure to make arrangements

with your preceptor so you can fulfill the requirements of the

Discussion. Refer to the Week 10 Discussion for additional guidance.

Week 10 Psychotherapy With Older Adults

Resources Readings

 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 18, “Psychotherapy With Older Adults” (pp. 625–

660)

 Chapter 20, “Termination and Outcome Evaluation” (pp.

693–712)

 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.

 McGuire, J. (2009). Ethical considerations when working with

older adults in psychology. Ethics & Behavior, 19(2), 112–128.

doi:10.1080/10508420902772702

Note: You will access this article from the Walden Library

databases.

 Swift, J. K., & Greenberg, R. P. (2015). What is premature

termination, and why does it occur? In Premature termination

in psychotherapy: Strategies for engaging clients and

improving outcomes (pp. 11–31). Washington, DC: American

Psychological Association. doi:10.1037/14469-002

Note: You will access this resource from the Walden Library

databases.

Discussion Clinical Supervision

Post on or before Day 3 a 3- to 5-minute Kaltura video that

addresses the following:

 Describe an older client you are counseling whom you do not

think is adequately progressing according to expected clinical

outcomes. Note: Do not use the client’s actual name.

 Explain your therapeutic approach with the client, including the

perceived effectiveness of your approach.

 Identify any additional information about this client that may

potentially impact expected outcomes.

Week 10 Psychotherapy With Older Adults

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.

Respond on or before Day 6 to at least two of your colleagues by

sharing additional insights or alternative perspectives. Support your

feedback with evidence-based literature and/or your own experiences

with clients.

Note about uploading media: Refer to the Kaltura Media Uploader

instructions document, which provides guidance on how to upload

media for the Clinical Supervision Discussions.

Practicum Client Termination Summary

With the client you selected in mind, address the following in a client

termination summary (without violating HIPAA regulations):

 Identifying information of client (i.e., hypothetical name, age,

etc.)

 Date initially contacted therapist, date therapy began, duration

of therapy, and date therapy will end

 Total number of sessions, including number of missed

sessions

 Termination planned or unplanned

 Presenting problem

 Major psychosocial issues

 Types of services rendered (i.e., individual, couple/family

therapy, group therapy, etc.)

 Overview of treatment process

 Goal status (goals met, partially met, unmet)

 Treatment limitations (if any)

 Remaining difficulties and/or concerns

 Recommendations

 Follow-up plan (if indicated)

 Instructions for future contact

 Signatures

Submit your Assignment by Day 7 of Week 10.

Week 10 Psychotherapy With Older Adults

Practicum Week 8 Journal Entry

Students will:

 Develop diagnoses for clients receiving psychotherapy*

 Evaluate the efficacy of existential-humanistic therapy for

clients*

 Analyze legal and ethical implications of counseling clients

with psychiatric disorders*

 Analyze clinical supervision experiences*

*These Learning Objectives are related to the Assignment from Week

Submit your Assignment by Day 7 of Week 10. Refer to Week 8 for

additional guidance.

Practicum Week 9 Journal Entry

Students will:

 Develop diagnoses for clients receiving psychotherapy*

 Analyze legal and ethical implications of counseling clients

with psychiatric disorders*

*These Learning Objectives are related to the Assignment from Week

Submit your Assignment by Day 7 of Week 10. Refer to Week 9 for

additional guidance.

Practicum Week 10 Journal Entry

Reflect on your overall practicum experience in this course. Then,

address the following in your Practicum Journal:

 Explain whether your therapeutic theory has changed as a

result of your practicum experiences. Recall the theories you

selected in Week 1.

 Explain how you integrated the therapeutic approaches from

this course in your clinical practice. Include how this helped

you achieve the goals and objectives you developed in Week

 Explain how you might impact social change through your

work with clients who have mental health issues.

Week 10 Psychotherapy With Older Adults

 Support your approach with evidence-based literature.

Submit your Assignment by Day 7 of Week 10.

Practicum

Reminder

Time Logs

You are required to keep a log of the time you spend related to your

practicum experience and enter every patient you see each day. You

can access your time log from the Welcome Page in your Meditrek

account. You will track time individually for each patient you work

with. Please make sure to continuously input your hours throughout

the term.

Week 11 Psychotherapy With Personality Disorders

Resources Readings

 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.

o Chapter 20, “Termination and Outcome Evaluation”

(Review pp. 693–712)

 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.

 Dixon-Gordon, K. L., Turner, B. J., & Chapman, A. L. (2011).

Psychotherapy for personality disorders. International Review

of Psychiatry, 23(3), 282–302.

doi:10.3109/09540261.2011.586992

Note: You will access this article from the Walden Library

databases.

 Lorentzen, S., Ruud, T., Fjeldstad, A., & Høglend, P. A.

(2015). Personality disorder moderates outcome in short- and

long-term group analytic psychotherapy: A randomized clinical

trial. British Journal of Clinical Psychology, 54(2), 129–146.

doi:10.1111/bjc.12065

Note: You will access this article from the Walden Library

databases.

Week 11 Psychotherapy With Personality Disorders

 Paris, J. (2004). Personality disorders over time: Implications

for psychotherapy. American Journal of Psychotherapy, 58(4),

420–429. PMID: 15807086

Note: You will access this article from the Walden Library

databases.

 Swift, J. K., & Greenberg, R. P. (2015). What is premature

termination, and why does it occur? In Premature termination

in psychotherapy: Strategies for engaging clients and

improving outcomes (pp. 11–31). Washington, DC: American

Psychological Association. doi:10.1037/14469-002

Note: You will access this resource from the Walden Library

databases.

Discussion Therapy for Clients With Personality Disorders

Post on or before Day 3 a description of the personality disorder you

selected. Explain a therapeutic approach (including psychotropic

medications if appropriate) you might use to treat a client presenting

with this disorder, including how you would share your diagnosis of

this disorder to the client in order to avoid damaging the therapeutic

relationship. Support your approach with evidence-based literature.

Read a selection of your colleagues’ responses.

Respond on or before Day 6 to at least two of your colleagues by

providing one alternative therapeutic approach. Explain why you

suggest this alternative and support your suggestion with evidencebased

literature and/or your own experiences with clients.

Exam Final Exam

Students will:

 Assess knowledge of concepts, principles, and theories related

to the psychotherapy of individuals

This exam will cover the following topics from the Wheeler textbook,

which relate to psychotherapy of individuals:

 Supportive and Psychodynamic Psychotherapy

 Interpersonal Psychotherapy

 Humanistic-Existential and Solution-Focused Approaches to

Psychotherapy

Week 11 Psychotherapy With Personality Disorders

 Psychotherapy With Children

 Psychotherapy With Older Adults

 Termination and Outcome Evaluation

Complete the Final Exam by Day 7 of Week 11. Prior to starting the

exam, you should review all of your materials. There is a 2-hour time

limit to complete this 75-question exam. You may only attempt this

exam once. NURS 6640: Psychotherapy With Individuals.

Course

Evaluation

Complete your Course Evaluation by Day 7.

NURS 6640: Psychotherapy With Individuals

NURS 6640: Psychotherapy With Individuals

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