Journal Entry

Patient is 65 years old female living in the facility as a long term patient. Before she was admitted, she was living with a boyfriend who was very abusive both physical and verbal. One of her abusive time, the boyfriend push her off the stairs in the house and she broke her right wrist but she lied when the paramedics when they came to pick her up.  She been having trouble sleeping and sometimes tries to kill herself. Right now she is safe but still have those fears. Patient is on mirtazapine 15mg 1 tablet by mouth twice a day.

  • 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*

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 7.

Select a client whom you observed or counseled that suffers from a disorder related to trauma. 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 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.

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