Topic is current and relevant to my area of professional interest. Because a pat

Topic is current and relevant to my area of professional
interest.
Because a patient, 36-year-old Hispanic-American male, Kevin , has been
showing signs of addiction to Xanax, the primary care provider decides to
discontinue the patient’s Xanax prescription and refer for psychotherapy. The
patient responds with anger, pleading that he can’t function without the
medication.
As you move through the initial assessment, the patient states that he had
a back injury on the job. He works for a concrete company and fell into a
prepped basement area before the concrete was poured. He had some pain meds
during recovery and was given Xanax for increased anxiety. He states he
enjoys his job very much and that he cannot lose it as he is the sole
provider for his family.
He lives with his wife and twin boys, age eight. He stresses again that he
works hard for his family and can’t afford to miss work due to anxiety so he
needs the Xanax to function. He denies any substance abuse or past medical
history other than the back injury eight months prior. He has no legal
history and no military history. His extended family lives near, and he
reports a pleasant childhood with continued support even still.
Vitals:
BP 138/90
HR 76
R 20
T 97.2
O2 99%
Pain 5 on 0– 10 scale (back pain)
Your reflection should address all of the following questions, using
between 750 to 1,000 words. Appropriate spelling, grammar, and punctuation
required. Complete sentences are expected. All writing should be in your own
words. Use APA references as needed to support your ideas; there is no
requirement on number of references to include. Be sure to use APA format.
Which skills did you
use in the session? How?
How did the assigned
Corey readings, PowerPoints, handouts, and videos inform your therapy
session? Please explain in detail.
What were your
strengths in the interview?
What were your
weaknesses/areas in need of further development in the interview?
How could you improve
your interviewing skills? Are there steps you plan on taking? What are
those steps?
Was there any time
when you felt stuck or uncertain how to respond? Describe what was
happening then. Were there times you felt more confident in your
responses with the client? Times you were less confident? How? Does this
come through in the session?
How were you impacted
by the client . . . your emotions, thoughts, physical reactions,
transference, and countertransference, body language?
What was your overall
response to the interview? Did you feel connected to the client?
Distracted? Disengaged?
What was the quality
of your engagement, your empathy?
If you were to
continue seeing this particular client, what future directions would you
take? How would you conceptualize the case and what would be some of
your treatment goals? How would you pursue these goals?
In relation to your partner:
What were your
partner’s strengths in the interview?
What were your
partner’s weaknesses/areas in need of further development in the
interview?
How could your partner
improve his/her interviewing skills?
SOAP Note:
Fill in the SOAP note
in the template based on your session visit. This should be a follow-up
note, as this session was NOT an initial interview.
Daphney
What
are the parameters for monitoring the success of the therapy?
The
parameters for monitoring the success of Jason’s therapy are to assess for
improvement in Jason’s skin condition and to see if he experienced relief
from the itching. I would expect Jason to notice an improvement in his
symptoms two weeks after beginning treatment. Assessing for medication
compliance is also essential here because Jason is taking a tapered dose of
prednisone. The parameters for monitoring the success of Jason’s therapy are
to assess for improvement in Jason’s skin condition and to see if he
experienced relief from the itching. I would expect Jason to notice an
improvement in his symptoms two weeks after beginning treatment. Assessing for
medication compliance is also essential here because Jason is taking a
tapered dose of prednisone.
Jhenny
When administered for short periods, oral corticosteroids
produce moderate side effects such as mood and behavior changes, nausea, and
sleep difficulties (Aljebab et al., 2017). Long-term corticosteroid use in
children can result in weight gain, hypertension, growth retardation, and
cushingoid symptoms (Aljebab et al., 2017). Hence, because the patient
is on a short-term course, he or she may continue with this treatment.
Nonetheless, If the patient does not find alleviation in 2 to 3 days and
complete healing in 2 to 3 weeks, adding a week to the therapy for a total of
3 weeks would help J.F. achieve the targeted therapeutic goal (Woo &
Robinson, 2020, E-Book). Furthermore, J. F. may benefit from over-the-counter
and alternative medications like an aluminum acetate solution (Burow’s,
Domeboro), an astringent wet dressing applied for 30 minutes four times per
day to alleviate inflammation associated with contact dermatitis (Woo &
Robinson, 2020, E-Book). Emollient baths with colloidal oatmeal solids
(Aveeno) or oils (Alpha Keri Bath Oil, Lubriderm Bath Oil) can be used to
relieve itching in individuals who suffer from it (Woo & Robinson, 2020,
E-Book). Avoiding poison ivy, wearing long-sleeved garments in wooded
regions, and exercising hand hygiene are some of the measures that J.F should
take. Non-pharmacological means of treating pruritus, such as removing
sensitizing chemicals, should also be emphasized. Furthermore, NSAIDs and
oral hypoglycemics should not be used in conjunction with prednisone therapy.
These drug interactions can increase the risk of gastrointestinal bleeding
and diminish its efficacy, resulting in poor glycemic control (Woo & Robinson,
2020, E-Book).
paragraph 1
Palacio
After learning about each of the therapy modalities, this
writer has found that one type of therapy is not a “one size- fits all” for
every patient. It seems that therapists should be familiar and comfortable
with at least one type of therapy to start their career. However, some
modalities are not as beneficial for certain patients due to cultural and
societal norms or personal beliefs about some recommended behavior
interventions. For example, those who value the family as a unit may not feel
comfortable speaking openly about personal needs or feelings of disrespect.
For those reasons, existential therapy may not be the best option. Existential
therapy emphasizes the individual. A heightened value on the family unit can
serve as a barrier to meeting the individual’s needs. Some clients may be
offended by a focused approach that emphasizes the current issues and places
less importance on the past (solution-focused). The opposite may
also be true.
paragraph 2
My Psychotherapy practice will be a place where people who come with mental health issues will experience the mixed
grill of therapy modalities because as a born again PMNHP provider, I believe
in offering the Holistic therapy that looks at the whole person made of body
,mind, soul and spirit other than just the diagnosis or the presenting health
condition. The holistic therapy is very much related to the spiritual therapy
and the Heart Centered therapy. I strongly believe that most of the mental
health conditions emanates from the condition of the mind and the heart. If a
person who is suffering from mental health issues that may result from
life losses, challenges or changes can put their mind, trust and
emotional burdens to God, this becomes a steppingstone to positivity, reduced
fear and uncertainty, decreased worry and more trust in the one who is
superpower and greater than us human beings.
Please give two responses to the two paragraphs above