Wk5A What is Family Psychotherapy?

Family Psychotherapy
Students will:
• Develop effective documentation skills for family therapy sessions *
• Develop diagnoses for clients receiving family psychotherapy *
• Evaluate the efficacy of solution-focused therapy and cognitive behavioral therapy for families *
• Analyze legal and ethical implications of counseling clients with psychiatric disorders *
ACTUAL ASSIGNMENT
PLEASE Addressed each of the bullets with a subtopic, use the resources, you can use other references
within last five years only- from 2014 to 2018. Please do not begin a paragraph with author name(s)
(PLEASE USE parenthetical/in-text citations)
Below are two clients I observed/counseled during a family therapy session. Note: The two clients
attended the same family session.
Client is a 44yr old female with Major depressive disorder who came to crisis center with suicidal
thoughts after being driven out of their home by her verbally abusive husband. She is scared and
overwhelmed because she is jobless and depends on her husband to cater for her. She is also
depressed because her husband’s family “hates her with passion” and will not even speak to her and
her husband thinks it is okay. She is anxious and depressed from verbal abuse of her husband and
hatred from her husband’s family. Her husband is dismissive of her worries, verbally abuse her and
always tell her to leave their house whenever they argue.
Family session held with her husband who has generalized anxiety disorder and anger management
problems, gets loud, inconsiderate of others feelings when upset and says whatever he wants which
have made his family isolate him most times, the isolation and his wife’s complaints makes him thinks
he is a bad person and nothing will change their impression regardless of what he says or does.
Then, address in your Practicum Journal the following:
?
Describe each 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 each client.
?
Explain whether solution-focused or cognitive behavioral therapy would be more effective
with this family. Include expected outcomes based on these therapeutic approaches.
?
Explain any legal and/or ethical implications related to counseling each client.
?
Support your approach with evidence-based literature.
Resources/References
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice
(2nd ed.). Washington, DC: Author.
• Standard 5F “Milieu Therapy” (pages 60-61)
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for
evidence-based practice. New York, NY: Springer.
• Chapter 12, “Family Therapy” (Review pp. 429–468.)
Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.
• Chapter 10, “Cognitive-Behavior Family Therapy” (pp. 166–189)
• Chapter 12, “Solution-Focused Therapy” (pp. 225–242)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
Washington, DC: Author.
Bond, C., Woods, K., Humphrey, N., Symes, W., & Green, L. (2013). Practitioner review: The effectiveness
of solution focused brief therapy with children and families: A systematic and critical evaluation of the
literature from 1990–2010. Journal of Child Psychology & Psychiatry, 54(7), 707–723.
doi:10.1111/jcpp.12058
Conoley, C., Graham, J., Neu, T., Craig, M., O’Pry, A., Cardin, S., & … Parker, R. (2003). Solution-focused
family therapy with three aggressive and oppositional-acting children: An N=1 empirical study. Family
Process, 42(3), 361–374. doi:10.1111/j.1545-5300.2003.00361.x
de Castro, S., & Guterman, J. (2008). Solution-focused therapy for families coping with suicide. Journal of
Marital & Family Therapy, 34(1), 93–106. doi:10.111/j.1752-0606.2008.00055.x
Patterson, T. (2014). A cognitive behavioral systems approach to family therapy. Journal of Family
Psychotherapy, 25(2), 132–144. doi:10.1080/08975353.2014.910023
Perry, A. (2014). Cognitive behavioral therapy with couples and families. Sexual & Relationship Therapy,
29(3), 366–367. doi:10.1080/14681994.2014.909024
Ramisch, J., McVicker, M., & Sahin, Z. (2009). Helping low-conflict divorced parents establish appropriate
boundaries using a variation of the miracle question: An integration of solution-focused therapy and
structural family therapy. Journal of Divorce & Remarriage, 50(7), 481–495.
doi:10.1080/10502550902970587
Washington, K. T., Wittenberg-Lyles, E., Oliver, D. P., Baldwin, P. K., Tappana, J., Wright, J. H., & Demiris,
G. (2014). Rethinking family caregiving: Tailoring cognitive-behavioral therapies to the hospice
experience. Health & Social Work, 39(4), 244–250. doi:10.1093/hsw/hlu031

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