Week Three Therapeutic Alliance
Mood disorders/anxiety/obsessive-compulsive disorder (OCD)
A 53-year-old client with a diagnosis of major depressive disorder recently survived a suicide attempt.
Psychosis
A 19-year-old college student with a diagnosis of schizophrenia has paranoid delusions and is seeking therapy as a part of an enrollment agreement.
Personality Disorder
A 45-year-old client with a diagnosis of antisocial personality disorder is attending court-ordered therapy following a conviction for domestic violence.
Trauma
A 21-year-old client recently left the abusive religious cult where she was raised.
Substance Use Disorder
A 45-year-old client attending court-ordered therapy following a conviction for driving under the influence of opioids.
Week 5 – Which Therapy Would You Use
A 32-year-old client presents to the PMHNP for therapy. She has been experiencing feelings of guilt and has had trouble concentrating since returning to work after the birth of her first child three months ago. She states that she is sad most of the time. She feels frustrated with her partner because he has not assumed responsibility for any additional household duties since the baby’s birth, leaving her tired and discouraged.
A 26-year-old client presents to the PMHNP for therapy. The client was recently discharged from an inpatient substance use disorder treatment program for alcohol use. Although he is committed to his sobriety, he is struggling to navigate social situations where alcohol is available. All of his friends drink alcohol socially. His sobriety is creating problems with his partner as he continues to consume alcohol in their home. He is having trouble expressing his concerns to his partner out of fear his partner will leave the relationship
A 15-year-old client presents to the PMHNP for therapy. She reports persistent feelings of sadness for the last year. She has trouble sleeping and has lost 12 pounds in the last few months. She used to enjoy participating in choir and drama club at her school but no longer enjoys her favorite activities. She is experiencing problems in her social relationships due to difficulty making friends and often feels lonely.
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