Psychotherapy

Psychotherapy With Trauma and Stressor-Related Disorders

Disorders resulting from trauma are significantly different from other psychiatric-mental health issues. Unlike disorders such as schizophrenia or major depressive disorder, trauma-related disorders do not occur randomly in the population. Instead, trauma is something that occurs as a result of the lived experience of a traumatic event. According to the National Institute of Mental Health (2017), more than half of the population will experience a traumatic event during their lifetime. Although most people will recover from the trauma on their own, some require therapeutic interventions. While there are medications that can help individuals with trauma and posttraumatic stress disorder (PTSD), the foundation of treatment continues to be psychotherapy.

This week, you explore psychotherapy for trauma by assessing a case presentation for clients presenting with posttraumatic stress disorder. You also examine therapies for treating these clients and consider potential outcomes.

Reference: National Institute of Mental Health. (2017). Post-traumatic stress disorder (PTSD). https://www.nimh.nih.gov/health/statistics/post-traumatic-stress-disorder-ptsd.shtml

Learning Objectives

Students will:

· Explain the neurobiological basis for PTSD

· Apply assessment and diagnostic reasoning skills to clients presenting with posttraumatic stress disorder

· Recommend therapeutic approaches for treating clients presenting with posttraumatic stress disorder

· Analyze the importance of using evidence-based psychotherapy treatments for clients with posttraumatic stress disorder

Learning Resources

 

Required Readings (click to expand/reduce)

 

 

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787

· “Culture and Psychiatric Diagnosis”

 

American Psychiatric Association. (2017). Clinical practice guideline of PTSD. https://www.apa.org/ptsd-guideline

 

Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach. https://ncsacw.samhsa.gov/userfiles/files/SAMHSA_Trauma.pdf

Credit: Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept  of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.

 

Tye, S., Van Voorhees, E., Hu, C., & Lineberry, T. (2015). Preclinical perspectives on posttraumatic stress disorder criteria in DSM-5. Harvard Review of Psychiatry, 23(1), 51–58. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4542003/

Credit: Preclinical Perspectives on Posttraumatic Stress Disorder Criteria in DSM-5 by Susannah Tye, PhD, Elizabeth Van Voorhees, PhD, Chunling Hu, MD, PhD, and Timothy Lineberry, MD, in HARVARD REVIEW OF PSYCHIATRY, Vol. 23/Issue 1. Copyright 2015 by ROUTLEDGE. Reprinted by permission of ROUTLEDGE via the Copyright Clearance Center.

 

Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.

· Chapter 3, “Assessment and Diagnosis” (Previously read in Week 2)

· Chapter 7, “Eye Movement Desensitization and Reprocessing Therapy”

· Chapter 11, “Trauma Resiliency Model Therapy”

· Chapter 15, “Trauma-Informed Medication Management”

· Chapter 17, “Stabilization for Trauma and Dissociation”

· Chapter 18, “Dialectical Behavior Therapy for Complex Trauma”

 

Required Media (click to expand/reduce)

 

 

Grande, T. (2019, August 21). Presentation example: Posttraumatic stress disorder (PTSD) [Video]. YouTube. https://www.youtube.com/watch?v=RkSv_zPH-M4

 

 

Gift from Within. (Producer). (2008). PTSD and veterans: A conversation with Dr. Frank Ochberg [Video]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/ptsd-and-veterans-a-conversation-with-dr-frank-ochberg

 

 

Know & Grow with Dr. K. (2021, July 18). Does your child suffer from post traumatic stress disorder? (Strictly Medical-English Version). [Video]. YouTube. https://www.youtube.com/watch?v=o98ilXH5gto

Assignment: Posttraumatic Stress Disorder

It is estimated that more almost 7% of the U.S. population will experience posttraumatic stress disorder (PTSD) in their lifetime (National Institute of Mental Health, 2017). This debilitating disorder often interferes with an individual’s ability to function in daily life. Common symptoms of anxiousness and depression frequently lead to behavioral issues, adolescent substance abuse issues, and even physical ailments. For this Assignment, you examine a PTSD video case study and consider how you might assess and treat clients presenting with PTSD.

To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide about diagnosing and treating PTSD.

· View the media Presentation Example: Posttraumatic Stress Disorder (PTSD) and assess the client in the case study.

· For guidance on assessing the client, refer to Chapter 3 of the Wheeler text.

Note:  To complete this Assignment, you must assess the client, but you are not required to submit a formal comprehensive client assessment.

The Assignment

Succinctly, in 1–2 pages, address the following:

· Briefly explain the neurobiological basis for PTSD illness.

· Discuss the DSM-5-TR diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not?

· Discuss one other psychotherapy treatment option for the client in this case study. Explain whether your treatment option is considered a “gold standard treatment” from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners.

Support your Assignment with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources

 

 Also attach and submit PDFs of the sources you used.

 

Rubric Detail

 

A rubric lists grading criteria that instructors use to evaluate student work. Your instructor linked a rubric to this item and made it available to you. Select Grid View or List View to change the rubric’s layout.

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Name: NRNP_6645_Week9_Assignment_Rubric

 

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· List View

  Excellent 90%–100% Good 80%–89% Fair 70%–79% Poor 0%–69%
Succinctly, in 1–2 pages, address the following: • Briefly explain the neurobiological basis for PTSD illness. Points Range:14 (14.00%) – 15 (15.00%)

The response includes an accurate and concise explanation of the neurobiological basis for PTSD illness.

Points Range:12 (12.00%) – 13 (13.00%)

The response includes an accurate explanation of the neurobiological basis for PTSD illness.

Points Range:11 (11.00%) – 11 (11.00%)

The response includes a somewhat vague or inaccurate explanation of the neurobiological basis for PTSD illness.

Points Range:0 (0.00%) – 10 (10.00%)

The response includes a vague or inaccurate explanation of the neurobiological basis for PTSD illness. Or, response is missing.

• Discuss the DSM-5-TR diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not? Points Range:23 (23.00%) – 25 (25.00%)

The response includes an accurate and concise description of the DSM-5-TR diagnostic criteria for PTSD and an accurate explanation of how they relate to the symptomology presented in the case study. The response includes a concise explanation of whether the case provides sufficient information to derive the PTSD and other diagnoses. Justification demonstrates strong diagnostic reasoning and critical thinking skills.

Points Range:20 (20.00%) – 22 (22.00%)

The response includes an accurate description of the DSM-5-TR diagnostic criteria for PTSD and an adequate explanation of how they relate to the symptomology presented in the case study. The response includes an explanation of whether the case provides sufficient information to derive the PTSD and other diagnoses. Justification demonstrates adequate diagnostic reasoning and critical thinking skills.

Points Range:18 (18.00%) – 19 (19.00%)

The response includes a somewhat vague or inaccurate description of the DSM-5-TR diagnostic criteria for PTSD and a somewhat vague or inaccurate explanation of how they relate to the symptomology presented in the case study. The response includes a vague or inaccurate explanation of whether the case provides sufficient information to derive the PTSD and other diagnoses. Justification demonstrates somewhat inadequate diagnostic reasoning and critical thinking skills.

Points Range:0 (0.00%) – 17 (17.00%)

The response includes a vague or inaccurate description of the DSM-5-TR diagnostic criteria for PTSD and a vague or inaccurate explanation of how they relate to the symptomology presented in the case study. Or, response is missing. The response includes a vague or inaccurate explanation of whether the case provides sufficient information to derive the PTSD and other diagnoses. Justification demonstrates poor diagnostic reasoning and critical thinking skills. Or, response is missing.

• Discuss one other psychotherapy treatment option for the client in this case study. Explain whether your treatment option is considered a “gold standard” treatment from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners. Points Range:27 (27.00%) – 30 (30.00%)

The response includes an accurate and concise explanation of one other psychotherapy treatment option for the client in this case study. The response clearly and concisely explains whether the recommended treatment option is a “gold standard” treatment and why using gold standard, evidence-based treatments from clinical practice guidelines is important for PMHNPs.

Points Range:24 (24.00%) – 26 (26.00%)

The response includes an accurate explanation of one other psychotherapy treatment option for the client in this case study. The response adequately explains whether the recommended treatment option is a “gold standard” treatment and why using gold standard, evidence-based treatments from clinical practice guidelines is important for PMHNPs.

Points Range:21 (21.00%) – 23 (23.00%)

The response includes a somewhat vague or incomplete explanation of one other psychotherapy treatment option for the client in this case study. The response provides a somewhat vague or incomplete explanation of whether the recommended treatment option is a “gold standard” treatment and why using gold standard, evidence-based treatments from clinical practice guidelines is important for PMHNPs.

Points Range:0 (0.00%) – 20 (20.00%)

The response includes a vague and inaccurate explanation of one other psychotherapy treatment option for the client in this case study, or the treatment option is innappropriate. Or, response is missing. The response provides a vague or incomplete explanation of whether the recommended treatment option is a “gold standard” treatment and why using gold standard, evidence-based treatments from clinical practice guidelines is important for PMHNPs. Or, response is missing.

·   Support your approach with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. PDFs are attached. Points Range:14 (14.00%) – 15 (15.00%)

The response is supported by specific examples from this week’s media and at least three peer-reviewed, evidence-based sources from the literature that provide strong support for the rationale provided. PDFs are attached.

Points Range:12 (12.00%) – 13 (13.00%)

The response is supported by examples from this week’s media and three peer-reviewed, evidence-based sources from the literature that provide appropriate support for the rationale provided. PDFs are attached.

Points Range:11 (11.00%) – 11 (11.00%)

The response is supported by examples from this week’s media and two or three peer-reviewed, evidence-based sources from the literature. Examples and resources selected may provide only weak support for the rationale provided. PDFs may not be attached.

Points Range:0 (0.00%) – 10 (10.00%)

The response is supported by vague or inaccurate examples from the week’s media and/or evidence from the literature, or is missing.

Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. Points Range:5 (5.00%) – 5 (5.00%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineates all required criteria.

Points Range:4 (4.00%) – 4 (4.00%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.

Points Range:3.5 (3.50%) – 3.5 (3.50%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.

Points Range:0 (0.00%) – 3 (3.00%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided.

Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation Points Range:5 (5.00%) – 5 (5.00%)

Uses correct grammar, spelling, and punctuation with no errors.

Points Range:4 (4.00%) – 4 (4.00%)

Contains 1 or 2 grammar, spelling, and punctuation errors.

Points Range:3.5 (3.50%) – 3.5 (3.50%)

Contains 3 or 4 grammar, spelling, and punctuation errors.

Points Range:0 (0.00%) – 3 (3.00%)

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. Points Range:5 (5.00%) – 5 (5.00%)

Uses correct APA format with no errors.

Points Range:4 (4.00%) – 4 (4.00%)

Contains 1 or 2 APA format errors.

Points Range:3.5 (3.50%) – 3.5 (3.50%)

Contains 3 or 4 APA format errors.

Points Range:0 (0.00%) – 3 (3.00%)

Contains many (≥ 5) APA format errors.

Name:NRNP_6645_Week9_Assignment_Rubric

 

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