Discussion: clients receiving psychotherapy

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Discussion:  clients receiving psychotherapy

Discussion: clients receiving psychotherapy

Discussion: Diagnoses for clients receiving psychotherapy

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Discussion: clients receiving psychotherapy
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Discussion: Diagnoses for clients receiving psychotherapy

Learning Objectives

Students will:

· Develop diagnoses for clients receiving psychotherapy*

· Evaluate the efficacy of cognitive behavioral therapy for clients*

· Analyze legal and ethical implications of counseling clients with psychiatric disorders*

Select a client whom you observed or counseled this week. 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 Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition (DSM-5), explain and justify your diagnosis for this client.

· Explain whether cognitive behavioral therapy would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.

· Explain any legal and/or ethical implications related to counseling this client.

Voluntary participation means that people participate in the evaluation free from coercion. Participants are free to withdraw their participation at any time without negatively impacting on their involvement in future services or the current program2 and relationships with any of the researchers or research bodies involved. It can be challenging to encourage high risk youth to become engaged in a program and it is therefore difficult when participants choose not to continue in a program. It is the right of participants to leave a program of this nature at any time, therefore no pressure should be placed on those who choose not to continue. Explanations are also not required.

Do no harm

Harm can be both physical and/or psychological and therefore can be in the form of: stress, pain, anxiety, diminishing self-esteem or an invasion of privacy.2 It is imperative that the evaluation process does not in any way harm (unintended or otherwise) participants.

Confidentiality

Confidentiality means that any identifying information is not made available to, or accessed by anyone but the program coordinator.2 Confidentiality also ensures such identifying information is excluded from any reports or published documents. Given that there are often small numbers in peer based programs, it is very important to consider how reports are worded to ensure that there is no opportunity for people to be identified even though names are not used.

Anonymity

Anonymity is a stricter form of privacy than confidentiality, as the identity of the participant remains unknown to the research team.2 This is more difficult to achieve than confidentiality as participants in the context of social research are usually known to the program coordinator.1

Only assess relevant components

Only assess those components that are of relevance to the program/initiative being conducted. High risk populations are sometimes being used as guinea pigs or a captive audience to ask all sorts of questions in evaluations that are of interest to groups conducting the program/initiative but not relevant to the program nor will be to the group who are involved in the program. It is important to keep evaluations as simple as possible and to remain focused on the intention of the evaluation and what the data gathered will be used for.

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