Day 1 of classes

I am going to start logging all of my activities. Again.

Today is the first day of my class Psychotherapy for the individual, family, and groups.

Reflection Questions:

What might be the consequences of a therapist being too passive & accepting: in the initial phone call? First SEssion? Over the course of treatment?

If a therapist is too passive & accepting in the initial call, the patient might not feel comfortable that the therapist will be able to help them. They also might not feel they can trust the competency of the practitioner. First session: patient might feel they can “bulldoze” and that they don’t need therapy since the therapist does not challenge them to adapt & make changes for their betterment.

What might be the consequences of a therapist being too confrontational in the initial phone call? First session? Over course of treatment?

If a therapist is too confrontational, the patient might not feel safe, might feel attacked, and bullied, a therapeutic alliance will not be established & built.

What ethical dilemnas can you think of that might create difficulties for you?

I might care too much and get too involved. Also, I might try to fix it. I might not feel comfortable allowing the patient to do the work& listening

What are some family problems-or problematic family members- that might make it difficult for you to remain objective & professional?

I have a long history of trauma. I might internalize some of the circumstances I encounter. I might want to fix or control the progression of the treatment.

What challenges do you anticipate for yo in treating hot button issues, such as extramarital affairs? Sexual abuse of children? Partner violence?

Automatically siding with the victim, shaming the aggressor, being very strongly opinionated on how a victim should respond to abuse.

Socratic dialogue is the cornerstone of CBT, cognitive behavior therapy. SD is a technique in which “mutual discovery in which the therapist guides the patient through a series of questions & answers to elicit autmoatic thoughts & assumptions, and examine the logic and evidence that relates to them”. SD involves the therapist asking specific questions derived primarily from restatement of the individuals’ own words as the major technique where the individual is able to self-discover insight, which leads to subsequent changes.

1.In light of Benner’s model, where do you see yourself in relation to your past practice of nursing, and where are you now in your nurse psychotherapy practice?

Competent in my nurse psychotherapy practice.

2.How does your choice of intervention affect the outcome of treatment?

Depending on which choice of intervention, the outcome of treatment could involve pharmacological treatment, psychotherapy, group therapy, and various other therapy modalities.

3.How can a person be healed and still have a diagnosed psychiatric disorder? How is curing different from healing? How do you know when healing has occurred?

Curing involves an external factor that eliminated symptoms & disorder. healing is an interactive process in which the patient is an active participant in their treatment. Healing can exist simulataneously with a dx’d disorder when symptoms are no longer unmanageable and the patient reports satisfaction with symptoms.

This is my life. My blog might become extremely boring. I don’t know. I don’t even really care. I need to wrrite and i am not sure how and what to write right now. I haven’t written about this eyar’s festival. I haven’t written about being in a new relationship. I haven’t written in a while now.

I need to write and I needed a jump start. Writing and taking notes is a start. I’m not even going to say it is a good start. But it is a start. YAY ME.


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