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WEEK 8 Discussion 2 Assessment – 2025 A 58 year old obese man complains of pain in his left knee The pain
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WEEK 8 Discussion 2 Assessment – 2025
A 58-year-old obese man complains of pain in his left knee. The pain seems to be unrelenting. He says his knee is better when he rests, but it gets stiff when he rests too long. He denies other symptoms, significant history, or allergies.
Experiential Versus Narrative Family Therapies – 2025 PLEASE FOLLOW THE INSTRUCTIONS BELOW 4 REFERENCES ZERO PLAGIARISM Although experiential therapy and narrative
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Experiential Versus Narrative Family Therapies – 2025
PLEASE FOLLOW THE INSTRUCTIONS BELOW
4 REFERENCES
ZERO PLAGIARISM
Although experiential therapy and narrative therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, you compare Experiential and Narrative Family Therapy.
Learning Objectives
Students will:
To prepare:
The Assignment
In a 2- to 3-page paper, address the following:
Note: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided by the Walden Writing Center provides examples of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.
Part 2: Family Genogram
Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).
Treating Childhood Abuse Ch – 2025 PLEASE FOLLOW THE INSTRUCTION BELOW ZERO PLAGIARISM 4 REFERENCES n 2012 statistics in the United States indicated that
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Treating Childhood Abuse Ch – 2025
PLEASE FOLLOW THE INSTRUCTION BELOW
ZERO PLAGIARISM
4 REFERENCES
n 2012, statistics in the United States indicated that state CPS agencies received 3.4 million referrals for child abuse and neglect. Of these, nearly 700,000 children were found to be victims of maltreatment: 18% were victims of physical abuse and 78% were victims of neglect (CDC, 2014). Child sexual abuse makes up roughly 10% of child maltreatment cases in the United States (CDC, 2014). The CDC considers sexual abuse at any age a form of violence. Child abuse of any kind can lead to an increased state of inflammatory markers in adulthood, as well as multiple physical illnesses and high-risk behavior such as alcoholism and drug abuse. If a PMHNP identifies child abuse, there may be a need to report the abuse to authorities. Once able to provide treatment, the PMHNP can be instrumental in reducing the long-term effects of child abuse.
In this Discussion, you recommend strategies for assessing for abuse and analyze influences of media and social media on mental health. You also evaluate the need for mandatory reporting of abuse.
Learning Objectives
Students will:
To Prepare for this Discussion:
By Day 3
Post:
Post Alina – 2025 Respond to your colleagues by suggesting an alternate therapeutic approach Support your feedback with evidence based
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Post Alina – 2025
Respond to your colleagues by suggesting an alternate therapeutic approach. Support your feedback with evidence-based literature and/or your own experiences with clients. Ask your colleague a question related to the post
Main Post
Practicum Experience: Addiction Issues and Depression
Treating substance and addiction disorders is an important step in helping the patient return to normal life. Fuentes & Hoffman (2016) explain that many patients may be suffering from growing addiction-related issues at younger ages than historically known. In my practicum experience, there have been patients that have comorbid symptoms including depression, anxiety, fatigue, and in extreme cases agoraphobia. When these patients present for the treatment they may not know the root cause of their condition nor all the comorbid symptoms. In some cases, the initial meeting establishes the scope of their condition as well as incumbent challenges they may not have identified earlier. This sets the parameters for a treatment approach that is relevant and specific to their needs.
One patient that I met during practicum was a 43-year old caucasian male. He had lost his job during the early months of the year and was experiencing depression as a result of it. There are a lot of issues his family has faced resulting in him downsizing and moving in with his mother. The relationship between the two of them and the pressure to care for his ill father has added stress to the situation further. Aside from these problems he has developed an addiction to alcohol frequently having drinks several times throughout the day.
These conditions and the patient’s perspective of hopelessness are some of the persisting circumstances in his life. These problems have continued for more than six months and have contributed to a sense of loss and a lack of self-worth. He used to be creative and make art projects with friends or coworkers. However, this has not been possible as he feels there is ‘no point to anything’. Instead, he has taken larger drinks more frequently over the past year. This was a remarkable example of his growing sense of despair that interferes with activities that may have been fun in the past. Davis et al. (2017) explain it is important to diagnose comorbid conditions early on to improve chances for patient improvement. According to DSM-V, the patient could have Major Depressive Disorder as well as Alcohol Use Disorder. With only three symptoms persisting for the specified amount of time the case would be mild.
For this patient, two treatment options were suggested. Psychological therapy was offered on a weekly basis to help the patient rectify some of their underlying issues while addressing depression. In my experience, cognitive behavioral therapy is the most interesting because it offers a good solution for long-term symptom management. Acamprosate is a relatively new medication that makes the desire to drink lower for the patient. Choi et al. (2019) demonstrate the ability for this treatment to improve the chances of changing alcohol abuse over time. This is medication best regulated with small doses initially and increased based on how well the patient can handle it. At these early stages, the patient is willing to take the medication and will return for follow-up changes with treatment in the future.
References
Choi, B. Y., Lee, S. H., Choi, H. C., Lee, S. K., Yoon, H. S., Park, J. B., … & Suh, S. W. (2019). Alcohol dependence treating agent, acamprosate, prevents traumatic brain injury-induced neuron death through vesicular zinc depletion. Translational Research, 207, 1-18.
Davis, E. C., Rotheram-Borus, M. J., Weichle, T. W., Rezai, R., & Tomlinson, M. (2017). Patterns of alcohol abuse, depression, and intimate partner violence among township mothers in South Africa over 5 years. AIDS and Behavior, 21(2), 174-182.
Fuertes, J. N., & Hoffman, A. (2016). Alcohol consumption and abuse among college students: Alarming rates among the best and the brightest. College Student Journal, 50(2), 236-240.