Week 9: Psychotherapy With Children and Adolescents
Week 9: Psychotherapy With Children and Adolescents
Approximately 1 in 5 children and adolescents have a mental health disorder, which may lead to issues at home, school, and other areas of their lives (Prout & Fedewa, 2015). When working with this population, it is important to recognize that children and adolescents are not “mini adults” and should not be treated as such. Psychotherapy with these clients is often more complex than psychotherapy with the general adult population, particularly in terms of communication. As a result, strong therapeutic relationships are essential to success.
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This week, as you explore psychotherapy with children and adolescents, you assess clients presenting with disruptive behaviors. You also examine therapies for treating these clients and consider potential outcomes.
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Learning Resources
Required Readings
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
- Standard 5 “Implementation” (pages 52-53)
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
- Chapter 17, “Psychotherapy With Children” (pp. 597–624)
Required Media
Walker, R. (n.d.). Making child therapy work [Video file]. Mill Valley, CA: Psychotherapy.net.
Optional Resources
Bruce, T., & Jongsma, A. (2011). Evidence-based treatment planning for disruptive child and adolescent behavior [Video file]. Hoboken, NJ: John Wiley & Sons.
Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 63 minutes.
Discussion: Counseling Adolescents
The adolescent population is often referred to as “young adults,” but in some ways, this is a misrepresentation. Adolescents are not children, but they are not yet adults either. This transition from childhood to adulthood often poses many unique challenges to working with adolescent clients, particularly in terms of disruptive behavior. In your role, you must overcome these behaviors to effectively counsel clients. For this Discussion, as you examine the Disruptive Behaviors media in this week’s Learning Resources, consider how you might assess and treat adolescent clients presenting with disruptive behavior.
Learning Objectives
Students will:
- Assess clients presenting with disruptive behavior
- Analyze therapeutic approaches for treating clients presenting with disruptive behavior
- Evaluate outcomes for clients presenting with disruptive behavior
To prepare:
- Review this week’s Learning Resources and reflect on the insights they provide.
- View the media, Disruptive Behaviors. Select one of the four case studies and assess the client.
- For guidance on assessing the client, refer to pages 137-142 of the Wheeler text in this week’s Learning Resources.
Note: To complete this Discussion, you must assess the client, but you are not required to submit a formal Comprehensive Client Assessment.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!
By Day 3
Post an explanation of your observations of the client in the case study you selected, including behaviors that align to the criteria in DSM-5. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support your approach with evidence-based literature.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues by providing one alternative therapeutic approach. Explain why you suggest this alternative and support your suggestion with evidence-based literature and/or your own experiences with clients.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 9 Discussion Rubric
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week 9 Discussion
Week in Review
Now that you have:
- Assessed clients presenting with disruptive behavior
- Analyzed therapeutic approaches for treating clients presenting with disruptive behavior
- Evaluated outcomes for clients presenting with disruptive behavior
Next week, you will:
- Assess clients presenting for psychotherapy
- Evaluate the effectiveness of therapeutic approaches for clients receiving psychotherapy
Next Week