individual therapy

Psychotherapeutic Management

Individual Psychotherapy

Larin, Jacqueline NicoleLaurenaria, Laisa Sedrei

Lavarias, Janua CoeliLeal, Gerene Marie

Ledesma, Angelica KarinnaLedesma, Joshua Edward

Individual TherapyAimed at helping patients become stronger than their symptoms

A method of bringing about change in a person by exploring his or her feelings, attitudes, thinking and behavior

Offers a powerful setting for the disclosure of secrets, emotions and experiences that may be difficult to discuss

I

Individual TherapyFocuses on the person and includes other aspects of the person's life only as they relate to the individual

A one-to-one relationship between therapist and client

The weaving of past stories, events, feelings and traumas, with current emotions, patterns, stressors and events enables us to integrate the past with the present

I

Individual TherapyI With Children and Adolescents

The need for psychotherapy for a child or adolescent is based upon such factors

Child’s current problemLife HistoryLevel of DevelopmentAbility to Cooperate in TreatmentWhat interventions are most

likely to help with the presenting concerns

Individual TherapyI With Children and Adolescents

Parents may be involved in varying degrees depending upon the age of the client and the nature of the identified conflict or disturbance

Parents may be involved in varying degrees depending upon the age of the client and the nature of the identified conflict or disturbance

The therapist acts as an advocate and may be called upon to make recommendations that affect various aspects of the client's life

Individual TherapyI Long Term (Three Phases by kaufman )

1assessing the problem and its particular emotional and social dynamics, increasing motivation for abstinence, and achieving abstinence

23

involves maintaining abstinence by using cognitive-behavioral strategies, with emphasis on immediate issues and their relationship to maintaining abstinence, and encouraging the patient to use community self-help support groups

focuses on establishing intimacy with others and achieving autonomy. Often, issues of childhood trauma are examined during this phase

Individual TherapyI STAGES

Similar to nurse-patient relationship Introduction Working Termination

Cost-containment measures necessitates moving into working phase immediately to maximize the benefit Mandated by insurers and Health

maintenance organizations

Individual Therapy

Therapist-client relationship is the key

The two must be compatible for the therapy to work

This may require the client to select a therapist whose style and beliefs suits his/her needs and expectations

I

Individual TherapyI Factors That Affect Therapist’s Approach

Formal credentials Experience Theoretical beliefs Model of practice

Individual TherapyI Checking the legal credentials of the therapist

Check with the State licensing boardGovernment listings in the local

phone book

FBetter Business Bureau may inform consumers if a therapist is for investigation

FCalling the local mental health services

Individual TherapyI objective

To build a psychotherapeutic nurse patient relationship in order to build a therapeutic alliance. A kind of relationship formed with trust.

Individual TherapyI Developing a Therapeutic Nurse- patient relationship

123

Be calm when talking to patients Rationale: anxiety is contagious and counterproductive

Accept patients as they are but don’t accept all behaviors

Rationale: everyone wants to be accepted

Keep promises Rationale: dependability builds trust


4567

Be consistentRationale: consistency increases trust

Be honestRationale: honesty increases trust

Do not reinforce hallucinations or delusions Rationale: the nurse should simply state his or her perception of realty , voice doubt about the patient’s perceptions and move on to discuss real people or events

Orient patients to time, person, and place, if indicatedRationale: orientation reinforces reality

Individual TherapyI

891011

Do not touch patients without warning them Rationale: patients who are suspicious might perceive a touch as a threat and retaliate

Avoid whispering or laughing when patients are unable to hear all of conversation Rationale: suspicious patients will interpret these as personal affront

Reinforce positive behaviors Rationale: appropriate reinforcement can

increase positive behaviors

Avoid competitive activities with some patients

Rationale: competition is threatening and can lead to decreased self esteem

Developing a Therapeutic Nurse- patient relationship


12Allow and encourage verbalization of

feelingsRationale: patients are helped if they can say what they think without the nurse becoming defensive

Individual TherapyI Issues in which psychotherapy may help

Personal Growth & Exploration Peak Performance Enhancement Spiritual IssuesLife Adjustment Issues Coping with Changes


IGrief or Loss IWork-Life Balance ISelf-esteem/Confidence Issues IChronic Pain & Pain Disorders


IPast Trauma IRelationship Issues IAdolescent Issues IEating Disorders


IWeight Issues IDepression or Sadness IAnxiety Problems ISexuality Issues

Individual TherapyIIssues in which psychotherapy may help

IStress-related problems IStress management ICoping with Health problems IExcessive fears

Good Day To all Hope you’ve learned

something new from our wonderful report...Sincerely,RLE 6.1B

N

A

J

L

G

J Fin

individual therapy

Health & Medicine