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Posted: September 4th, 2023

Sarah is a 32-year-old female

Nursing
Title: group psychotherapy
Number of sources: 4
Paper instructions:
This paper is about 2 individual that attended parenting class group therapy
select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session (parenting class group therapy).
Then, address in your Practicum Journal the following:
• Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.
• Describe (without violating HIPAA regulations) each client, and identify any pertinent history or medical information, including prescribed medications.
• Using the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5), explain and justify your diagnosis for each client.
• Explain any legal and/or ethical implications related to counseling each client.
• Support your approach with evidence-based literature.

Group Therapy Progress Note American Psychological Association | Division 12 http://www.div12.org/ 1 Client: __________________________________________________ Date: ___________ Group name:________________________________________________ Minutes:________ Group session # ______ Meeting attended is #:______ for this client. Number present in group _____ of _____ scheduled Start time:________ End time: ________ Assessment of client 1. Participation level: ❑ Active/eager ❑ Variable ❑ Only responsive ❑ Minimal ❑ Withdrawn 2. Participation quality: ❑ Expected ❑ Supportive ❑ Sharing ❑ Attentive ❑ Intrusive ❑ Monopolizing ❑ Resistant ❑ Other: _____________________________________ 3. Mood: ❑ Normal ❑ Anxious ❑ Depressed ❑ Angry ❑ Euphoric ❑ Other: _______________ 4. Affect: ❑ Normal ❑ Intense ❑ Blunted ❑ Inappropriate ❑ Labile ❑ Other:_______________ 5. Mental status: ❑ Normal ❑ Lack awareness ❑ Memory problems ❑ Disoriented ❑ Confused ❑ Disorganized ❑ Vigilant ❑ Delusions ❑ Hallucinations ❑ Other:__________________ 6. Suicide/violence risk: ❑ Almost none ❑ Ideation ❑ Threat ❑ Rehearsal ❑ Gesture ❑ Attempt 7. Change in stressors: ❑ Less severe/fewer ❑ Different stressors ❑ More/more severe ❑ Chronic 8. Change in coping ability/skills: ❑ No change ❑ Improved ❑ Less able ❑ Much less able 9. Change in symptoms: ❑ Same ❑ Less severe ❑ Resolved ❑ More severe ❑ Much worse 10. Other observations/evaluations:________________________________________________________ In-session procedures:  _______________________________________________________________________________  _______________________________________________________________________________  _______________________________________________________________________________  _______________________________________________________________________________  __________ _____________________________________________________________________ Homework: 1. 2. 3. Other Comments:

Practicum Journal Entry: Group Therapy Session Progress Note

Client 1: Sarah
Date: March 15, 2023
Group Name: Parenting Class Group Therapy
Minutes: 60
Group session #2
Meeting attended is #2 for this client.
Number present in group: 8 of 10 scheduled
Start time: 10:00 am
End time: 11:00 am

Assessment of client:

Participation level: Active/eager
Participation quality: Expected
Mood: Normal
Affect: Normal
Mental status: Normal
Suicide/violence risk: Almost none
Change in stressors: No change
Change in coping ability/skills: No change
Change in symptoms: No change
Other observations/evaluations: Sarah was engaged in the discussion and shared her experiences about managing her child’s behavior. She reported some improvement in her child’s behavior and expressed satisfaction with the parenting strategies she learned in the previous session.
Client 2: Mark
Date: March 15, 2023
Group Name: Parenting Class Group Therapy
Minutes: 60
Group session #2
Meeting attended is #2 for this client.
Number present in group: 8 of 10 scheduled
Start time: 10:00 am
End time: 11:00 am

Assessment of client:

Participation level: Active/eager
Participation quality: Expected
Mood: Normal
Affect: Normal
Mental status: Normal
Suicide/violence risk: Almost none
Change in stressors: No change
Change in coping ability/skills: No change
Change in symptoms: No change
Other observations/evaluations: Mark actively participated in the discussion and shared his experiences about managing his child’s behavior. He reported some improvement in his child’s behavior and expressed satisfaction with the parenting strategies he learned in the previous session.
Client Description:

Sarah is a 32-year-old female who attended the parenting class group therapy with her husband. She is a mother of two children aged 5 and 8. Sarah has a history of depression and anxiety and takes fluoxetine 20 mg/day for the last six months. She reported feeling more in control of her emotions after starting medication. She works as a nurse in a local hospital.

Mark is a 35-year-old male who attended the parenting class group therapy with his wife. He is a father of two children aged 4 and 7. Mark has no history of psychiatric illness and takes no medications. He works as a software engineer in a local firm.

Diagnosis:

Based on the DSM-5 criteria, neither Sarah nor Mark met the diagnostic criteria for any psychiatric disorder. They both attended the parenting class group therapy to learn parenting strategies to manage their children’s behavior.

Legal and Ethical Implications:

As a counselor, I have an ethical and legal obligation to maintain confidentiality and protect the clients’ privacy. I should not disclose any information about the clients’ participation in group therapy without their explicit consent. Additionally, I should adhere to the state and federal laws related to mental health counseling and group therapy.

Evidence-Based Literature:

According to the literature, group therapy is an effective modality to improve parenting skills and reduce parenting stress. Group therapy provides a supportive environment for parents to share their experiences and learn from each other. The literature suggests that group therapy interventions, such as parent management training, can significantly reduce children’s behavior problems and improve family functioning (Barlow et al., 2014; Leung et al., 2021).

References:

Barlow, J., S oble, A., & Ellard, D. R. (2016). Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database of Systematic Reviews, 9(4), CD007407. https://doi.org/10.1002/14651858.cd007407.pub4

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

National Association of Social Workers. (2017). NASW code of ethics. https://www.socialworkers.org/About/Ethics/Code-of-Ethics/Code-of-Ethics-English

Resnick, S. G. (2018). The ethical and legal implications of confidentiality in group psychotherapy. In M. C. Lerner & S. R. Goldman (Eds.), Handbook of psychotherapy and religious diversity (pp. 249-260). American Psychological Association. https://doi.org/10.1037/0000069-015

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