Develop diagnoses for clients receiving psychotherapy

Week 4 Journal Entry Develop diagnoses for clients receiving psychotherapy ADHD patient

Week 4 Journal Entry Develop diagnoses for clients receiving psychotherapy ADHD patient

• Evaluate the efficacy of cognitive behavioral therapy for clients*Attention Deficit Hyperactivity Disorder
• Analyze legal and ethical implications of counseling clients with psychiatric disorders*
Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:
• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain whether cognitive behavioral therapy would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.
• Explain any legal and/or ethical implications related to counseling this client.


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Paper type: Research Paper
Course Level: Master
Subject Area: Nursing
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Attention Deficit Hyperactivity Disorder

Attention Deficit Hyperactivity Disorder (ADHD) is one of the mental problems that affect children, adolescents, and adults. Patients who suffer from the condition present with over-activity, difficulty in impulse control, and inattention (Rodriguez et al., 2016). In children, the health problem may negatively impact the victim’s academic performance. Effective management and treatment of ADHD largely depend on accurate diagnosis and appropriate selection of a psychological intervention. Clinicians often rely on DSM-5 criteria to ensure a precise diagnosis of the mental problem under discussion. Additionally, they usually choose psychological interventions based on client characteristics and severity of the disease. Clinicians must understand the legal and ethical implications of diagnosing and counseling a patient with ADHD.

The patient who was counseled this week is a 26-year-old male who presents with symptoms of ADHD. He appears disorganized and lacks focus in whatever he does. Besides, the client is easily distracted, easily forgets about daily activities, interrupts during discussions, and talks excessively. Currently, the patient is married with one child. Symptoms of ADHD have negatively affected his performance at work and in community activities. Again, he is not in any form of medication. DSM-5 criteria can be used to justify diagnosis for the client.

According to DSM-5, a person must meet a number of criteria for the client to prove that he has ADHD. For instance, the client must present with persistent symptoms of impulsivity, inattention, and hyperactivity that interfere with normal functioning in several ways (American Psychiatric Association, 2013). For inattention to be confirmed, the client must possess six of the documented clinical presentations including, inability to concentrate in tasks, disorganized work, carelessness with personal items, inability to follow instructions, inattention, forgetfulness, easily distracted, inability to listen to others, and failure to pay attention to detail. Besides, the presence of hyperactivity is confirmed if the client presents with six of a number of signs including constant fidgeting, suddenly leaves his or her seat, climbs things unexpectedly, inability to participate in leisure activities, bursts out answers, talks excessively, interrupts discussions, and impatient over issues. During the objective assessment, it was discovered that the counseled patient exhibited quite a number of these symptoms. Therefore it is appropriate to conclude that he is suffering from ADHD (American Psychiatric Association, 2013).

Cognitive behavior therapy (CBT) would be effective with the client. A large volume of evidence supports the effectiveness of CBT in managing symptoms of ADHD. According to CHADD (2017), CBT has successfully been used to help adults with ADHD to overcome difficulties in functioning, which occur as a result of the disease. The clinician should expect to achieve three outcomes with the current therapeutic approach. First, there should be an improvement in the client’s executive functions. Second, the client should concentrate on tasks and manage his time effectively. Third, there should be an effective impulse control and emotional self-regulation in the client following the successful implementation of CBT (CHADD, 2017).

The clinician must understand the legal and ethical implications related to counseling this client. First, he or she should comply with the Health Insurance Portability and Accountability Act (HIPAA) regulations by keeping the client’s medical information private and confidential. Second, the counselor must ensure that the client’s cultural inclination and his or her beliefs do not have a negative impact on their therapeutic relationship (Foreman, 2006). In summary, for the counselor to help the client to manage symptoms of ADHD, he or she must perform an accurate diagnosis using DSM-5 and follow the right steps for the implementation of CBT.

References: A sample nursing paper on Week 4 Journal Entry Develop diagnoses for clients receiving psychotherapy ADHD patient assignment

American Psychiatric Association. (2013). DSM-5 diagnostic criteria: Attention deficit/hyperactivity disorder. Pearson Clinic: Author.

CHADD. (2017). Cognitive-behavioral therapy. Retrieved from

Foreman, D. M. (2006). Attention deficit hyperactivity disorder: Legal and ethical aspects. Archives of Disease in Childhood, 91(2), 192-194. doi:  10.1136/adc.2004.064576

Rodriguez, C., Gonzalez-Castro, P., Cueli, M., Areces, D. & Gonzalez-Pienda, J. (2016). Attention deficit/hyperactivity disorder (ADHD) diagnosis: An activation-executive model. Frontiers in Psychology 7, 1406. doi:10.3389/fpsyg.2016.01406

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