COMPREHENSIVE PSYCHIATRIC EVALUATION NOTE AND PATIENT CASE PRESENTATION, PART 1 wk7COMPREHENSIVE PSYCHIATRIC EVALUATION NOTE AND PATIENT CASE PRESENTATION, PART 1
COMPREHENSIVE PSYCHIATRIC EVALUATION NOTE AND PATIENT CASE PRESENTATION, PART 1 wk7COMPREHENSIVE PSYCHIATRIC EVALUATION NOTE AND PATIENT CASE PRESENTATION, PART 1
COMPREHENSIVE PSYCHIATRIC EVALUATION NOTE AND PATIENT CASE PRESENTATION, PART 1 wk7COMPREHENSIVE PSYCHIATRIC EVALUATION NOTE AND PATIENT CASE PRESENTATION, PART 1
Comparing Humanistic-Existential Psychotherapy with Other Approaches
Psychotherapy aims at treating individuals with mental health issues. Mental health professionals, especially psychotherapists, use this approach to address issues like coping challenges, effects of traumatic events, and loss of loved ones as well as when individuals battle chronic medical conditions (Locher et al., 2019). The purpose of this paper is to compare humanistic-existential psychotherapy with cognitive-behavioral therapy (CBT). The paper also discusses the use of humanistic-existential psychotherapy in the video provided.
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Humanistic-Existential Therapy vs. Cognitive Behavioral
According to the American Psychological Association (APA), humanistic-existential psychotherapy is a core aspect of promoting self-awareness and personal growth of an individual as it focuses on who the person is in their present life (Hoffman, 2021). Based on humanistic therapy and existential therapy, the model is rooted in the belief in the inherent goodness and potential of human beings by focusing on one’s subjective experiences and ability of self-actualization and delving into core aspects like meaning and purpose, freedom, and the inevitability of death. According to Locher et al. (2019), humanistic-existential psychotherapy encourages human abilities and aspirations despite the limitations and challenges that exist. It emphasizes acceptance and growth based on assumptions that individuals have choices and the ability for self-awareness. Psychotherapy leads to better self-esteem as therapists assist clients to explore their choices and decisions to address their issues or problems.
On its part, cognitive-behavioral therapy is a psychotherapeutic approach that explores one’s mind and reactions to life situations. Cognitive-behavioral therapy (CBT) focuses on altering the thought process, patterns, and behaviors that lead to changes in how one feels. CBT enhances one’s awareness about their thoughts based on its assumptions. These include psychological issues emanating from assumptions that individuals who suffer from such distress can learn effective coping mechanisms and psychological issues emanating from learned patterns of ineffective behavior. The therapy alleviates distress and assists individuals to attain more success in their lives. Therapists use CBT to manage anxiety, depression substance use disorders, and chronic mental health conditions.
Differences Between the Therapies
Humanistic-existential psychotherapy and CBT differ in their assumptions and therapeutic approaches that they employ. Firstly, humanistic-existential therapy looks at the overlap of the future and what should expect about it. As such, humanistic-existential therapy considers aspirations while also factoring in the inherent limitations that human beings face in their lives (Fordham et al., 2021). Further, the therapy’s main focus is the idea of conscious choices and integrates concepts like consciousness, freedom, responsibility that one has, and being practical or authentic (Hoffman, 2021). Conversely, CBT focuses on one’s real thoughts, feelings, and behaviors and their effects on their mental processes. CBT stresses how one can acquire positive behavioral patterns to overcome negative issues or mental health challenges that they encounter. Secondly, CBT does not emphasize the values that humanistic-existential therapy advances like responsibility and engagement.
The other difference is that humanistic-existential therapy is optimistic as it emphasizes one’s potential to improve and be better. Conversely, CBT seeks retention of one’s original or initial thought process and modification of their behaviors to deal with the present negative aspects of the disease. As such, its main focus is to alter one’s thoughts and behaviors and not improve their perspectives or perceptions.
These differences can affect one’s work as a psychiatric mental health nurse practitioner (PMHNP) when dealing with a client’s needs. For example, as a therapist, one must have sufficient levels of self-awareness through the use of humanistic-existential therapy (Locher et al. (2019). Secondly, in improving the mental state of the client, it would be appropriate to use CBT so that the client can comprehend and appreciate the purpose of life, values, and meaning of their situation now and their future through the humanistic-existential model. The implication is that all these therapeutic interventions are relevant and can be applied concurrently in any setting based on the underlying aspects of care required.
Use of Humanistic-Existential Psychotherapy in the Video
The video on James Bugental focuses on the use of existential-humanistic psychotherapy in treating a patient called Gina. According to the therapist, the therapy was used on the patient to make explicit and implicit aspects of her life and what she should do to attain better outcomes from her condition. Bugental (2008) asserts that using this approach was to raise the self-awareness of the patient and enable her to understand the present situation while also aspiring for a better future by tackling the current challenge that she faced. The humanistic-existential psychotherapy was the choice of treatment to emphasize the importance of living and existence now and why one should aspire for a better tomorrow (Robbins, 2021).
Using CBT as a model would have helped Gina alter her thought patterns and behavior to overcome the anxiety that she was experiencing. Using CBT would have led to an appreciation of a better way to change the thought process and engagement in all areas of required interventions. Imperatively, Gina would have improved her thinking and developed better self-esteem in dealing with any challenge now.
Sources Considered Scholarly
The sources used in this paper are scholarly due to the credentials of their authors and subject matter. For instance, the article by Locher et al. (2019) is a peer-reviewed source that explores different aspects of psychology. The authors have rich credentials in their fields of specialties and faculties. The article by Fordham et al. (2018) is scholarly since it is written by distinguished practitioners and scholars from different universities in the UK. The article by Hoffman et al. (2020) is scholarly based on the credentials of the authors and its publishing place, Sage Journals which are peer-reviewed journals. Again, the article by Robbins (2021) is scholarly as the author is the head of the psychology department at Point Park University in Pittsburgh, Pennsylvania.
Conclusion
Humanistic-existential therapy aims at examining the human condition in totality and helps individuals develop the ability for better self-awareness and identity. The approach is essential in improving one’s aspirations for the future. On its part, CBT focuses on the human mind and conceptualization process. It allows one to understand their thought process and the effects on their conduct. CBT strives to address unhealthy thinking and behavioral patterns that cause psychological issues or challenges.
References
Psychotherapy Net (2008). James Bugental Existential-Humanistic Psychotherapy Video.
https://youtu.be/4-B2MVr30Yw
Fordham, B., Sugavanam, T., Hopewell, S., Hemming, K., Howick, J., Kirtley, S., … & Lamb,
- E. (2018). Effectiveness of cognitive–behavioral therapy: a protocol for an overview of systematic reviews and meta-analyses. BMJ open, 8(12), e025761. https://dx.doi.org/10.1136/bmjopen-2018-025761
Hoffman, L. (2021). Existential–humanistic therapy and disaster response: Lessons from the
COVID-19 pandemic. Journal of Humanistic Psychology, 61(1), 33-54.
DOI: 10.1177/0022167820931987
Locher, C., Meier, S., & Gaab, J. (2019). Psychotherapy: A World of Meanings. Frontiers in
Psychology, 10, 460. https://doi.org/10.3389/fpsyg.2019.00460
Robbins, B. D. (2021). The joyful life: An existential-humanistic approach to positive
psychology in the time of a pandemic. Frontiers in Psychology, 12, 648600. https://doi.org/10.3389/fpsyg.2021.648600
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Create a Comprehensive Psychiatric Evaluation Note on this patient using the template provided
Patient R is a 15 year old male teenager presents with history of bullying, intimidating, harming others verbally and physically being very aggressive towards other kids and adults, destructive behavior, skipping school, lying, running away, vadelizing public property, engaging in sexual behavior with older women since he was 12 according to his grandmother, also has been drinking alcohol and abusing marijuana and narcotics. According to grandmother no family history of psychiatric illness, mother passed away when R was born father was killed in work accident when R was 11 years old, grandparents on his father’s has been guardian since. Aggressive and more emotional behavior started after father’s death. Grandparents moved to different city after getting very angry and aggressive with his teachers as he got older they started he began experimenting with drugs and alcohol. R is now completely out of grandparents control and does whatever he wants has no respect for authority and continues fighting with strangers when drinking or hanging out with much older boys. Patient R referred to get help at this clinic court ordered after R set fire at school injuring dozens of people showing little to no remorse. Diagnosed with conduct disorder.
