Week 4 Journal Entry
Select a client that 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. Assignment 2: Practicum – Week 1 Journal Entry
• 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.
Note: Be sure to use the Practicum Journal Template, located in the Learning Resources.
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Patient name: Martha tow
date of birth: 10/18/45
start time: 22:51
referral source: Laurel Wood
legal status: involuntary
Preferred language: English
vital signs completed at: 22:51
Pulse ox: 99
Patient is a 72 year old female who has brought to ER by family due to increased confusion and paranoia as well as increasing AVH. Patient has been seeing her deceased son‘s and Joking to schedule her funeral. Patient has been attempting to leave the house stating she is following her deceased son. Patient attempted to answer questions but answers were not always related or were nonsequential at times. Patient did report something ver joking to schedule her funeral. Patient has been attempting to leave the house stating she is following her deceased son. Patient attempted to answer questions but answers were not always related or were non-sequential at times. Patient did report sometimes Feeling sad, but did deny s7/h7 and aggression Assignment 2: Practicum – Week 1 Journal Entry
Currently employed/in school: no, details: retired
Zoloft 5 mg po daily
Abilify 150 mg po two times daily
Ativan 1 mg po every 6 hours prn for anxiety
Vistaril 25 mg po q6hrs prn for anxiety
Motrin 600 mg q8 hrs prn for pain
Assignment 2: Practicum – Week 1 Journal Entry
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