mft 6102

Introduction Marriage and Family Therapists maintain the role of supporting and assisting in guiding clients, individuals, and/or family through moments in life which may bring issues or concerns. In this paper discusses areas of concerns which are often seen within a therapist’s practice and those concerns will be addressed. The paper will be based on the video entitled “Psychosis: A Clinical Psychology Session” (Psychosis: A Clinical Psychology Sesion, 216). Case Analysis Family Dynamic and Cultural Self-Identification The video is set upon the basis of an individual named Efren who has been sent to therapy on the request of his father, a member of the United States Navy, and his mother, a local nurse. In addition to the three above mentioned persons Efren shares his home with his sister. Efren expresses a lack of communication with his father, and limited communication with his sister and mother. He says he was closer to his grandmother, whom recently passed away. Efren continues to show an inability to build friendships, Efren has more relationships with his cousins, and holds more online or virtual relationships through the internet and video games. He expresses his closeness with his cousins, who live in different cities, is based on their shared interest in gaming. Diagnosis and Support of Diagnosis In Efren’s case, there seems to be a feeling of being unheard, in conjunction with the passing of his grandmother the diagnosis which seems fitting would be the 298.8 (F23) which is a Brief Psychotic Disorder, with Hallucinations (American Psychiatric Association). With the hospitalization of one week, after a one week staying in his room, however it has not been determined that Efren’s symptoms have been more than one month at this time. If the symptoms continue after one month, more information may be needed to re-evaluate Efren’s case (Bressert, Ph.D, n.d.) If the hallucinations, the self-isolation, and other negative symptom continues, a deeper review into the possibility of schizophrenia should be considered. This will take a minimum of six months to fully define and diagnosis (Bressert, Ph.D., n.d.). A complete diagnosis is not able to be fully determined based on the findings of the video. With continued therapy sessions and building of rapport, it will be more than possible to engage in an interactive treatment plan to define and determine a true and complete diagnosis. Treatment Plan1. Initial Treatmenta. Therapeutic Tasksi. Develop a working relationship1. Allow the client to speak and express their details to gather information and understanding from the their perception of the concerns. 2. Interaction with optimistic and self-identified commentary. ii. Client agreement1. Discuss and define the preferences with the clientiii. Define referrals, contacts, and any other client needs.1. Identify any outside resources 2. Contact resources if necessary. b. Client Goalsi. Assist in lowering anxiety or mistrusting levels in a way to increase the client’s ability to manage symptoms related to family related duty, and other self-identified duties. ii. Map outcomes which will assist in reducing hallucinations, and/or identify ways to cope with hallucinations and shorten their extent and severity.2. Working Phasea. Working Phase therapeutic tasksi. Maintain and Monitor quality of treatment1. Increase the client’s sense of place, and belonging within the relationship(s), by asking questions and verifying clarification.ii. Monitor Progress1. Access sessions for evidence of change.2. Inquire with client as to progress or feeling of progress 3. Make alterations to approach if needed.b. Working Phase Client Goalsi. Decrease impact of Diagnosis for the client’s daily life1. Inquire with a focus of client, not problem. (Separate the client from the problem)2. Map working from non-working methods of reducing symptoms.ii. Increase client’s self-awareness, and coping skills.1. Define and use statements to evaluate the effects of the symptoms. a. Stimulate new relationships to symptoms (as needed)2. Increase actions which inspire self-identity and reduce symptoms. a. Motivate action techniques to increase self-identification. b. Map progress and adjust as needed. 3. Closing Phasea. Closing Phase Therapeutic Tasksi. Development of an Aftercare plan.1. Identify alternative behaviors2. Seek peer support, or other support groups as needed.ii. Provide material which assist in overcoming symptoms.b. Closing Phase Client Goalsi. Increase influence of self-identity to reduce stress and promote an increase sense of self and wellness.1. Promote action-based habits to overcome negatively desired behavior.2. Map progress and adjust as needed.ii. Increase supportive relationships or support relationships which reduce stress1. Assist in expanding network of supportive friends and family to assist in supporting the client’s self-identity.2. Documentation of journey from beginning to exiting to prove self-ability to overcome and increase motivation. ConclusionEven with a diagnosis of mental illness, no one is without the ability to overcome. A network of friends, family, and community can assist in building up assistive behavior to address concerns and move on with life as normal as possible. In the case of Efren, the diagnosis may not be complete at this time, but with continued support by therapy, friends, family, and the communities he self-identifies within, his ability to overcome the loss of his grandmother, and the hallucinations. With the limitations of a true and complete comprehensive diagnosis, it would be advised for Efren to continue to seek therapeutic treatment to assist in coping skills, and relationship building skills if needed. ResourcesAmerican Psychiatric Association. (n.d.). DSM-5 Diagnostic Classification. Retrieved November 28, 2017, from https://doi-org.proxy1.ncu.edu/10.1176/appi.books.9780890425596.x00DiagnosticClassificationBressert, Ph.D, S. (n.d.). Brief Psychotic Disorder Symptoms. Retrieved November 29, 2017, from PsychCentral: https://psychcentral.com/disorders/brief-psychotic-disorder-symptoms/Bressert, Ph.D., S. (n.d.). Schizophrenia Symptoms. Retrieved November 29, 2017, from PsychCentral: https://psychcentral.com/disorders/schizophrenia/schizophrenia-symptoms/Harding, C. M. (1998). Reassessing a person with schizophrenia and developing a new treatment plan. In J. W. Barron, Making diagnosis meangingful: Enhancing evaluations and treatment of psychological disorders (pp. 319-338). Washington, D.C>. Retrieved November 28, 2017, from http://dx.doi.org.proxy1.ncu.edu/10.1037/10307-012 Psychosis: A Clinical Psychology Sesion (216). [Motion Picture]. Retrieved November 27, 2017, from http://sk.sagepub.com.proxy1.ncu.edu/video/psychosis-a-clinical-psychology-session

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