Please read the following chapter and respond to the following questions.1-What are the pros and cons of using a CBT treatment manual with adults? Discuss fidelity with flexibility. 2. What is an automatic negative thought that you “catch” yourself saying to yourself in times of stress? 3. CBT requires collaboration and active participation from the participant. If you are working with a highly anxious adult female patient, what strategies might you use to help her cope with the anxiety using this modality? 4. With the content of the sessions described and the skills taught, what do you think will be the more challenging skills? Please use examples and cite the literature?
9
Manualized Cognitive
Behavioral Therapy:
An Adolescent With Anxiety and Depression
Pamela Lusk
PERSONAL EXPERIENCE WITH COGNITIVE BEHAVIORAL THERAPY
I had an exceptional psychiatric nursing rotation on a small adolescent unit at a private psychiatric hospital in the late 1970s during my bachelor of nursing degree program.
My psychiatric nursing instructor and the psychiatric inpatient treatment team, which included a psychiatric clinical nurse specialist, were inspiring. I found working with this population to be the most interesting rotation of my nursing education, and I knew when I graduated that my goal was to practice psychiatric nursing with older children and adolescents. Soon after graduation, I was hired as the adolescent team nurse at a psychiatric hospital for children and adolescents. I loved my work there and became increasingly interested in learning more and expanding my role in this specialty area of psychiatric nursing.
A few years later when exploring options for graduate school, I found a master’s
degree program in psychiatric nursing that prepared students to conduct psychotherapy with adults during the first year and, with faculty approval, to specialize in conducting psychotherapy with children and adolescents during the second year of the
program. After starting the program, I was approved for the second year in the child
and adolescent specialty and was able to register for courses in child psychotherapy and
developmental psychology in the university’s clinical psychology graduate program.
During my second year of specializing in children and adolescents, half of my time was
spent working on an inpatient children’s unit where I was supervised by a psychiatrist
with a psychoanalytic play therapy background and the other half of my time was spent
working in the community with adolescents where I was supervised by a clinical psychologist, who was an expert in developmental psychopathology and the author of our
developmental psychopathology textbook. After graduation with my master’s degree
in psychiatric nursing, I became certified as a child and adolescent psychiatric clinical
nurse specialist. Since then, I received a post-master’s degree in a psychiatric-mental
Copyright Springer Publishing Company. All Rights Reserved.
From: Case Study Approach to Psychotherapy for Advanced Practice Psychiatric Nurses