DISCUSSION- THEORY, THERAPY AND THE THERAPEUTIC RELATIONSHIP AS A PMHNP
Prompt: This week we read about CBT, IPT, GESTALT, PERSON-CENTERED, MOTIVATIONAL
INTERVIEW, HUMAN EXISTENTIAL, AND SOLUTION-FOCUSED APPROACHES TO THERAPY
- Pick any 2 of your choice out of the readings we did this week that are listed above and discuss in detail the
key concepts, their therapeutic goals, and differences between the therapeutic techniques you chose and their
approaches. Are there differences in the psychotherapeutic approaches that may impact patient acceptance of the
techniques presented in this module? please use headings
- Discuss how you may include these psychotherapeutic approaches with your future PMHNP practice. With
what patient population(s) do you think you will use these psychotherapeutic approaches, and why/why not?
support your discussion with scholarly references
Integrating Psychotherapeutic Approaches in PMHNP Practice
1. Cognitive Behavioral Therapy (CBT) and Motivational Interviewing
CBT:
- Key Concepts: CBT focuses on identifying and changing negative thought patterns and behaviors that contribute to mental health issues.
- Therapeutic Goals: The goal of CBT is to help patients develop coping strategies, challenge distorted thinking, and modify maladaptive behaviors.
- Differences: CBT is structured and goal-oriented, focusing on the present and providing specific techniques to address cognitive distortions and behavioral patterns.
Motivational Interviewing:
- Key Concepts: Motivational Interviewing is a client-centered approach that aims to help individuals resolve ambivalence and increase motivation for change.
- Therapeutic Goals: The goal of Motivational Interviewing is to elicit behavior change by exploring and resolving ambivalence, enhancing intrinsic motivation, and building confidence in one's ability to change.
- Differences: Motivational Interviewing is more collaborative and non-confrontational, emphasizing empathy, acceptance, and support to facilitate behavioral change.
Impact on Patient Acceptance:
The differences in psychotherapeutic approaches, such as the structured nature of CBT versus the collaborative style of Motivational Interviewing, may impact patient acceptance based on individual preferences and readiness for change. Some patients may respond better to the directive approach of CBT, while others may feel more supported and empowered by the client-centered approach of Motivational Interviewing.
2. Integration into PMHNP Practice
In my future PMHNP practice, I envision incorporating both CBT and Motivational Interviewing approaches to address a variety of mental health concerns across different patient populations:
- CBT: I would utilize CBT techniques with patients presenting with anxiety disorders, depression, and PTSD. The structured nature of CBT can help patients challenge negative thought patterns and develop effective coping skills for managing symptoms.
- Motivational Interviewing: I see myself applying Motivational Interviewing techniques with patients struggling with substance abuse, eating disorders, and motivation for lifestyle changes. Motivational Interviewing can be particularly effective in enhancing intrinsic motivation and supporting behavior change in these populations.
By integrating a range of psychotherapeutic approaches tailored to the unique needs of each patient population, I aim to provide comprehensive and patient-centered care that promotes holistic well-being and recovery.
Scholarly References:
- Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change. Guilford Press.
- Beck, A. T. (2011). Cognitive therapy: Basics and beyond. Guilford Press.
- Prochaska, J. O., & Norcross, J. C. (2018). Systems of psychotherapy: A transtheoretical analysis. Oxford University Press.