course material

1. Describe each client (without violating HIPAA regulations)
Describe each client (without violating HIPAA regulations)Describe each client (without
violating HIPAA regulations)Permalink: https:// /describe-each-cl…ipaa-
regulations/Describe each client (without violating HIPAA regulations)Students
will:Develop effective documentation skills for group therapy sessions *Develop diagnoses
for clients receiving group psychotherapy *Evaluate the efficacy of cognitive behavioral
therapy for groups *Analyze legal and ethical implications of counseling clients with
psychiatric disorders ** The Assignment related to this Learning Objective is introduced
this week and submitted in Week 10.Select two clients you observed or counseled this week
during a group therapy session. Note: The two clients you select must have attended the
same group session.Then, in your Practicum Journal, address the following:Using the Group
Therapy Progress Note in this week’s Learning Resources, document the group
session.Describe each client (without violating HIPAA regulations), and identify any
pertinent history or medical information, including prescribed medications.Using the DSM-
5, explain and justify your diagnosis for each client.Explain whether cognitive behavioral
therapy would be effective with this group. Include expected outcomes based on this
therapeutic approach.Explain any legal and/or ethical implications related to counseling
each client.Support your approach with evidence-based literature Describe each client
(without violating HIPAA regulations)Psychotherapy with groups and familiesPart 1.The
case involved a family that sought psychotherapy for spousal and domestic abuse. The
family seeking therapy is comprised of two members. The first member is the mother,
Maria, a 24 year old women of Latino descent. She is a housewife with no marketable skills
and moved into the country seven years ago upon getting married to her husband. She
reports that her husband has been physically and emotionally abusive towards her. He does
not allow her to have friends of contact with her family. She further adds that the abuse has
escalated to an extent that she feared for her life. Although she is currently separated from
her husband after the police intervened after the neighbors made repeated reports to them.
She is fearful that she does not have any marketable skills or a social support system in
place thus making her vulnerable to manipulation from her husband. She is not on any
prescription medication Describe each client (without violating HIPAA regulations).The
second member is the daughter, Angela, a 7 year old child. She is non-communicative and
appears fearful in the presence of adult males. She has scars from beatings by her father.
She is not on any prescription medication.Part 2.Using DSM-5, Maria has been diagnosed as
suffering from intimate partner violence. The diagnosis is based on the set criteria that

2. includes being subjected to violence and aggression from an intimate partner who was her
husband in this case. She has experienced severe and chronic episodes of spousal violence
over the course of her marriage. To be more precise, she meets two out of four conditions
for this diagnosis. Besides that, she has been repeatedly subjected to emotional abuse
(psychological aggression). These aspects of her relationship support the diagnosis (Sperry,
2016).Using DSM-5, Angela has been diagnosed as suffering from child physical and
psychological abuse. This diagnosis is based on the scars on her body that act as evidence of
physical abuse. In addition, her fear of male adults and non-communicative nature are
evidence that she has been psychologically abused by her father (Sperry, 2016). Describe
each client (without violating HIPAA regulations).Part 3.The family therapy should apply
cognitive behavioral therapy (CBT) as an appropriate approach. The family are victims of
physical and psychological abuse that was targeted at controlling them. This had a negative
effect on their behaviors, emotions and thoughts. CBT addresses the negative effects of the
abuse through applying a stepwise methodology that identifies the problem, reflects on past
abuse, evaluates how the abuse was justified, reflecting on how emotions affected thoughts
that ultimately affected behavior, and developing self-talk that changes and challenges the
negative emotions to protect the clients (Wheeler, 2014).Part 4.Counseling Maria has legal
implications over confidentiality and disclosures. The abuse has legal implications and there
could be sensational details that the counselor is obligated to report to law enforcement
officers. This is particularly the case if the abuse is still ongoing and the police are not
aware. This could be challenging since Maria has been assured of confidentiality and that
none of the information she discloses will be shared with a third party without her prior
informed permission (Cautlin & Lilienfeld, 2015). Describe each client (without violating
HIPAA regulations).Counseling Angela has ethical implications. She is a child and issues of
informed consent come into play since she is not consulted on whether or not she wants to
attend therapy. In addition, there is an issue of confidentiality since the mother expects to
be informed about the case details even if Angela expresses a desire to have all the case
details kept confidential and not disclosed to other parties (Cautlin & Lilienfeld,
2015).ReferencesCautin, R. & Lilienfeld, S. (2015). The encyclopedia of clinical psychology,
volume II Cli-E. Hoboken, NJ: John Wiley & Sons.Sperry, L. (2016). Handbook of diagnosis
and treatment of DSM-5 personality disorders: assessment, case conceptualization, and
treatment (3rd ed.). New York, NY: Routledge.Wheeler, K. (Ed.). (2014). Psychotherapy for
the advanced practice psychiatric nurse: a how-to-guide for evidence-based
practice (2nd ed.). New York, NY: Springer Publishing Company, LLC. Describe each client
(without violating HIPAA regulations). Students will:Develop effective documentation skills
to examine group therapy sessions with children and adolescents *Develop diagnoses for
child and adolescent clients receiving group psychotherapy *Analyze legal and ethical
implications of counseling child and adolescent clients with psychiatric disorders *Select
two clients you observed or counseled this week during a group therapy session for
children and adolescents. Note: The two clients you select must have attended the same
group session. If you select the same group you selected for the Week 8 or Week 9 Journal
Entries, you must select different clients Describe each client (without violating HIPAA
regulations).Then, address in your Practicum Journal the following:Using the Group

3. Therapy Progress Note in this week’s Learning Resources, document the group
session.Describe each client (without violating HIPAA regulations), and identify any
pertinent history or medical information, including prescribed medications.Using the DSM-
5, explain and justify your diagnosis for each client.Explain any legal and/or ethical
implications related to counseling each client.Support your approach with evidence-based
literatureDescribe each client (without violating HIPAA regulations) Group Therapy
Sessions with Children and AdolescentsDescription of clients, identifying any pertinent
history or medical informationClient A, a seven-year-old girl presented to the hospital
psychiatric department with a history of feeling anxious when not together with her mother
and sleeping away from home. This happened when the girl slept at a friend’s or relative’s
home or while in a school camp. She expressed her nervousness as a worry that something
bad would happen to her mother. Whether the detachment had was anticipated or had
occurred, the client and her mother stated that she would experience worry, fear, stomach
churning, crying, trembling and sweating. At the period of consultation, the client was not
under any medication and medical history revealed that the client did not have any other
clinically significant feature.Client B, a twelve- year old boy was brought to the pediatrician
by his mother who was concerned that the boy is no longer rides bikes or play with toys
with other children in the neighborhood. Over the last one month, the boy has been
isolating himself and has become more irritable with no recognized trigger, has complained
of frequent stomachaches and headaches over the last numerous weeks, and worries that all
people in the family will die. Teachers have reported inattentiveness and impulsive
behaviors in the class. The boy has also been having random durations of uncontrollable
screaming and crying with no trigger Describe each client (without violating HIPAA
regulations). There doesn’t exist a history of trauma, psychotic medication, changes in
everyday life or recent losses.An explanation and justification diagnosis for each client using
the DSM-5Client A is suffering from separation anxiety disorder (SAD). The DMS-5 defines
SAD as a developmentally unsuitable and excessive nervousness about separation from
home or from those to whom the patient is attached. According to Cooper-Vince et al
(2014), diagnostic criteria describe excessive anxiety associated with separation as
demonstrated by the existence of at least three of the specified SAD symptoms. These
symptoms include recurrent extreme distress when separation from key attachment
figures or home is anticipated or occurs, excessive and persistent worry anxiousness about
losing or on probable harm happening to a key attachment figure, excessive and persistent
nervousness that an untoward incident will result in separation from the key attachment
figure and persistent refusal or reluctance to go elsewhere for fear of being separated.
Other symptoms include excessively and persistently reluctant or fearful of not being with
key attachment figures or at home and frequent reports of physical symptoms like vomiting,
nausea, stomachaches, and headaches when a detachment from key attachment figures is
anticipated or occurs. Describe each client (without violating HIPAA regulations).Client B is
suffering from major depressive disorder (MDD). As Fatemi and Clayton (2016) indicate,
according to the DSM-5 diagnostic criteria for MDD include the presence of at least five
depressive symptoms for two or more weeks. These symptoms include the existence of
irritable/depressed mood or anhedonia, reduced along with other depressive symptoms

4. like reduced capability to have fun, sleep disturbance, impaired social relationships or social
withdrawal suicidal ideation or thoughts of death, lack of energy, poor concentration. These
symptoms should not be as a result of the effects of medication, drug or alcohol use, or a
universal medical illness.Ethical and legal implications related to counseling clientsA key
ethical implication related to counselling both clients is competency. According to Ziomek-
Daigle (2017), it is the ethical responsibility of children and adolescent psychotherapist to
ensure that they have the proper treating and competency in child and adolescent
psychotherapy. There exist diverse systems, such as school, peers, community and family
interacting with the child. Successful and adolescent psychotherapy needs specialized skills
and knowledge in counselling these populating along with a thorough knowledge of the
bigger systemic context affect the adolescent’s life and behavior Describe each client
(without violating HIPAA regulations).Confidentiality and informed consent are other major
ethical issues when counselling children and adolescents. it is a legal and ethical
responsibility for a counselor to get informed consent from clients utilizing a language they
are able to understand. As Sori and Hecker (2015) allege, children and adolescents who
have not reached the legal age of giving consent, the counselor is required to obtain consent
from the parent, but the child must agree to take part in counselling. Sori and Hecker (2015)
claim that confidentiality issues are intricate in treating children and adolescents because
their legal guardians or parents are usually involved in the counselling process and can
access their medical records. Therefore, the counselor must maintain a balance amid the
ethical responsibility of informing the parents on any treatment performed and the
progress of the treatment, and the clients’ right to autonomy and privacy. Describe each
client (without violating HIPAA regulations). ReferencesCooper-Vince, C., Emmert-
Arponson, B., Pincus, D., & Comer, J. (2014). The diagnostic utility of separation anxiety
disorder symptoms: An item response theory analysis. Journal of Abnormal Child
Psychology, 42(3): 417-248Fatemi, S., & Clayton, P. (2016). The Medical Basis of
Psychiatry. New York: Springer.Sori, C., & Hecker, L. (2015). Ethical and Legal
Considerations When Counselling Children and Families. Australian and New Zealand
Journal of Family Therapy, 36(4): 450-464.Ziomek-Daigle, J. (2017). Counselling Children
and Adolescents: Working in School and Clinical Mental Health Settings. Boca Raton,
FL: Taylor & Francis. Describe each client (without violating HIPAA regulations).