PMHNP – THEORY & THERAPY: PSYCHIATRIC-MENTAL
HEALTH NURSE PRACTITIONER THEORIES,
MODALITIES & TREATMENT APPROACHES STUDY
GUIDE
Rational-Emotive Therapy
o Albert Ellis
o Neurosis= irrational thinking and behaving
o Emotional disturbances rooted in childhood and reindoctrinated in adulthood
Startegies of Rational Emotive Therapy
• Eliminate self-defeating outlooks
• Gain more tolerant, rational views of life
• Therapist= teacher, client=student
Techniques of Rational Emotive Therapy
• Disputing irrational beliefs
• Changing language and thinking patterns
• Emotive:
• Role playing
• Imagery
• Shame-attacking exercises
• Tailored to client
,Cognitive Behavioral Therapy
o Aaron Beck
o Reframing of the mind
o Cognitive distortions created by depression, anxiety, etc
• "systematic bias"
Strategies of Cognitive Behavioral Therapy
• Collaborative empiricism
• ID dysfunctional interpretations and modify them
• Guided discovery
• Understand origins of thinking
• Development of thinking patterns to facilitate change
• Cognitive therapy
• Each disorder has its own cognitive distortions, requiring individualized treatment
approaches
• Differs from Rational Emotive Behavioral therapy (REBT) in the fact that REBT asserts all
psychopathology has similar underlying, irrational beliefs
Techniques of CBT
• Homework!
• Talk therapy to link:
• Current experiences
• Conscious beliefs
,• Symptoms
• Highly structured
• Lasts 12-16 wks
• Present centered, action oriented, problem solving approach
Didactic Interpersonal COmmunication Model
o 4 components
• sender
• receiver
• message
• feedback
Stages of Bereavement
• Normally lasts months to years
o 1. Shock, denial, disbelief
o 2. Acute mourning
• intense feelings (crying, guilt, shame, depression)
• social withdrawal
• identification with deceased (transient adoption of habits, mannerisms)
o Resolution
• Acceptance of loss, awareness of grieving, ability to recall deceased without subjective
pain
• Dysfunctional grieving
o Stuck in one phase
, o Chronic mourner
o Leads to depression
Mental Health Needs of Military
• PTSD
• Depression/ Suicide Risk
• Traumatic Brain Injury
• Alcohol/Drug Addiction
• Domestic violence/ abuse
Suicide Risk Factors
• Divorced, single, separated
• >45YO M
• >55YO F
• white
• male
• living alone
• physical illness
• mental illness
• substance abuse
• family history suicide
• previous SA
• recent loss
HEALTH NURSE PRACTITIONER THEORIES,
MODALITIES & TREATMENT APPROACHES STUDY
GUIDE
Rational-Emotive Therapy
o Albert Ellis
o Neurosis= irrational thinking and behaving
o Emotional disturbances rooted in childhood and reindoctrinated in adulthood
Startegies of Rational Emotive Therapy
• Eliminate self-defeating outlooks
• Gain more tolerant, rational views of life
• Therapist= teacher, client=student
Techniques of Rational Emotive Therapy
• Disputing irrational beliefs
• Changing language and thinking patterns
• Emotive:
• Role playing
• Imagery
• Shame-attacking exercises
• Tailored to client
,Cognitive Behavioral Therapy
o Aaron Beck
o Reframing of the mind
o Cognitive distortions created by depression, anxiety, etc
• "systematic bias"
Strategies of Cognitive Behavioral Therapy
• Collaborative empiricism
• ID dysfunctional interpretations and modify them
• Guided discovery
• Understand origins of thinking
• Development of thinking patterns to facilitate change
• Cognitive therapy
• Each disorder has its own cognitive distortions, requiring individualized treatment
approaches
• Differs from Rational Emotive Behavioral therapy (REBT) in the fact that REBT asserts all
psychopathology has similar underlying, irrational beliefs
Techniques of CBT
• Homework!
• Talk therapy to link:
• Current experiences
• Conscious beliefs
,• Symptoms
• Highly structured
• Lasts 12-16 wks
• Present centered, action oriented, problem solving approach
Didactic Interpersonal COmmunication Model
o 4 components
• sender
• receiver
• message
• feedback
Stages of Bereavement
• Normally lasts months to years
o 1. Shock, denial, disbelief
o 2. Acute mourning
• intense feelings (crying, guilt, shame, depression)
• social withdrawal
• identification with deceased (transient adoption of habits, mannerisms)
o Resolution
• Acceptance of loss, awareness of grieving, ability to recall deceased without subjective
pain
• Dysfunctional grieving
o Stuck in one phase
, o Chronic mourner
o Leads to depression
Mental Health Needs of Military
• PTSD
• Depression/ Suicide Risk
• Traumatic Brain Injury
• Alcohol/Drug Addiction
• Domestic violence/ abuse
Suicide Risk Factors
• Divorced, single, separated
• >45YO M
• >55YO F
• white
• male
• living alone
• physical illness
• mental illness
• substance abuse
• family history suicide
• previous SA
• recent loss
