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Examen

PMHNP Psychotherapy Approaches: CBT, ACT, MI, Group Therapy, Trauma & Lifespan 2026

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NR 605 final exam notes covering cognitive-behavioral therapy (CBT), ACT, MI, group therapy, family therapy, trauma-informed care, EMDR, DBT, child/adolescent therapy, and older adult therapy.

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WEEK 5 Key Points

• Cognitive and behavioral approaches focus on how well individuals can adapt
cognitively and functionally to their environments.

• Research has demonstrated the efficacy of a combined approach of cognitive
and behavioral techniques.

• CBT has become the most widely practiced psychotherapy in the world.

• Evidence supports the use of CBT in the treatment of depression, anxiety, substance
use disorders, post-traumatic stress disorder, eating disorders, and severe mental
illness.

• Cognitive distortions are faulty, exaggerated, or irrational thinking patterns that
cause individuals to inaccurately perceive reality.

• ACT helps clients develop a more accepting, mindful relationship with their thoughts
and feelings while maintaining behavioral congruence with their goals and values.

• ACT is supported by evidence and is effective for clients with a variety of
conditions, including depression, anxiety, substance use, chronic pain, and
transdiagnostic combinations of conditions.

• MI involves using a collaborative, goal-oriented communication style

• MI helps individuals prepare for change.

• MI may be used in the reduction of substance use, for health promotion,
and improvement of medication adherence in clients with severe mental
illness.

• Solution-focused therapy is a future-oriented approach that helps the client shift
their focus from problems to solutions.
Reflective inquiry allows

• One of the goals of cognitive-behavioral therapy (CBT) is to help clients learn to
identify and change their thinking, emotions, and behaviors to better cope with
environmental challenges and stressful situations. Many resources are available to
augment therapy, from books to mindfulness apps to seminars to motivational
speakers. Clients may also seek out resources on their own.

o How can the PMHNP determine which resources to incorporate into practice?

o How can the PMHNP help clients determine which resources are reliable
and which could be harmful?

, week 6 Key Points

• Group therapy is a form of psychotherapy in which a group of clients meets to
discuss problems or concerns under the guidance of a therapist.

• Eleven core principles underlie group therapy.

• Groups may be led by single leaders or co-leaders.

• Types of groups include psychoeducational groups, support groups, self-help groups,
and acute inpatient therapy groups.

• The five phases of group formation include forming, storming, norming, performing,
and adjourning.

• Clients who are unable to participate in a group’s primary task for logistical,
intellectual, psychological, or interpersonal reasons should not be included.

• Family and couples seek therapy to change and improve relational functioning.

• Individuals are best understood within the context of the family system.

• The behavior of one family member influences all family members and the behavior
of the family influences each member.

• Types of family therapy include systemic, structural, strategic, and emotionally focused.

• Principles of family therapy can be applied to working with couples.

Reflective inquiry

o What techniques can therapists use to deescalate tension within
therapeutic groups?

o What techniques can promote group cohesion in a group with
constantly changing membership?

Información del documento

Subido en
24 de julio de 2026
Número de páginas
5
Escrito en
2025/2026
Tipo
Examen
Contiene
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$17.49

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