Discussion week 9
Post an explanation of your observations of the client in the case study you selected,
including behaviors that align to the criteria in DSM-5. Then, explain therapeutic
approaches you might use with this client, including psychotropic medications if
appropriate. Finally, explain expected outcomes for the client based on these
therapeutic approaches. Support your approach with evidence-based literature.
Read a selection of your colleagues' responses.
By Day 6
Respond to at least two of your colleagues by providing one alternative therapeutic
approach. Explain why you suggest this alternative and support your suggestion with
evidence-based literature and/or your own experiences with clients.
Week 9
Angry Adolescent
The client is a teenager who is upset about some issues going on in her life and family.
She seems very upset about seeing and meeting with a counsellor/therapist. She already had a
preset mind about not talking with a therapist before she arrived for that appointment. Prout et al.
(2018) stated that children with disruptive behavior problems lack regulatory capacity to express
emotions in adaptive manner (Prout et al. 2018).
DSM-5
The DSM-5 stipulates that many of the behavioral symptoms (e.g. aggression) can be a
result of poorly controlled emotions such as anger. Many of the symptoms that define the
disruptive, impulse-control, and conduct disorders are behaviors that can occur to some degree in
typically developing individuals (DSM-5). DSM-5 stated that a pattern of angry/irritable mood,
argumentative/defiant behavior, or vindictiveness lasting at least six months as evidenced by at
least four symptoms from any of the following categories and exhibited during interaction with
at least one individual who is not a sibling. Angry/Irritable mood 1. Often loses temper 2. Is
often touchy or easily annoyed 3. Is often angry and resentful. Argumentative/Defiant Behavior
4. Often actively defies or refuses to comply with requests from authority figures or with rules. 6.
Often deliberately annoys others (DSM-5).
Therapeutic Approaches and their outcomes
This study source was downloaded by 100000806176105 from CourseHero.com on 01-23-2022 22:08:21 GMT -06:00
https://www.coursehero.com/file/38694682/Week-9-Blaming-adolescentdocx/
, Gershy (2018) defines psychotherapy according to APA is a collaborative treatment based
on the relationship between an individual and a psychologist. Grounded in dialogue, it provides a
supportive environment that allows you to talk openly with someone who is objective, neutral
and nonjudgmental. You and your psychologist will work together to identify and change the
thought and behavior patterns that are keeping you from feeling your best (Gershy, 2018).
Therapeutic approaches that can be used for this client are engagement, cognitive behavioral
therapy (CBT), Regulation Focused Psychotherapy for Children (RFP-C).
Gershy mentioned that engagement is the extent to which patient actively participates in
the treatment on offer; It has become the focus of much clinical and scientific attention.
Engagement has been approached through the lenses of understanding the patient’s resistance to
the therapeutic process and the therapeutic relationship (Gershy, 2018). Gershy (2018)
mentioned that conducting therapy with adolescents at more disrupted levels of personality
organization may entail shifting focus of psychotherapy from the specific therapeutic encounter
to the everyday background of the patient’s life (Gershy, 2018). This therapeutic approach
requires an ability to engage the child in an interpersonal process where shared understanding,
authentic support, and trust can be established (Gershy, 2018). Gershy (2018) finally mentioned
that the move to the background, the change in the conceptualization of the therapeutic task to
the establishment of a flexible and coherent system of care, may be the only opportunity to
engage authentically in the process of change (Gershy, 2018).
Another therapeutic approach according Barish (2018) enumerated that CBT for children
and adolescents has always been about emotions. The goal of all cognitive-behavioral
interventions is to help children learn to cope more effectively with negative emotions by
developing new cognitive and behavioral skills. CBT attempts to help children feel better by
changing how they process information and the actions they take in response to these appraisals
This study source was downloaded by 100000806176105 from CourseHero.com on 01-23-2022 22:08:21 GMT -06:00
https://www.coursehero.com/file/38694682/Week-9-Blaming-adolescentdocx/
Post an explanation of your observations of the client in the case study you selected,
including behaviors that align to the criteria in DSM-5. Then, explain therapeutic
approaches you might use with this client, including psychotropic medications if
appropriate. Finally, explain expected outcomes for the client based on these
therapeutic approaches. Support your approach with evidence-based literature.
Read a selection of your colleagues' responses.
By Day 6
Respond to at least two of your colleagues by providing one alternative therapeutic
approach. Explain why you suggest this alternative and support your suggestion with
evidence-based literature and/or your own experiences with clients.
Week 9
Angry Adolescent
The client is a teenager who is upset about some issues going on in her life and family.
She seems very upset about seeing and meeting with a counsellor/therapist. She already had a
preset mind about not talking with a therapist before she arrived for that appointment. Prout et al.
(2018) stated that children with disruptive behavior problems lack regulatory capacity to express
emotions in adaptive manner (Prout et al. 2018).
DSM-5
The DSM-5 stipulates that many of the behavioral symptoms (e.g. aggression) can be a
result of poorly controlled emotions such as anger. Many of the symptoms that define the
disruptive, impulse-control, and conduct disorders are behaviors that can occur to some degree in
typically developing individuals (DSM-5). DSM-5 stated that a pattern of angry/irritable mood,
argumentative/defiant behavior, or vindictiveness lasting at least six months as evidenced by at
least four symptoms from any of the following categories and exhibited during interaction with
at least one individual who is not a sibling. Angry/Irritable mood 1. Often loses temper 2. Is
often touchy or easily annoyed 3. Is often angry and resentful. Argumentative/Defiant Behavior
4. Often actively defies or refuses to comply with requests from authority figures or with rules. 6.
Often deliberately annoys others (DSM-5).
Therapeutic Approaches and their outcomes
This study source was downloaded by 100000806176105 from CourseHero.com on 01-23-2022 22:08:21 GMT -06:00
https://www.coursehero.com/file/38694682/Week-9-Blaming-adolescentdocx/
, Gershy (2018) defines psychotherapy according to APA is a collaborative treatment based
on the relationship between an individual and a psychologist. Grounded in dialogue, it provides a
supportive environment that allows you to talk openly with someone who is objective, neutral
and nonjudgmental. You and your psychologist will work together to identify and change the
thought and behavior patterns that are keeping you from feeling your best (Gershy, 2018).
Therapeutic approaches that can be used for this client are engagement, cognitive behavioral
therapy (CBT), Regulation Focused Psychotherapy for Children (RFP-C).
Gershy mentioned that engagement is the extent to which patient actively participates in
the treatment on offer; It has become the focus of much clinical and scientific attention.
Engagement has been approached through the lenses of understanding the patient’s resistance to
the therapeutic process and the therapeutic relationship (Gershy, 2018). Gershy (2018)
mentioned that conducting therapy with adolescents at more disrupted levels of personality
organization may entail shifting focus of psychotherapy from the specific therapeutic encounter
to the everyday background of the patient’s life (Gershy, 2018). This therapeutic approach
requires an ability to engage the child in an interpersonal process where shared understanding,
authentic support, and trust can be established (Gershy, 2018). Gershy (2018) finally mentioned
that the move to the background, the change in the conceptualization of the therapeutic task to
the establishment of a flexible and coherent system of care, may be the only opportunity to
engage authentically in the process of change (Gershy, 2018).
Another therapeutic approach according Barish (2018) enumerated that CBT for children
and adolescents has always been about emotions. The goal of all cognitive-behavioral
interventions is to help children learn to cope more effectively with negative emotions by
developing new cognitive and behavioral skills. CBT attempts to help children feel better by
changing how they process information and the actions they take in response to these appraisals
This study source was downloaded by 100000806176105 from CourseHero.com on 01-23-2022 22:08:21 GMT -06:00
https://www.coursehero.com/file/38694682/Week-9-Blaming-adolescentdocx/
