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Valerie is a 34-year-old who presents for therapy with
symptoms of anxiety and depressive disorder. She has been in
a relationship with her partner for the past 12 years. She feels
like her partner makes all the decisions in the relationship, and
when Valerie's opinions differ, she does not feel comfortable
sharing her thoughts. She states, "If my partner can't figure out
what my needs are after so many years, I don't know how we
can save this relationship." What can you use to assist the
client?
Assertiveness
training
Bibliotherapy
Contingency
management
Behavioral rehearsal - ANSWER-
Assertiveness training
Rationale: Assertiveness training can assist clients who are
experiencing symptoms of depression, anxiety, and low self-
worth. It may help clients learn how to express their point of
,view in a respectful manner. The client and therapist may use
role-play to practice verbal and nonverbal behaviors and
improve assertiveness.
Dustin is a 24-year-old who presents for therapy with
symptoms of anxiety. He has a remote position with a large
company and rarely meets with colleagues or clients in person.
When he does have an in-person meeting, he states "I feel like
an idiot whenever I open my mouth. I'm always tripping over my
words, and
I feel so awkward."
What can you use to assist the client?
Assertiveness
training
Bibliotherapy
Contingency
management
Behavioral rehearsal - ANSWER-Behavioral
rehearsal
Rationale: Behavioral rehearsal can assist clients who
experience anxiety with social skills or interactions with others.
Rehearsal may be conducted using guided imagery where the
client pictures themselves responding appropriately, or the
client and therapist may choose to explore a behavioral
rehearsal using role-play.
,Corinne is a 46-year-old who presents for therapy with
symptoms of depression.
The therapist recommends that Corinne read Cognitive
Behavioral Therapy in 7
Weeks by Dr. Seth J. Gillihan between
sessions.
What can you use to assist the
client?
Assertiveness
training
Bibliotherapy
Contingency
management
Behavioral rehearsal - ANSWER-
Bibliotherapy
Rationale: CBT therapists may prescribe specific readings or
self-help books
related to the client's condition as an adjunct to in-
session work.
Tina is a 52-year-old who presents with depression and obesity.
She has struggled with her weight for the last several years.
The therapist implements a series of rewards when Tina
adheres to treatment goals.
What can you use to assist the client?
, Assertiveness
training
Bibliotherapy
Contingency
management
Behavioral rehearsal - ANSWER-Contingency
management
Rationale: Contingency management reinforces or rewards
positive behavioral changes. The client and therapist can work
together to identify appropriate rewards; for instance, Tina may
choose to reward herself for maintaining an exercise regimen
by scheduling a relaxation massage.
Amina is a 40-year-old who presents for therapy. She reports
that she has felt
"depressed" most of her life but never sought mental
health services. She
discloses that she was a victim of childhood incest and
neither reported the
abuse nor discussed it with anyone before this time. She feels
that the time is
right to do therapy. The psychiatric mental health nurse
practitioner (PMHNP)
selects solution-focused therapy (SFT) to create a warm and
supportive climate in which the client can identify her
resources to create a shift from the past to the present,
integrate her memories, and empower herself beyond her
victimization.