NURs 8250-Case Study: 16-year-old with Anorexia Nervosa

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Assignment 1: Supportive Psychotherapy versus Interpersonal Psychotherapy

Amelia, a 16-year-old high school sophomore, presents with symptoms of weight loss and a very obvious concern for her weight. She has made several references to being “fat” and “pudgy” when, in fact, she is noticeably underweight. Her mother reports that she is quite regimented in her eating and that she insists on preparing her own meals as her mother “puts too many fattening things in the food” that she cooks. After discovering that during the past 3 months Amelia has lost 15 pounds and is well under body weight for someone of similar age/sex/developmental trajectory, the psychiatric mental health nurse practitioner diagnosed Amelia with anorexia nervosa.

Evidence-based research shows that clients like Amelia may respond well to supportive psychotherapy and interpersonal psychotherapy. So which approach might you select? Are both equally effective for all clients? In practice, you will find that many clients may be candidates for both of these therapeutic approaches, but factors such as a client’s psychodynamics and your own skill set as a therapist may impact their effectiveness. Case Study: 16-year-old with Anorexia Nervosa

This week, you continue exploring therapeutic approaches and their appropriateness for clients as you examine supportive psychotherapy and interpersonal psychotherapy. You also assess progress for a client receiving psychotherapy and develop progress and privileged psychotherapy notes for the client.

Photo Credit: Laureate Education

Although supportive psychotherapy and interpersonal psychotherapy share some similarities, these therapeutic approaches have many differences. When assessing clients and selecting therapies, it is important to recognize these differences and how they may impact your clients. For this Assignment, as you compare supportive and interpersonal psychotherapy, consider which therapeutic approach you might use with your clients.

To prepare:

· Review the media in this week’s Learning Resources.

· Reflect on supportive and interpersonal psychotherapeutic approaches.

The Assignment

In a 1- to 2-page paper, address the following:

Briefly describe how supportive and interpersonal psychotherapies are similar.

Explain at least three differences between these therapies. Include how these differences might impact your practice as a mental health counselor.

Explain which therapeutic approach you might use with clients and why. Support your approach with evidence-based literature.

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References

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.

· Chapter 5, “Supportive and Psychodynamic Psychotherapy” (pp. 238–242)

· Chapter 9, “Interpersonal Psychotherapy” (pp. 347–368)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Note: You will access this text from the Walden Library databases.

Abeles, N., & Koocher, G. P. (2011). Ethics in psychotherapy. In J. C. Norcross, G. R. VandenBos, D. K. Freedheim, J. C. Norcross, G. R. VandenBos, & D. K. Freedheim (Eds.), History of psychotherapy: Continuity and change (pp. 723–740). Washington, DC: American Psychological Association. doi:10.1037/12353-048

Note: You will access this resource from the Walden Library databases.

Cameron, S., & Turtle-Song, I. (2002). Learning to write case notes using the SOAP format. Journal of Counseling and Development, 80(3), 286–292. Retrieved from the Academic Search Complete database. (Accession No. 7164780)

Note: You will access this article from the Walden Library databases.

Nicholson, R. (2002). The dilemma of psychotherapy notes and HIPAA. Journal of AHIMA, 73(2), 38–39. Retrieved from

U.S. Department of Health & Human Services. (n.d.). HIPAA privacy rule and sharing information related to mental health. Retrieved from http://www.hhs.gov/hipaa/for-professionals/special-topics/mental-health/

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video file]. Mill Valley, CA: Psychotherapy.net.

Note: For this week, view Reality Therapy, Feminist Therapy, and Solution-Focused Therapy only. You will access this media from the Walden Library databases.

Stuart, S. (2010). Interpersonal psychotherapy: A case of postpartum depression [Video file]. Mill Valley, CA: Psychotherapy.net.

Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 110 minutes. Case Study: 16-year-old with Anorexia Nervosa

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at ). All papers submitted must use this formatting.

Supportive and interpersonal psychotherapy approaches Sample Student Paper

With the prevalence of mental disorders, researchers and healthcare providers have studied the efficacy of different psychotherapy approaches to determine the most efficient strategies that can be used in assisting patients with particular psychiatric disorders. Supportive psychotherapy along with interpersonal psychotherapy are prevalently used in the treatment of mental disorders. These two approaches have various similarities as well as differences. Herein, I will discuss the two psychotherapy approaches, their similarities, differences, and situations in which each of the approaches would be effective in the treatment of patients with psychiatric disorders.

Similarities and Differences of Supportive and Interpersonal Psychotherapy Approaches

Supportive psychotherapy approach refers to a form of psychotherapeutic strategy that combines psychodynamic, cognitive-behavioral as well as interpersonal conceptual approaches of psychotherapy and techniques (Wheeler, 2014). With this psychotherapy approach, the major aim of the therapist is to improve the adaptive along with healthy patterns of the patient with the major objective being to reduce the prevailing intrapsychic conflicts contributing to the patient’s condition. On the other hand, the interpersonal approach refers to a brief, interpersonal focused strategy, which concentrates on identifying and resolving the prevailing interpersonal problems to alleviate the presenting symptoms (Wheeler, 2014). The therapist is essentially concerned with the interpersonal context and the associated factors that may predispose, propagate or precipitate the symptom of psychiatric disorders.

Both approaches are mainly aimed at bringing a therapeutic impact to patients presenting with the symptoms of psychiatric conditions. However, the two approaches have differences. Firstly, the interpersonal approach is an emphatically supported treatment model that mainly adheres to a highly structured and time-limited approach that often takes between 12 to 16 weeks (Cuijpers et al., 2016). Conversely, the supportive approach is not structured and utilizes a combination or either the psychodynamic, cognitive-behavioral and/or interpersonal conceptual approach.

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What is more, as highlighted in the above paragraph, the main aim of the supportive approach is to enhance the patient’s healthy as well as adaptive patterns in order lessen the prevailing intrapsychic conflicts contributing to the development of mental disorders. Conversely, the main aim of using the interpersonal approach is to identify and resolve any prevailing problematic interpersonal relationships. As such, therapist are necessitated to evaluate the relational aspects of patients that may be impacting the patient.

Application

According to Ashman et al. (2014), the supportive psychotherapy approach is mainly used in the treatment of patients with behavioral psychiatric problems such as alcoholism, addiction or eating disorders such as bulimia nervosa. With the use of this approach, the therapist assists the patients with behavioral problems to adopt and sustain healthy and efficient coping mechanisms to resolve their prevailing problems. On the other hand, the interpersonal psychotherapy approach is mainly used in the treatment of mental disorders that are related to the way people interact with family members or in other social organizations (Cuijpers et al., 2016). Essentially, by addressing the underlying relations problems, this approach can be used in lessening the symptoms of mental conditions such as depression, alcoholism, and other associated disorders.

As a nurse therapist, I prefer using the interpersonal approach in addressing problems presented by patients with mental conditions. Essentially, this is because the approach emphasizes the importance of interpersonal relationships. As highlighted by Cuijpers et al. (2016), poor interpersonal relationships contribute significantly to the development of the majority of psychiatric disorders including those related to the behavior and mood of individuals. These two aspects, mood, and behavior contribute significantly in the development of mental disorders. According to Gelo, Pritz, and Rieken (2014) who delves the efficacy of the psychotherapy approaches in the treatment of mental disorders, the interpersonal psychotherapy approach is more efficient in the treatment of the majority of psychiatric conditions compared to the supportive psychotherapy approach which is limited to behavioral problems.

References

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.

Ashman, T., Cantor, J. B., Tsaousides, T., Spielman, L., & Gordon, W. (2014). Comparison of cognitive behavioral therapy and supportive psychotherapy for the treatment of depression following traumatic brain injury: a randomized controlled trial. The Journal of head trauma rehabilitation, 29(6), 467-478.

Cuijpers, P., Donker, T., Weissman, M. M., Ravitz, P., & Cristea, I. A. (2016). Interpersonal psychotherapy for mental health problems: a comprehensive meta-analysis. American Journal of Psychiatry, 173(7), 680-687.

Gelo, O. C., Pritz, A., & Rieken, B. (Eds.). (2014). Psychotherapy research: Foundations, process, and outcome. Springer. Case Study: 16-year-old with Anorexia Nervosa