Discussion: Counseling Adolescents NRNP 6640-14

Discussion: Counseling Adolescents
The adolescent population is often referred to as “young adults,” but in some ways, this is a
misrepresentation. Adolescents are not children, but they are not yet adults either. This
transition from childhood to adulthood often poses many unique challenges to working
with adolescent clients, particularly in terms of disruptive behavior. In your role, you must
overcome these behaviors to effectively counsel clients. For this Discussion, as you examine
the Disruptive Behaviors media in this week’s Learning Resources, consider how you might
assess and treat adolescent clients presenting with disruptive behavior.
Learning Objectives
Students will:
 Assess clients presenting with disruptive behavior
 Analyze therapeutic approaches for treating clients presenting with disruptive
behavior
 Evaluate outcomes for clients presenting with disruptive behavior
To prepare:
 Review this week’s Learning Resources and reflect on the insights they provide.
 View the media, Disruptive Behaviors. Select one of the four case studies and assess
the client.
 For guidance on assessing the client, refer to pages 137-142 of the Wheeler text in
this week’s Learning Resources.
Note: To complete this Discussion, you must assess the client, but you are not required to
submit a formal Comprehensive Client Assessment.
Note: For this Discussion, you are required to complete your initial post before you will be
able to view and respond to your colleagues’ postings. Begin by clicking on the "Post to
Discussion Question" link and then select "Create Thread" to complete your initial post.
Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post
anonymously. Please check your post carefully before clicking Submit!
By Day 3
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.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 9 Discussion Rubric
Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 9 Discussion

Week in Review
Now that you have:
 Assessed clients presenting with disruptive behavior
 Analyzed therapeutic approaches for treating clients presenting with disruptive
behavior
 Evaluated outcomes for clients presenting with disruptive behavior
Next week, you will:
 Assess clients presenting for psychotherapy
 Evaluate the effectiveness of therapeutic approaches for clients receiving
psychotherapy
Next Week

To go to the next week:
Week 10

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Learning Resources
Required Readings
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and
standards of practice (2nd ed.). Washington, DC: Author.
 Standard 5 “Implementation” (pages 52-53)
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 17, “Psychotherapy With Children” (pp. 597–624)

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

Bass, C., van Nevel, J., & Swart, J. (2014). A comparison between dialectical behavior
therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and
commitment therapy in the treatment of adolescents. International Journal of Behavioral
Consultation and Therapy, 9(2), 4-8. doi:10.1037/h0100991

Koocher, G. P. (2003). Ethical issues in psychotherapy with adolescents. Journal of Clinical
Psychology, 59(11), 1247–1256.

McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow, M. A., Weisz, J. R., &
Kendall, P. C. (2016). The role of setting versus treatment type in alliance within youth
therapy. Journal of Consulting and Clinical Psychology, 84(5), 453-
464. doi:10.1037/ccp0000081

Zilberstein, K. (2014). The use and limitations of attachment theory in child
psychotherapy. Psychotherapy, 51(1), 93-103. doi:10.1037/a0030930

Required Media

Laureate Education (Producer). (2013a). Disruptive behaviors – Part 1 [Multimedia file].
Baltimore, MD: Author.

Laureate Education (Producer). (2013a). Disruptive behaviors – Part 2 [Multimedia file].
Baltimore, MD: Author.

Walker, R. (n.d.). Making child therapy work [Video file]. Mill Valley, CA:
Psychotherapy.net.

Optional Resources
Bruce, T., & Jongsma, A. (2011). Evidence-based treatment planning for disruptive child and
adolescent behavior [Video file]. Hoboken, NJ: John Wiley & Sons.

Note: You will access this media from the Walden Library databases. The approximate
length of this media piece is 63 minutes.

Discussion: Counseling Adolescents NRNP 6640-14