Solution-Focused and Cognitive Behavioral Therapy Essay

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Solution-Focused and Cognitive Behavioral Therapy Essay.

Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session. Do not select the same family you selected for Week 2. Then, address in your Practicum Journal the following: Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.Solution-Focused and Cognitive Behavioral Therapy Essay.


Describe each client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications. Using the DSM-5, explain and justify your diagnosis for each client. Explain whether solution-focused or cognitive behavioral therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches. Explain any legal and/or ethical implications related to counseling each client. Support your approach with evidence-based literature.Solution-Focused and Cognitive Behavioral Therapy Essay.


Solution-focused and cognitive behavioral therapy is a psychotherapeutic treatment that helps to learn how to identify and change the destructive patterns that influence behavior and emotions negatively. There is a lot of existing evidence on the effectiveness and efficiency of solution-focused and cognitive behavioral therapy for anxiety disorders. The psychotherapeutic approach seeks the best solution to produce positive results by maximizing aspirations and desires to promote achievements.Solution-Focused and Cognitive Behavioral Therapy Essay. Maladaptive behaviors contribute widely to emotional stress and behavioral issues. These behaviors are inclusive of schemas and general world beliefs that result in certain situational automated thoughts. The author describes the application of solution-focused and cognitive behavioral therapy for patients with a general anxiety disorder in a family setting. Discussion of legal and ethical implications related to counseling the clients is also provided.

Client Description, Pertinent History, Medical Information, And Prescribed Medications

For this assignment, the patient was a 22 years old African American male attending CBT therapy day 6 sessions for general anxiety disorders. Recently the client was seen at the emergency department with difficulties in breathing, tachycardia, and chest tightness. Recently, the patient was fired from a full-time job as a general nurse practitioner due to anger outbursts to his colleagues and he reports to have failed in his masters’ final exams because he has been experiencing difficulties in concentration. He stays with his parents and two siblings. He says that his parents are always having arguments and fighting. During the therapy session, he was very active but reported feelings of immense doom, a blah mood, and nervousness. His mental status is normal, no suicidal ideations, and has difficulties in coping. He is currently on Zoloft 50mg daily.Solution-Focused and Cognitive Behavioral Therapy Essay.

Diagnosis And Justification For The Client

According to the DSM-5 criteria for diagnosing mental health disorders, diagnosis of generalized anxiety disorder is made when a patient presents with excessive anxiety and worry that is very difficult to control (Newby,et al, 2017).Solution-Focused and Cognitive Behavioral Therapy Essay. The patient is usually restless, fatigued, impaired concentration, irritability, and sleep disturbance. Similarly, the patient presented with excessive anxiety, difficulties in concentrating, imminent doom, and blah mood. His irritable behavior and frequent anger outbursts affected his social relationships. The patient’s presentations meet the criteria hence the diagnosis of generalized anxiety disorder.Solution-Focused and Cognitive Behavioral Therapy Essay.

Whether Solution-Focused Or Cognitive Behavioral Therapy Would Be More Effective With The Family And Expected Outcomes

Both solutions focused and cognitive behavioral therapy would be more effective. Solution-focused therapy is a collaborative and goal-oriented approach done using direct observation of the response of clients through a series of accurately constructed questions (AZIZI, & GHASEMI, 2017). In this case, it would best apply in solving an existing family problem and how to relate with people. The expected outcome for this family is an improvement in the quality of life, family, and social relations.Solution-Focused and Cognitive Behavioral Therapy Essay.

CBT is used to empower the client with different ways of behaving, thinking, and reacting to situations that would reduce excessive worry ad anxiety. These maladaptive behaviors are the major contributors to the client’s frequent anger, difficulty in concentrating, and blah mood (Hayes, & Hofmann, 2017). Through an examination of unhelpful thought and behavioral patterns, it is expected that the client will develop effective ways of thinking about the situation that is challenging and finish his master’s degree.Solution-Focused and Cognitive Behavioral Therapy Essay.

Legal Implications Related To Counseling For Each Client

Most patients suffering from anxiety disorder need proactive care that is likely that may be coerced into medication therapy that is against their preference which is a violation of the patient’s autonomy (Karcher, & Presser, 2018). It is also possible that the client might decline the treatment which may pose more harm than good. Therefore, it conflicts with the ethical principle of non-maleficence and beneficence on the part of the nurse practitioner.Solution-Focused and Cognitive Behavioral Therapy Essay.


Patients with generalized anxiety disorder present with a wide range of needs. These are psychological, emotional, and physical needs. These are addressed through cognitive behavioral therapy and solution-focused therapy. Ethical issues in dealing with clients with general anxiety disorders are autonomy and non-maleficence.Solution-Focused and Cognitive Behavioral Therapy Essay.


AZIZI, & GHASEMI, (2017). Comparison of the effectiveness of solution-focused therapy, cognitive-behavior therapy, and acceptance and commitment therapy on depression and quality of life in divorced women.

Hayes, & Hofmann, (2017). cognitive-behavioral therapy World Psychiatry, 16(3), 245.

Karcher, & Presser, (2018). legal and Ethical issues in the use of mental health as an adjunct to psychotherapy. Ethics & Behavior, 28(1), 1-22.

Newby, Hobbs, Mahoney, Wong& Andrews (2017). DSM-5 anxiety disorder Comorbidity, correlates, and overlap with DSM-IV hypochondriasis. Journal of Psychosomatic Research, 101, 31-37.


Solution-focused and cognitive-behavioral therapies are psychotherapeutic modes of treatment for patients with mental health illnesses. Solution-focused therapy majors on finding the possible mental health solutions to the patient. It helps the client to determine how to move on with their life in the most practical ways. Cognitive-behavioral therapy is an effective evidence-based psychological treatment for patients with a mental health disorder.Solution-Focused and Cognitive Behavioral Therapy Essay. The psychotherapeutic treatment approach helps learn the patient’s behavior, emotions, psychological sensations, and cognition. It also helps in understanding the patient part of self-regulation and the objectives they desire to achieve. This paper describes the application of solution-focused and cognitive behavioral therapy approaches and ethical implications in a family setting for a patient with depression. Depression is a mental health disorder that presents with extreme sadness, loss of interest, and maladaptive behavior.Solution-Focused and Cognitive Behavioral Therapy Essay.

Patient’s History And Medical Information

The patient is J.A 36-year old white American female attending therapeutic sessions for depression. Recently, She presented at the outpatient department with sleep disturbance, loss of appetite, and generalized body weakness. She reported to the doctor that she feels a lot of hatred for her children, she feels self-unworthy, and has had suicidal ideations. She reports that the onset of these symptoms was after her husband divorced her after 16 years of marriage. She lost her job as a call center manager due to anger outbursts to her office workmates and poor work ethics.Solution-Focused and Cognitive Behavioral Therapy Essay. Currently, she is living with her parents and her two children. She takes spirits, smokes tobacco, and marijuana when she feels overwhelmed. Her mental assessment reports of neat looking appearance, maintaining eye contact, speech tone and volume was normal. The thought process was congruent, with no hallucinations and suicidal ideations. She is currently on fluoxetine 40mg monthly dose.Solution-Focused and Cognitive Behavioral Therapy Essay.

Patient’s Diagnosis And Justification

Depression is a psychiatric illness that presents with persistent sadness and loss of interest. According to the DSM-5 criteria of diagnosing mental health illnesses, patients with depression present with reduced pleasure or interest, sleep disturbances, suicidal ideations, fatigue, impaired concentration, and thoughts of self-worthlessness (Tundo, et al, 2020). J.A presented with almost similar symptoms at the outpatient department; feeling unworthy, suicidal ideation, sleep disturbance, fatigue, and reduced appetite. The patient’s symptoms meet the DSM-5 criteria hence, the diagnosis is depression.Solution-Focused and Cognitive Behavioral Therapy Essay.

The Most Effective Psychotherapeutic Approach With The Family Expected Outcome

Both solution-based and cognitive-behavioral therapies are effective and efficient approaches in the management of mental health disorders. Solution-based therapy aims are solving the problem at the family and social interactive level to improve the quality of life and decrease distress (Mehrabi,et al, 2020). This would best apply to the patient to solve the underlying issues with his family and a place of work.Solution-Focused and Cognitive Behavioral Therapy Essay.

Cognitive-behavioral therapy aims at restructuring the patient’s thinking and behavior (Brantnell,et al, 2020). It will be effective for this patient since it will help in changing the suicidal thoughts, feeling worthless, and hatred for her children. It will help the patient to avoid indulging in alcohol, marijuana, and tobacco in cases of emotional outbursts. The patient will eventually cope well as a single mother and will have good work relations in her next work station.Solution-Focused and Cognitive Behavioral Therapy Essay.

Ethical Considerations For Each Patient

Ethical principles are essential when handling patients with mental health disorders. Before initiating any form of treatment, the care provider should seek a fully informed patient. The nurse should have the best interest in patient management and protect the patient from harm in cases where they have to make decisions for the patient. The nurse needs to keep the patient’s personal information private and confidential to avoid stigma in society (Chenneville,& Gabbidon, 2020). Most psychiatric patients tend to go against the advised method of treatment which makes the nurse violate the principle of autonomy.Solution-Focused and Cognitive Behavioral Therapy Essay.


Patients with depression present with loss of interest or pleasure and a sad mood. It is treated by both psychotherapy and pharmacotherapy. Psychotherapy modes are solution-focused and cognitive behavioral therapy. Ethical considerations in treating patients with depression are informed consent, beneficence, non-maleficence, autonomy, and confidentiality.Solution-Focused and Cognitive Behavioral Therapy Essay.