NURS6640 Counseling for Adolescents Essay
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages
NURS6640 Counseling for Adolescents Essay
The case study I selected to discuss involved the blaming adolescent. The client presented appears as a middle adolescent male. In the scenario, the adolescent has stolen a car that does not belong. To justify why he has taken the car, he placed the blame on the owner of the car because he left the keys in it.
He also mentions that his parents need counseling, not him. Unfortunately, he does not take full responsibility for his poor actions. He appears to believe he is innocent, and others are to blame for his actions.
His behavioral actions may be a result of uncontrolled emotions such as anger. Disruptive, impulse-control and conduct disorders are a group of psychiatric conditions that affect the self-regulation of emotions and behaviors and begin in childhood or adolescence (Amboss, 2018). A differential diagnosis for the presented client would be oppositional defiant disorder.
According to the Substance Abuse and Mental Health Services Administration (2016), the oppositional defiant disorder is classified as a pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least six months. It is essential to investigate the possible causes of ODD. Defiant behavior in children can be triggered by family abuse, unstable home environment, or sudden change in family structure.
A recommended therapeutic approach would be cognitive behavioral therapy (CBT), which involves the psychotherapist collaborating with the client. Cognitive behavior therapy helps the patient understand that they are not bad, but the behavior may be (Wheeler, 2014). With CBT, clients learn to cope effectively with negative emotions by developing new cognitive and behavioral skills. To change an emotion, one must change how they behave or act.
An additional therapeutic approach I would use would be dialectical behavior therapy, which is a research-based therapy. The client presents with impulse control, poor insight, and defiance. Dialectical behavior therapy focuses on the client’s overall behavior. Clients with difficulty managing the emotional challenges of their lives because they lack the needed behavioral coping skills.
With the use of this therapy, the client would openly discuss their feelings, display insight into their decision process while judgment is not portrayed. A strong commitment to change must be displayed. According to Mindfulness Therapy Associates (2019), Research has shown that DBT treatment is most effective when it includes individual therapy, a weekly skills training group, and assistance with skills application by phone with the own therapist between sessions.
Research shows psychotropic medications are not recommended to treat ODD in children and that no drugs have been specifically approved. ODD should be treated as an emotional and behavior challenge that requires therapy, changes in a person’s environment and support to develop better social skills (Good Therapy, 2019). Since children diagnosed with ODD are often diagnosed with ADHD, stimulant medications can be used as a source of treatment.
With the implementation of therapeutic approaches such as cognitive-behavioral therapy and dialectical behavior therapy, clients will be empowered to make their own decisions. Hopefully, they will have a greater understanding that there are consequences to all chosen choices, and they are held accountable for their actions.
Additional mental health conditions, such as ADHD or conduct disorder, need to be examined to determine if associated with ODD. With an understanding and managing feelings of defeasance and opposition, clients maintain happy relationships and tend to excel at work and school.
Amboss. (2019). Disruptive, impulse-control, and conduct disorders. Retrieved from
Good Therapy. (2019). Oppositional Defiant Disorder Treatment. Retrieved from
Mindfulness Therapy Associates. (2019). Dialectical Behavior Therapy (DBT). Retrieved from http://mindfulnesstherapy.org/contact/
Substance Abuse and Mental Health Services Administration. (2016). DSM-5 Changes:
Implications for Child Serious Emotional Disturbance [Internet]. Rockville (MD):
Substance Abuse and Mental Health Services Administration (US); Table 18, DSM-IV to DSM-5
Oppositional Defiant Disorder Comparison. Retrieved from:
Substance Abuse and Mental Health Services Administration. DSM-5 Changes: Implications for Child Serious Emotional Disturbance [Internet]. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2016 Jun. Table 18, DSM-IV to DSM-5 Oppositional Defiant Disorder Comparison. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t14/
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
Chapter 17, “Psychotherapy with Children” (pp. 597–624).
Substance Abuse and Mental Health Services Administration. DSM-5 Changes: Implications for Child Serious Emotional Disturbance [Internet]. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2016 Jun. Table 18, DSM-IV to DSM-5 Oppositional Defiant Disorder Comparison. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t1.
NURS6640 Counseling for Adolescents Essay
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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