Psychotherapy

Desired Clinical Skills for Students to Achieve

Confident (Can complete independently)

Mostly confident (Can complete with supervision)

Beginning (Have performed with supervision or need supervision to feel confident)

New (Have never performed or does not apply)

Comprehensive psychiatric evaluation skills in: 

Recognizing clinical signs and symptoms of psychiatric illness across the lifespan

X

Differentiating between pathophysiological and psychopathological conditions 

X

Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) 

X

Performing and interpreting a mental status examination 

X

Performing and interpreting a psychosocial assessment and family psychiatric history 

X

Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).

X

Diagnostic reasoning skill in:

Developing and prioritizing a differential diagnoses list

X

Formulating diagnoses according to DSM 5 based on assessment data 

X

Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes

X

Pharmacotherapeutic skills in:

Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management) 

X

Evaluating patient response and modify plan as necessary 

X

Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)

X

Psychotherapeutic Treatment Planning:

Recognizes concepts of therapeutic modalities across the lifespan

X

Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation) 

X

Applies age appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups

X

Develop an age appropriate individualized plan of care

X

Provide psychoeducation to individuals, family, and/or groups

X

Promote health and disease prevention techniques

X

Self-Assessment skills:

Develop SMART goals for practicum experiences 

X

Evaluating outcomes of practicum goals and modify plan as necessary 

X

Documenting and reflecting on learning experiences

X

Professional skills:

Maintains professional boundaries and therapeutic relationship with clients and staff

X

Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings 

X

Identifies ethical and legal dilemmas with possible resolutions

X

Demonstrates non-judgmental practice approach and empathy

X

Practices within scope of practice

X

Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals:

Demonstrates selecting the correct screening instrument appropriate for the clinical situation 

X

Implements the screening instrument efficiently and effectively with the clients

X

Interprets results for screening instruments accurately

X

Develops an appropriate plan of care based upon screening instruments response

X

Identifies the need to refer to another specialty provider when applicable

X

Accurately documents recommendations for psychiatric consultations when applicable

X

My professionalism is my greatest strength. I understand my responsibilities and know how to set limits with clients and coworkers. I have a propensity of not judging in my everyday life, and thus it is not difficult to use this practice in my professional activity. Identifying areas of weakness is another strength. Especially when being entrusted with health care decisions for others, it is essential to know when to seek counsel and ask for direction from those with more proficiency. Communication is a key element to my professionalism. Communicating with multidisciplinary teams, patients, and families. Communication involves using verbal, non-verbal, and written forms. I strive to express empathy while sharing information with patients and family members. Sharing information with nurse practitioners and physicians improves the safety and welfare of patients (Durmaz et al., 2018).

During this course I will have the opportunity to grow and improve my skills in performing and interpreting a psychosocial assessment and family psychiatric history. Patient assessment is vital in developing accurate diagnoses (Pelin & Ayise, 2019). Working with Individuals as well as treatment staff will provide me with the most opportunities for advancement. It will be interesting to learn how to deal with group and family dynamics while still addressing individual personalities and issues. I will also have the opportunity to incorporate my knowledge with the family psychiatric history. The information can help me to assess different patients accurately confidently.

1. Goal: Develop other forms of communication skills in sharing information with patients, family members, and multidisciplinary teams.

a. Objective: Use communication channels to create a healthy relationship with 11 multidisciplinary teams.

b. Objective: Demonstrate effective communication skills in creating quality relationship with patients,

c. Objective: Utilize different communication channels to share information with patients and family

2. Goal: Develop the skill to accurately select the best psychiatric diagnostic screening tools for patients with multiple diagnosis.

a. Objective: Use advanced nursing skills to identify the symptoms that differentiate various mental conditions

b. Objective: Utilize nursing knowledge to identify and differentiate various screening tools.

c. Objective: Demonstrate quality nursing skills to select and apply diagnostic tools.

3. Goal: Develop skills to appropriately diagnosis, differential diagnosis, treatment plan, and follow up.

a. Objective: Create a suitable treatment and follow-up plan.

b. Objective: Utilize different diagnostic tools to reach a diagnosis.

c. Objective: Utilize advanced nursing skills to develop a differential diagnosis