NURS 2118 - Therapeutic Initiatives in Mental Health Assignment

Assignment Task

Background Information

Emma Smith is a 33-year-old female with a diagnosis of schizoaffective disorder. Emma was born in Queensland and is an only child and moved to Melbourne at age 20 to pursue a career in finance. Emma was diagnosed with depression at age 14 however at age 21 she was diagnosed with first episode psychosis after experiencing her first psychotic episode resulting in an admission to a public mental health unit. During this admission she reports that she was sexually assaulted by a co consumer and had multiple episodes of seclusion. Emma engaged with a private psychiatrist and psychologist on discharge and remained stable and compliant with medication management.

Emma subsequently married her current husband at age 25 and has experienced a significant relapse at age 29 in the context of self ceasing medications and disengaging with private supports after being concerned of the impacts her medication was having on her unborn child at approx. 8months pregnancy. During this prolonged admission to a public mental health inpatient unit then to a mother baby unit She was diagnoses with schizoaffective disorder and was discharged on Olanzapine 15mg nocte and Fluoxetine 40mg mane. She re engaged with her private supports.

Emma is now 33 years of age and has been brought to the emergency department by her husband John who has concerns regarding early warning signs of relapse after noticing Emma has been talking to herself, poor sleep and appetite and anhedonia. John also reports that two months ago they commenced IVF treatment. Whilst in the emergency department she is placed under an Assessment Order and then a Temporary Treatment Order and admitted to the public mental health inpatient unit.

Brief

The purpose of this essay is to examine your ability to apply psychotherapy (specifically cognitive behavioural therapy, CBT) in consumer care within mental health settings.

Details of the Task

1. Your introduction should set the scene for the essay, provide context and the scope of what areas your essay would be discussing.

2. Discuss the indication for and how you would utilise cognitive behavioural therapy (CBT) when working with Emma particularly with her depressive and psychotic symptoms. Your discussion should be embedded within the available evidence-based literature around the use of CBT including but not limited to relevant empirical models.

3. You will need to demonstrate a good understanding of various aspects of CBT when utilising this therapy, this includes but not limited to relevant assessment and treatment tools.

4. Please note that you have already addressed the use of motivational interviewing in your first written assessment task, and it does not need to be discussed in this essay.

5. Further assessment data has been provided regarding Emma in addition to what was presented previously.

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