Week 7: Supportive and Interpersonal Psychotherapy
Amelia, a 16-year-old high school sophomore, presents with symptoms of weight loss and a very obvious concern for her weight. She has made several references to being “fat” and “pudgy” when, in fact, she is noticeably underweight. Her mother reports that she is quite regimented in her eating and that she insists on preparing her own meals as her mother “puts too many fattening things in the food” that she cooks. After discovering that during the past 3 months Amelia has lost 15 pounds and is well under body weight for someone of similar age/sex/developmental trajectory, the psychiatric mental health nurse practitioner diagnosed Amelia with anorexia nervosa.
Evidence-based research shows that clients like Amelia may respond well to supportive psychotherapy and interpersonal psychotherapy. So which approach might you select? Are both equally effective for all clients? In practice, you will find that many clients may be candidates for both of these therapeutic approaches, but factors such as a client’s psychodynamics and your own skill set as a therapist may impact their effectiveness.
This week, you continue exploring therapeutic approaches and their appropriateness for clients as you examine supportive psychotherapy and interpersonal psychotherapy. You also assess progress for a client receiving psychotherapy and develop progress and privileged psychotherapy notes for the client. Supportive and Interpersonal Psychotherapies Essay
Photo Credit: Laureate Education
Learning Resources
Required Readings
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
• Standard 4 “Planning” (pages 50-51)
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 5, “Supportive and Psychodynamic Psychotherapy” (pp. 238–242)
• Chapter 9, “Interpersonal Psychotherapy” (pp. 347–368)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Abeles, N., & Koocher, G. P. (2011). Ethics in psychotherapy. In J. C. Norcross, G. R. VandenBos, D. K. Freedheim, J. C. Norcross, G. R. VandenBos, & D. K. Freedheim (Eds.), History of psychotherapy: Continuity and change (pp. 723–740). Washington, DC: American Psychological Association. doi:10.1037/12353-048
Cameron, S., & Turtle-Song, I. (2002). Learning to write case notes using the SOAP format. Journal of Counseling and Development, 80(3), 286-292.
Nicholson, R. (2002). The dilemma of psychotherapy notes and HIPAA. Journal of AHIMA, 73(2), 38–39. Retrieved from http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4
U.S. Department of Health & Human Services. (n.d.). HIPAA privacy rule and sharing information related to mental health. Retrieved from http://www.hhs.gov/hipaa/for-professionals/special-topics/mental-health/
Required Media
Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video file]. Mill Valley, CA: Psychotherapy.net.
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Stuart, S. (2010). Interpersonal psychotherapy: A case of postpartum depression [Video file]. Mill Valley, CA: Psychotherapy.net.
Assignment 1: Supportive Psychotherapy Versus Interpersonal Psychotherapy
Although supportive psychotherapy and interpersonal psychotherapy share some similarities, these therapeutic approaches have many differences. When assessing clients and selecting therapies, it is important to recognize these differences and how they may impact your clients. For this Assignment, as you compare supportive and interpersonal psychotherapy, consider which therapeutic approach you might use with your clients.
Learning Objectives
Students will:
• Compare supportive psychotherapy and interpersonal psychotherapy
• Recommend therapeutic approaches for clients presenting for psychotherapy
To prepare:
• Review the media in this week’s Learning Resources.
• Reflect on supportive and interpersonal psychotherapeutic approaches.
The Assignment
In a 1- to 2-page paper, address the following:
• Briefly describe how supportive and interpersonal psychotherapies are similar.
• Explain at least three differences between these therapies. Include how these differences might impact your practice as a mental health counselor.
• Explain which therapeutic approach you might use with clients and why. Support your approach with evidence-based literature.
Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://academicguides.waldenu.edu/writingcenter/templates ). All papers submitted must use this formatting. Supportive and Interpersonal Psychotherapies Essay
Supportive and Interpersonal Psychotherapies
Introduction
Psychotherapy involves the use of psychological approaches to facilitate improved mental health and facilitate change in the beliefs, feelings, and behavior (Sommers-Flanagan & Sommers-Flanagan, 2013). Psychotherapy also focuses on improving social skills, problem-solving and relationships. Different types of psychotherapies have been used to treat various mental disorders. Supportive and interpersonal psychotherapies are common psychotherapies used in the treatment of various mental disorders. This paper compares interpersonal and supportive psychotherapies.
Similarities between Interpersonal and Supportive Psychotherapies
The two approaches aim to bring a therapeutic effect to clients manifesting symptoms of mental disorders. Supportive psychotherapy is a type of psychotherapy strategy that combines cognitive-behavioral, psychodynamic, and interpersonal conceptual techniques of psychotherapy (Wheeler, 2014). Supportive psychotherapy aims to improve the healthy and adaptive patterns of the client in order to decrease the intrapsychic conflicts that contribute to the mental disorder. interpersonal therapy is a short-term interpersonal strategy that aims is to identify and resolve interpersonal problems in order to improve the presenting symptoms (Wheeler, 2014). The therapist focuses on the interpersonal context and the related factors that may be making the client vulnerable or worsening the symptoms of the mental disorder.
Differences between Interpersonal and Supportive Psychotherapies
The interpersonal psychotherapy approach is a definitely supported psychotherapy model that conforms to a highly structured and time-restricted approach that normally takes approximately 12-16 weeks (Swartz et al., 2014). On the other hand, the supportive psychotherapy approach is not as structured and combines either cognitive-behavioral, psychodynamic, or/and interpersonal conceptual approach. Additionally, supportive psychotherapy aims to improve the health and adaptive patterns of the client to reduce the intrapsychic conflicts that contribute to the mental disorder, while the interpersonal psychotherapy aims to identify and provide a solution to the problematic interpersonal relationships (Bekhuis et al., 2018). Supportive and Interpersonal Psychotherapies Essay
The supportive approach is most appropriate in treating clients with behavioral mental disorders like substance abuse or eating disorders such as anorexia nervosa. A therapist uses a supportive psychotherapy approach to help the client with behavioral problems to acquire specific efficient and healthy coping strategies in order to treat the presenting problems (Bekhuis et al., 2018). The interpersonal psychotherapy, on the other hand, is utilized in treating mental disorders allied to interactions between individuals such as interactions within a family set up (Cuijpers et al., 2016). The most common mental disorders treated using interpersonal psychotherapy include depression, substance abuse, and other related disorders.
Suitable Therapeutic Approach with Clients
I would utilize interpersonal approaches to address mental disorders for my clients. This is because the approach focuses on improving interpersonal relationships an important factor in the development of most mental disorders, including those allied to the mood and behavior of people (Swartz et al., 2014). Behavior and mood significantly contribute to the development of psychiatric disorders, including addictions. In addition, evidence indicates that interpersonal psychotherapy approach has better efficacy when it comes to the treatment of mental disorders in comparison to the supportive psychotherapy that is restricted only to behavioral problems (Cuijpers et al., 2016).
References
Bekhuis E, Schoevers R, de Boer M, Peen J, Dekker J, Van H & Boschloo L. (2018). Symptom-Specific Effects of Psychotherapy versus Combined Therapy in the Treatment of Mild to Moderate Depression: A Network Approach. Psychother Psychosom, 1(87), 121-123.
Cuijpers P, Donker T, Wessman M, Ravitz P & Cristea L. (2016). Interpersonal Psychotherapy for Mental Health Problems: A Comprehensive Meta-Analysis. Am J Psychiatry, 1(173), 680–687.
Swartz H, Grote N & Graham P. (2014). Brief Interpersonal Psychotherapy (IPT-B): Overview and Review of Evidence. Am J Psychother, 68(4), 443–462.
Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video file]. Mill Valley, CA: Psychotherapy.net.
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. Supportive and Interpersonal Psychotherapies Essay