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Psychotherapy with Multi modalities (NRNP 6645) : A++ Grades
NRNP 6645
Psychotherapy with Multi modalities
Biological basis of psychotherapy treatments
Neuroscience addresses the brain in the manner in which it truly develops, matures, and functions, which in essence, is the biological basis. Psychotherapy deactivates brain mappings that are maladaptive and stimulates the development of new pathways in the brain that are constructive. Psychiatric disorders are caused entirely by our temperaments’ reactions to stressful experiences as they are processed by our bodies. The problematic mappings that are brought up in therapy are deactivated, while the healthier ones are activated.
The mappings of a traumatic experience are what produce the suffering that is associated with mental health conditions. Therefore, psychotherapy is a healing modality that accomplishes this by utilizing the biological processes of the brain (Jimenez et al., 2018).
It has also been demonstrated that psychotherapy can alter the amount of activity found in the prefrontal cortex. According to the findings of a study conducted on depression, patients diagnosed with this illness exhibited an unusually elevated level of activity in the prefrontal cortex.
Researchers observed that patients who took part in interpersonal therapy had lower levels of activity in their prefrontal cortex than those who did not engage.
In addition, it has been demonstrated that psychotherapy has a biological basis that is analogous to the biological treatment that may be seen through the use of drugs.
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For instance, data has demonstrated that cognitive behavioral therapy (CBT) creates alterations in the brain that are similar to the changes that are caused in the brain by psychotropic medicines. This evidence was obtained through a study on brain imaging.
As a consequence, this body of evidence demonstrates that psychological therapies are capable of bringing about changes in an individual’s symptoms. People who struggle with obsessive-compulsive disorder provide a good illustration of this phenomenon (OCD).
Patients who suffer from OCD have been shown to have neuronal hyperactivity, which may be determined by an elevated rate of glucose metabolism.
It has been demonstrated that psychotherapeutic treatments such as cognitive behavioral therapy (CBT) and psychotropic medicines such as Prozac can slow down the rate at which the body processes glucose and ameliorate OCD symptoms (Marano et al., 2012). Consequently, this gives the impression that cognitive behavioral therapy is as effective as other biological treatments, such as psychotropic drugs.
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How religion, culture, and socioeconomics influence psychotherapy management
The mental health professional would need to consider the client’s culture, religion, and socioeconomic influences to determine how to deliver psychotherapy treatments to accurately identify and treat clients with mental illness. Because every culture has a unique perspective on numerous issues, a PMHNP should be familiar with the client’s history and culture. Hallucinations, for example, are viewed as a kind of divine contact in several civilizations. Instead of being stigmatized as mentally ill, people who have hallucinations are held in the highest regard.
Therefore, in order to perform psychotherapy successfully, every PMHNP must possess cultural competency. As the therapeutic alliance and connection are strengthened, this will promote a positive client-practitioner relationship. Cultural influences on individuals’ healthcare-seeking behaviors will also come in handy when handling males who come in with mental illnesses. Some cultures would view men as being emotionally strong and will be expected to handle every situation in a strong manner.
This, therefore, shows that few men would seek psychotherapy for their issues or come in with advanced mental illness with cognitive changes.
The opinions, conclusions, and perceptions of an individual are frequently influenced by their cultural background. Contrarily, compared to nonreligious people, persons who practice a particular religion tend to have better mental health, fulfilling relationships, and physical health. Thus, it is believed that their faith contributes to the stabilization of psychological health. People with mental health issues who identify as members of a certain faith typically prefer to consult a psychologist who shares their beliefs. However, some want to see nonreligious therapists or psychologists so that they can receive treatment that is impartial to their psychological condition.
In order to effectively address the client’s mental health during psychotherapy, there is an emphasis on the significance of recognizing socioeconomic disparity, the stress associated with poverty, and attending to the significant external and societal circumstances.
In order to help clients understand the challenges they are facing with poverty-related stress, discussions about how to create coping mechanisms will be hard rather than how to make them happy about being poor.
As a result, clients can learn how to make adjustments that will help them and their families advance. In addition, a lack of resources may prevent people from lower socioeconomic strata from accessing appropriate psychotherapy therapies. Living in poverty may psychologically impact some people, which may cause mental health problems.
Furthermore, a sizable portion of people who struggle with mental health disorders do not get the mental health services they require. For instance, the study found that fewer kids who require mental health care and live in poverty obtain it than 15% of the time (Hodkinson, Godoy, Beers, Lewin, 2017).
Even fewer kids finish their treatment. Lack of insurance, long travel times, and parental worries that their kids would be taken away from them because of their low-income status are just a few of the obstacles that prevent people from receiving mental health care.
Ethical and legal considerations for group and family therapy
Mental health therapists are required to make ethical decisions regarding whether or not their personal knowledge or connection to a particular patient should be disclosed. The client may need to be referred to another therapist because of a role conflict, which is one of the biological bases and ethical, and legal considerations of psychotherapy. A mental health counselor, for instance, should not give advice to someone who lives next door to them, especially when working in a rural environment setup (Kim et al., 2016).
Various psychology bodies have approved the Ethics Code or other comparable ethical standards or rules for the professional conduct of clinicians. When providing services to more than one individual in a joint session, such as to a group of patients, couples, family, children, and caregivers, a clinician must begin the interaction by delineating the limits of confidentiality, so that information between the parties can be shared amongst themselves.
This requirement applies to situations in which the clinician is providing services to a family or couple, for instance, or when the clinician is providing services to a family or couple, or when the clinician is providing services to In contrast to individual therapy, where clinicians are expected to adhere to HIPPA rules and regulations.
One of the legal considerations in this aspect of family or group therapy is the clinician’s duty to warn, which was influenced by the Tarasoff decision. During family therapy, the clinician is responsible for warning the family members or the group if the patient poses a danger to other people, such as the risk of homicide and suicide.
This will influence the level of expressed emotion that the family will accord the patient and help them to recover from the psychological illness.
References
Jiménez, J. P., Botto, A., Herrera, L., Leighton, C., Rossi, J. L., Quevedo, Y., Silva, J. R., MartÃnez, F., Assar, R., Salazar, L. A., Ortiz, M., RÃos, U., Barros, P., Jaramillo, K., & Luyten, P. (2018). Psychotherapy and Genetic Neuroscience: An Emerging Dialog. Frontiers in genetics, 9, 257. https://doi.org/10.3389/fgene.2018.00257
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It is a scholarly article since it has been peer-reviewed, and the study findings have been supported by other studies and literature, as evidenced by the number of citations and references in the article. The information in the article is clear and precise and is written by research experts.
Marano, G., Traversi, G., Nannarelli, C., Pitrelli, S., Mazza, S., & Mazza, M. (2012). Functional neuroimaging: points of intersection between biology and psychotherapy. Clin Ter, 163(6), e445-456.
The article is considered scholarly as research experts did the research, and other experts have analyzed the results, and the research is based on the literature and findings of other studies found in the references. It was done to add information on the gaps that other studies have done on the subject matter.
Hodgkinson, S., Godoy, L., Beers, L. S., & Lewin, A. (2017). Improving Mental Health Access for Low-Income Children and Families in the Primary Care Setting. Pediatrics, 139(1), e20151175. https://doi.org/10.1542/peds.2015-1175
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The article is scholarly as it is based on the findings of other studies and information done on the same topic and has been reviewed by other research experts. The findings have also been shared and analyzed by other peers before publication.
Kim, N. S., Ahn, W. K., Johnson, S. G., & Knobe, J. (2016). The influence of framing on clinicians’ judgments of the biological basis of behaviors. Journal of experimental psychology. Applied, 22(1), 39-47. https://doi.org/10.1037/xap0000070
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The article is scholarly as it bases its objective and study questions on previous studies done in the field of psychology and aims at testing a hypothesis and supporting or refuting evidence and data from other articles. The article has been based on other literature, evidenced by the references and citations.
Respond to discussion