Psy650 Week Four Treatment Planbehaviorally Defined Symptoms Karen Di ✓ Solved
PSY650 Week Four Treatment Plan Behaviorally Defined Symptoms: Karen displays extreme emotional reactions at the hint of perceived abandonment in a relationship. There is a history of unstable and intense interpersonal relationships, impulsive behaviors, and recurrent suicidal gestures. Diagnostic Impression: Borderline Personality Disorder Long-Term Goal: Terminate self-harming behaviors (substance abuse, cutting, and suicidal behaviors). Short-Term Goal: Reduce the frequency of maladaptive behaviors, thoughts, and feelings. Intervention 1: Dr.
Banks will outline the process of Dialectical Behavioral Therapy. Intervention 2: Karen will commit to attending group behavioral skills training and individual psychotherapy. Intervention 3: Karen will participate in imaginal exposure to trauma, until the memories no longer cause marked distressed. For additional information regarding Karen’s case history and the outcome of the treatment interventions, please see Dr. Bank’s session notes under Case 15 in Gorenstein and Comer’s (2015), Case Studies in Abnormal Psychology.
Discussion #1 · First e-Activity , Go to the Security Assertion Markup Language’s (SAML) Website located at . Take note of the security risks or benefits of using SAML in the cloud. Be prepared to discuss. · Second e-Activity , Go to the Open Cloud Manifesto’s Website and read their manifesto located at . Be prepared to discuss. · Third e-Activity , Go to the ACM Digital Library’s Website and read “Cloud Computing and Electricity: Beyond the Utility Modelâ€, located at . Be prepared to discuss.
" Identify as a Service (IaaS) " Please respond to the following: 1. From the first e-Activity, examine how frameworks like Security Assertion Markup Language (SAML) afford improved identity protection in the cloud. Alternatively, assess the security challenges that SAML presents to organizations. 2. From the second e-Activity, examine the goals of this manifesto as they relate to a federated cloud environment.
Determine whether you are for or against the outlined goals in a federated approach. Support your position with an explanation. Discussion #2 " Data Storage in the Cloud " Please respond to the following: 1. Imagine that you are the CIO of a multinational consumer-based organization that has redundant servers across the globe. Examine three regulatory challenges you may face.
Propose the technical or operational approaches that you would use to mitigate these factors. 2. From the third e-Activity, examine the possible innovations that cloud computing has yet to realize in organizations. Provide at least three recommendations that you could suggest to a CEO that would invoke disruptive change to an organization.
Paper for above instructions
Introduction
The treatment plan below has been specifically developed for Karen Di, who displays extreme emotional reactions that are indicative of borderline personality disorder (BPD). BPD can severely affect interpersonal relationships, as evidenced by Karen’s history of unstable relationships, impulsive behaviors, and recurrent suicidal gestures (American Psychiatric Association, 2013). This document outlines a comprehensive treatment plan aimed at helping Karen manage her symptoms effectively.
Diagnostic Impression
Karen’s feelings of abandonment and intense emotional responses have been recognized as characteristics associated with BPD. According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), symptoms include a pattern of unstable interpersonal relationships, self-image, and marked impulsivity (American Psychiatric Association, 2013; Pfohl et al., 2009). Given her history of maladaptive behaviors—such as substance abuse and self-harm—addressing these issues is critical to her recovery and well-being.
Long-Term Goals
The overarching long-term goal is to eliminate Karen’s self-harming behaviors, including impulsive substance use, cutting, and suicidal gestures (Linehan, 1993). When individuals afflicted with BPD manage these behaviors, they can foster healthier relationships and an improved sense of self-worth.
Short-Term Goals
To reach this long-term goal, short-term goals must be identified. The primary short-term objective is to reduce the frequency of Karen’s maladaptive behaviors, distorted thoughts, and harmful feelings (Kernberg, 2016). To achieve this, Karen will engage in evidence-based therapeutic interventions specifically tailored for her condition.
Proposed Interventions
Intervention 1: Dialectical Behavioral Therapy (DBT)
DBT will be the foundational therapeutic approach for Karen. Developed by Dr. Marsha Linehan, DBT integrates cognitive-behavioral techniques with mindfulness practices (Linehan, 1993). This therapy involves four main components: individual therapy, group skills training, phone coaching, and therapist consultation.
Specific Implementation Steps:
- Mindfulness Training: Karen will learn mindfulness techniques to enhance her emotional regulation.
- Distress Tolerance Skills: Karen will acquire skills to manage emotional crises without resorting to self-harm.
- Emotion Regulation: The therapy will focus on identifying and managing emotional triggers (Cameron & McKenzie, 2013).
Intervention 2: Group Behavioral Skills Training
Participation in group behavioral skills training sessions will provide Karen with peer support and enhance her interpersonal effectiveness (Linehan, 1993). This environment will help normalize her feelings and experiences related to BPD.
Specific Implementation Steps:
- Commitment to Attend Sessions: Karen shall commit to attending weekly group sessions designed to reflect and practice new skills.
- Real-life Application: Karen will be encouraged to apply taught skills in real-life scenarios and share her experiences in the group setting for feedback and improvement.
Intervention 3: Imaginal Exposure Therapy
Imaginal exposure will assist Karen in confronting trauma-related memories in a controlled environment. This technique is vital for addressing distress linked to perceived abandonment, fulfilling another part of her treatment.
Specific Implementation Steps:
- Therapeutic Sessions: Guided sessions will facilitate the exposure process, allowing Karen to verbalize traumatic experiences.
- Coping Mechanisms: Post-exposure sessions will focus on developing coping mechanisms to lessen emotional dysregulation resulting from the exposure.
Expected Outcomes
Through the implementation of this treatment plan, the following outcomes are expected:
Long-Term Outcomes
1. Elimination of Self-harming Behaviors: Karen's self-harm and substance abuse will cease as she acquires effective coping strategies (Tavakol et al., 2016).
2. Stability in Interpersonal Relationships: Improved emotional regulation will lead to more stable interpersonal relationships.
Short-Term Outcomes
1. Reduction in Maladaptive Thoughts and Behaviors: Karen will demonstrate a decrease in the frequency and intensity of impulsive actions, emotional wounding, and suicidal ideation.
2. Increased Awareness and Mindfulness: Through DBT, Karen will develop better self-awareness and emotional management ability.
Concluding Remarks
The proposed treatment plan for Karen Di focuses on utilizing evidence-based therapeutic interventions tailored to her unique experiences and struggles associated with BPD. Each component is essential in guiding her toward recovery and emotional regulation. Continued monitoring and assessment during therapy will be necessary to adjust interventions as needed and ensure optimum outcomes.
References
1. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.).
2. Cameron, K. E., & McKenzie, K. J. (2013). A mindfulness-based intervention for reducing emotional dysregulation in adolescents: A randomized controlled study. Journal of Clinical Psychology, 69(9), 916-933.
3. Kernberg, O. F. (2016). A Psychoanalytic Perspective on the Treatment of Borderline Personality Disorder.
4. Linehan, M. M. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder.
5. Pfohl, B., Blum, N., & St. John, D. (2009). Borderline Personality Disorder: A Clinical Guide.
6. Tavakol, S., Ranjbar, M., & Davoodi, M. (2016). The effect of dialectical behavior therapy on decreasing self-harm behavior in borderline personality disorder patients. Journal of Advances in Medical and Biomedical Research, 24(101), 36-43.
7. Folkman, S., & Moskowitz, J. T. (2004). Coping: Pitfalls and promise. Annual Review of Psychology, 55(1), 745-774.
8. Jones, R. R., & Junaid, A. (2016). The effectiveness of cognitive behavioral therapy on patients suffering from borderline personality disorder. International Journal of Mental Health Nursing, 25(3), 180-190.
9. Harned, M. S., & Linehan, M. M. (2014). Dialectical behavior therapy for suicidal adolescents: A randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 53(9), 911-919.
10. Zanarini, M. C., & Frankenburg, F. R. (2001). Course of borderline personality disorder: A prospective study. Journal of Personality Disorders, 15(5), 511-519.