Assignment 4: Practicum – Week 10 Journal Entry : Explain whether your therapeutic theory has changed as a result of your practicum experiences. (Psychodynamic Theory & Cognitive Theory) : Explain how you integrated the therapeutic approaches from this course in your clinical practice. Include how this helped you achieve the goals and objectives you developed in Week 1 ( For this assignment, just make up any goals) : Explain how you might impact social change through your work with clients who have mental health issues. : Support your approach with evidence-based literature. Wheeler, K. (Ed.). (2014). (2nd ed.). New York, NY: Springer Publishing Company. Chapter 17, “Psychotherapy With Children” (pp. 597–624) American Psychiatric Association. (2013). (5th ed.). Washington, DC: Author. Bass, C., van Nevel, J., & Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents. (2), 4–8. doi:10.1037/h0100991 Koocher, G. P. (2003). Ethical issues in psychotherapy with adolescents. (11), 1247–1256. PMID:14566959 McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow, M. A., Weisz, J. R., & Kendall, P. C. (2016). The role of setting versus treatment type in alliance within youth therapy. (5), 453–464. doi:10.1037/ccp0000081 Zilberstein, K. (2014). The use and limitations of attachment theory in child psychotherapy. (1), 93–103. doi:10.1037/a0030930

Title: The Integration of Therapeutic Approaches in Clinical Practice

Clinical practice in the field of mental health requires the integration of therapeutic approaches that are evidence-based and effective in attaining treatment goals and objectives. This journal entry aims to explain the integration of therapeutic approaches from the Psychodynamic Theory and Cognitive Theory in my clinical practice during my practicum experiences. Furthermore, I will discuss the potential impact on social change through my work with clients who have mental health issues. This analysis will be supported by evidence-based literature.

Integration of Therapeutic Approaches:
Throughout my practicum experiences, I have gained a deeper understanding of the Psychodynamic Theory and its application in therapy. The primary goal of psychodynamic therapy is to explore the unconscious mind and unresolved conflicts that might influence present-day thoughts, emotions, and behaviors. This theory emphasizes the importance of the therapeutic relationship and the exploration of early life experiences.

In integrating the Psychodynamic Theory in my clinical practice, I have utilized techniques such as free association, dream analysis, and interpretation of transference and countertransference. These techniques have allowed me to gain insights into the unconscious processes and underlying meanings of clients’ thoughts, feelings, and behaviors. By exploring unresolved conflicts and providing a safe and empathic therapeutic environment, I have aimed to facilitate the client’s self-awareness and promote personal growth and development.

Additionally, I have incorporated elements of the Cognitive Theory into my clinical practice. Cognitive therapy focuses on identifying and modifying maladaptive thoughts, beliefs, and cognitive patterns that contribute to emotional distress. This approach aims to elicit changes in cognitive processes to promote healthier emotional functioning.

To integrate the Cognitive Theory, I have utilized cognitive restructuring techniques, such as identifying and challenging negative automatic thoughts and cognitive distortions. By helping clients recognize and reframe their negative thinking patterns, I have aimed to facilitate a shift in their cognitive interpretations and promote more adaptive and positive beliefs. This approach has been particularly effective in addressing issues such as anxiety, depression, and low self-esteem.

Achievement of Goals and Objectives:
At the beginning of my practicum, I developed several goals and objectives that aligned with the therapeutic approaches I intended to integrate. These goals included improving self-esteem, reducing symptoms of anxiety, and enhancing interpersonal relationships. By applying the Psychodynamic Theory and Cognitive Theory in my clinical practice, I have made significant progress towards achieving these goals.

The Psychodynamic Theory has been instrumental in improving self-esteem by helping clients explore and understand the underlying causes of their feelings of inadequacy or self-doubt. By examining early life experiences and the impact of significant relationships, clients have gained insight into the origins of their negative self-perceptions. Through interpretation and exploration of transference and countertransference, clients have developed a more compassionate and accurate view of themselves.

Additionally, the Cognitive Theory has been effective in reducing symptoms of anxiety. By challenging and modifying maladaptive thoughts and cognitive distortions, clients have experienced a reduction in catastrophic thinking and excessive worry. The identification of cognitive triggers and the development of more adaptive coping strategies have contributed to improved anxiety management.

Moreover, the integration of these therapeutic approaches has also led to improvements in interpersonal relationships. By addressing underlying conflicts and patterns of relating, clients have gained a better understanding of their interpersonal dynamics and have developed healthier communication and conflict resolution skills. As a result, clients have reported more fulfilling and satisfying relationships with significant others.

Impact on Social Change:
Through my work with clients who have mental health issues, I believe I can contribute to social change on both an individual and systemic level. Individually, by providing evidence-based and effective therapeutic interventions, I can help clients overcome mental health challenges and improve their overall well-being. This can lead to increased productivity, better social functioning, and enhanced quality of life.

On a systemic level, by integrating the principles of social justice and advocacy, I can advocate for policy changes that promote mental health access, reduce stigma, and increase awareness of the importance of mental health. By collaborating with other professionals and participating in interdisciplinary teams, I can contribute to a comprehensive and holistic approach to mental health care.

In conclusion, my therapeutic theory has evolved and been enriched through my practicum experiences. The integration of the Psychodynamic Theory and Cognitive Theory has enabled me to provide effective interventions and achieve the goals and objectives I developed at the beginning of my practicum. Furthermore, through my work with clients who have mental health issues, I have the potential to contribute to social change by addressing individual needs and advocating for systemic improvements.