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Week 10 Journal Entry

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Palmer (2017) depicts that the issue of having negative interaction and relations among members of a family can be managed by the use of emotionally focused family therapy. This is attributed to the effectiveness of the strategy in the process of mending the relationship between parents and children. With the use of this strategy, there is an ease in the having secure attachments where the members of the family trust that they will get support from the other members of the family in improving their emotions (Hirschfeld & Wittenborn, 2016). This journal entry seeks to present the information on two clients in family therapy and the success attained by the use of the EFT.

Demographics of Client #10

One of the clients is an 18-year-old white man called JT living with his parents. The man has been from Utah where he took part in the wilderness program meant for boys who are completing their adolescent stages. JT suffers from depression and anxiety that has resulted in his withdrawal from college and now he does not have any form of employment and he is not decisive on whether he will attend college again. 

Presenting Problem of Client #1

The main issue is the cases of anxiety and depression. JT points out that “I was opted out of college because it always put me under much pressure and from the way I see my sister stressing herself with the many works she does for her doctoral degree I have even hated going back to college more than before.”

History of Present Illness of Client #1

JT has a psychiatrist before being referred to join group therapy. The treatment that is being made for the mental health patient is at the moment on issues of anxiety and depression. However, JT has pointed out that now he does not have any suicidal ideas as before. The decision to avoid thinking of this is attributed to the issue of suicide that his brother had a year ago and the impact that it has on the family. He argues that he can cope better with the different activities and after his wilderness program that he attended for adolescent boys he has even become better. He has been using antidepressants for the last seven days. JT affirms that now he is not going to church. 

DSM-V Diagnosis of Client #1

The anxiety disorder that JT has been diagnosed with has not been specified due to the lack of enough information for the determination of the actual issue. He has been diagnosed with recurrent depression as well as indicated in the signs and symptoms presented after the assessment of the patient. The signs that have been presented by the patient include issues of lack of sleep and the challenge of fatigue. 

Past Psychiatric History of Client #1

The report of the patient shows that he has been with depression and was diagnosed with the condition while in high school but did not attend any therapy of psychiatric care. 

Medical History of Client #1

The client has presented that he has not had any chronic health illness and does not take any medication. The process of assessing the client physically has not been carried out during the first visit. 

Substance Abuse of Client #1

MT affirms that he does not use cigarette, he has never taken alcohol and has not had any issue of drug abuse.

Demographics of Client #2

The second client is called HT and is a white male aged 52 years working as an assistant manager in a technology company. HT is living in Texas with his wife and two children, a boy and a girl. He is a staunch Christian who attends Southern Baptist. 

Presenting Problem Client #2

The complaint is “I am a father to offer all my support one of my children after one committed suicide a year ago”

History of Present Illness of Client #2

HT denies any diagnosis made on him indicating that he has had mental health conditions. 

Past Psychiatric History of Client #2

HT has not had any prior mental health issues in his lifetime and has never sought any therapy in his life. He has never gone for medication as well with the complaint of having any medical health illness. 

Medical History of Client #2

HT had a surgical procedure in 2014 for his gallbladder and has been making use of medication due to a large amount of cholesterol and high pressure of blood. The client has presented that he has had his immunization currently and is up to date. He has not had issues with any allergic reactions in the past. There was no execution of a physical assessment of the patient during the visit. 

Substance Abuse of Client #2

HT has denied having used any drugs that are not legal and has denied making use of prescription medication. He has denied making use of alcohol as well and he does not take cigarettes or any other drug. 

Emotionally Focused Family Therapy

The use of emotionally focused family therapy was chosen for the use of the clients who are in this case called JT who is the son and HT who is the father. The issue of concern is the feeling of the father having JT to attend church. Dalgleish et al. (2015) argue that the focus of making use of emotionally focused family therapy ensures that the family members accept the will of the others and support them. As such, the members of the family should be willing to support the others. This as well entails the need for the change in the emotional response among the members of the family. 

Legal and Ethical Implications of Counseling Families

In the process of counseling families, legal and ethical standards must be taken into account. Some organizations have provided guidelines on the process of adherence to ethical and legal standards. One of the organizations is the Psychiatric Mental Nurse Practitioners (PMHNP). Phoenix, Hurd, & Chapman (2016) argue that the organization helps in the protection of the confidentiality and the rights of the patients by ensuring that there is the use of the Nursing Code of Ethics. Psychiatric Mental Nurse Practitioners (PMHNP) as well as help in ensuring that the patient provides their consent before carrying out any assessment of providing any media prescriptions. 


Dalgleish, T. L., Johnson, S. M., Burgess Moser, M., Lafontaine, M. F., Wiebe, S. A., & Tasca, G. A. (2015). Predicting change in marital satisfaction throughout emotionally focused couple therapy. Journal of marital and family therapy, 41(3), 276-291.

Hirschfeld, M. R., & Wittenborn, A. K. (2016). Emotionally focused family therapy and play therapy for young children whose parents are divorced. Journal of Divorce & Remarriage, 57(2), 133-150.

Palmer, G. (2017). 39 Emotionally Focused Family Therapy for Stepfamilies. Foundations for Couples’ Therapy: Research for the Real World, 395.

Phoenix, B. J., Hurd, M., & Chapman, S. A. (2016). Experience of psychiatric mental health nurse practitioners in public mental health. Nursing Administration Quarterly, 40(3), 212-224.

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