<\/p>\n
\u00a0Respond<\/strong>\u00a0 by providing \u00a0one alternative therapeutic approach. Explain why you suggest this \u00a0alternative and support your suggestion with evidence-based literature \u00a0and\/or your own experiences with clients.\u00a0<\/p>\n NOTE: (positive Comment)<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Main Post<\/p>\n \u00a0<\/p>\n The \u00a0most likely diagnosis of the patient is major depressive disorder and \u00a0it is considered as a serious mood disorder. According to the DSM-5 \u00a0criteria for the diagnosis of depression, there is markedly diminished \u00a0interest or pleasure in all or almost activities most of the day; weight \u00a0reduction due to the loss of appetite; the reduction in the thoughts \u00a0and physical activities; feeling of worthlessness; reduced ability to \u00a0concentrate; and the recurrent thoughts of deaths of suicidal. Based on \u00a0the case study, it is evident that the patient has stopped attending \u00a0rehearsals for the bands two months ago since she is no longer \u00a0interested; low self-esteem; low energy; and two previous suicidal \u00a0attempts. Therefore, the patients use self-injury as a way of coping \u00a0with his depression, a means of relief, to regulate his feelings, \u00a0self-punishment, and to seek attention (McGillivray & Evert, 2014). \u00a0The patient is a 15-year-old who reports a self-harming behavior. The \u00a0patient also feels that the family is not supportive making develop \u00a0suicidal thoughts. The patient has attempted committing suicide \u00a0severally, most recently two months ago. The patient is adequately \u00a0progressing since he does not show any agitation of motor health.\u00a0 The \u00a0patient is also alert of the surrounding and promptly identifies the \u00a0root of the problem. The concentration and attention of the patient are \u00a0also alert (American Psychiatric Association, 2013). Besides, the \u00a0patient shows no history of drug abuse of psychiatric medication.\u00a0<\/p>\n \u00a0 \u00a0The most important group therapy that can help the patient is \u00a0Cognitive-Behavioral Therapy. This therapy is important in ensuring that \u00a0unhealthy, adverse beliefs, and behaviors are replaced with healthy and \u00a0adaptive ones. This therapy helps in improving the individual thought \u00a0of the patient so that the negative and the inaccurate thoughts are \u00a0reshaped appropriately.The therapeutic approach that I will use in the \u00a0case is cognitive behavior therapy (CBT). The approach primarily focuses \u00a0on altering the behavior of the patient by avoiding destructive \u00a0behaviors and self-injury. The model is implemented through regular \u00a0meetings with the patient (American Psychiatric Association, 2013) \u00a0(Restek-Petrovi\u0107 et al., 2014). We will agree with the patients on the \u00a0most appropriate time for the meetings.\u00a0 The model helps the patient to \u00a0identify any destructive behaviors and negative influences of the \u00a0behavior.CBT will be effective since it focuses on the negative \u00a0thoughts, challenges them, and replace them with positive opinions.\u00a0 The \u00a0underlying principle of CBT is that thoughts play a vital role in the \u00a0behaviors of the patient; hence manipulation of the thoughts plays a \u00a0vital role in the changing behavior of the patient. The approach will \u00a0help the patient realize his self-worth and the impact of emotional \u00a0stress on the patient (McGillivray & Evert, 2014). CBT will enable \u00a0the patient to focus on a positive activity for his to avoid destructive \u00a0behavior and self-injury. The activities include engaging in another \u00a0game or another healthy activity.<\/p>\n \u00a0\u00a0The \u00a0patient\u2019s parents got divorced five years ago and he lives with the \u00a0mother. The patient has minimal contact with the father. The information \u00a0could impact the therapy since the patient could be dealing with \u00a0identity issues (McGillivray & Evert, 2014).\u00a0 The patientl is 15 \u00a0years that lies in Erikson\u2019s stage of psychological development that \u00a0lies between 5 and 18 years. During the stage, people must form good \u00a0social and family relations with themselves (Wheeler, 2014). If people \u00a0have poor relations in their environment, they exhibit confusion and \u00a0emotional stress. The patient in the case could be having emotional \u00a0stress that could alter the results of the therapy. The patient to \u00a0develop healthy problem-solving skills that are important in the \u00a0identification and management of the triggers of the suicidal attempts \u00a0and self-injury. The patient is expected to improve emotionally and to \u00a0manage the distress. His performance in school is expected to improve \u00a0and have a good relationship with his family. He is also expected to \u00a0report a reduction in the suicidal thoughts (McGillivray & Evert, \u00a02014).\u00a0There \u00a0are legal and ethical issues that are faced by the licensed counselor \u00a0and they must be put into considerations. The process of breaching \u00a0confidentiality is against the ethical and legal expectations and this \u00a0ruins the trust between the patient and the counselor. Psychiatrists \u00a0have a responsibility of protecting the information of the patients and \u00a0his family. The breaching of confidentiality leads to legal consequences \u00a0because of malpractice. Another ethical and legal concern is related to \u00a0autonomy whereby the patient, in this case, has the right to be \u00a0informed about the type of medication and treatment being provided to \u00a0them. However, there are situations where these might not understand the \u00a0treatment approaches and medication or diagnosis.<\/p>\n References<\/p>\n McGillivray, \u00a0J. A., & Evert, H. T. (2014). Group cognitive behavioural therapy \u00a0program shows potential in reducing symptoms of depression and stress \u00a0among young people with ASD. Journal of Autism and Developmental Disorders, 44<\/em>(8), 2041-2051.<\/p>\n