Discussion | NURS 6670 – Psychiatric Mental Health Nurse Practitioner Role II: Adults and Older Adults | Walden University




This is the only way in which they can determine an accurate diagnosis and plan the appropriate course of treatment. The initial interview is used to both familiarize the client and the provider, and to collect important information regarding the client (MacKinnon, Michaels, & Buckley. 2015). It is at this time when the initial rapport building begins, and the provider can start to assess and diagnose the client. Your patient could benefit from CBT. Cognitive Behavioral Therapy (CBT) is a good therapeutic approach for your client dealing with hoarding Behavior disorder (American Psychiatric Association, 2013). CBT is used to help the people with hoarding Behavior disorder identify the core beliefs that result to negative thoughts about them and change the core beliefs using positive thoughts (Wheeler, 2014). CBT helps the client to improve the relationship with others, reduce anxiety symptoms, reduce suicidal ideation, and eliminate self-harm. CBT helps in the development of better relational and tolerating skills in people with hoarding Behavior disorder.

Cognitive Behavioral Therapy is also effective in the treatment of Post-Traumatic Stress Disorder (PTSD). PTSD is a chronic psychiatric illness with debilitating symptoms such as avoidance, re-experiencing and hyperarousal as a consequence of traumatic experience different from common life stressors (Kelmendi et al., 2016). In PTSD, the occurrence may be immediate or years following the traumatic experience and the symptoms are not predictable (Kelmendi et al., 2016). Clients with PTSD frequently experience nightmares associated with the traumatic events, and consequently struggle with frequent awakenings during sleep. Hence, using cognitive behavioral therapy for insomnia (CBT-I) is a very effective way to promote sleep and achieve optimum clinical outcome in such clients (Kelmendi et al., 2016).


American Psychiatric Association. (2013). Diagnostic and statistical manual of

mental disorders (5th ed.). Washington, DC: Author.

Kelmendi, B., Adams, T. G., Yarnell, S., Southwick, S., Abdallah, C. G., &

Krystal, J. H. (2016). PTSD: from neurobiology to pharmacological

treatments. European Journal of Psychotraumatology7, 1–N.PAG.


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