Comparing Psychotherapy Approaches

COMPARING HUMANISTIC-EXISTENTIAL PSYCHOTHERAPY WITH OTHER APPROACHES

To prepare:

  • Review the humanistic-existential psychotherapy videos in this week’s Learning Resources.
  • Reflect on humanistic-existential psychotherapeutic approaches.
  • Then, select another psychotherapeutic approach to compare with humanistic-existential psychotherapy. The approach you choose may be one you previously explored in the course or one you are familiar with and especially interested in.

THE ASSIGNMENT

In a 2- to 3-page paper, address the following:

  • Briefly describe humanistic-existential psychotherapy and the second approach you selected.
  • Explain at least three differences between these therapies. Include how these differences might impact your practice as a PMHNP.
  • Focusing on one video you viewed, explain why humanistic-existential psychotherapy was utilized with the patient in the video and why it was the treatment of choice. Describe the expected potential outcome if the second approach had been used with the patient.
  • Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

Comparing Psychotherapy Approaches

Humanistic-existential psychotherapy is a human-centered approach that emphasizes personal growth, self-actualization, and the exploration of the individual’s unique experience. It combines elements from humanistic psychology, which focuses on the individual’s subjective experience and potential for growth, and existential psychology, which addresses the human condition and the search for meaning in life. In this approach, the therapist creates a supportive and empathetic environment, allowing the client to explore their thoughts, feelings, and values.

The second approach I have selected for comparison is Cognitive-Behavioral Therapy (CBT). CBT is a goal-oriented, time-limited psychotherapy that focuses on identifying and changing maladaptive thought patterns and behaviors. It is rooted in the belief that dysfunctional thoughts contribute to negative emotions and behaviors, and by modifying these thoughts, individuals can improve their mental health.

Here are three key differences between humanistic-existential psychotherapy and CBT and how these differences might impact my practice as a Psychiatric-Mental Health Nurse Practitioner (PMHNP):

  1. Approach to the Self:
    • Humanistic-existential psychotherapy emphasizes self-exploration and acceptance, encouraging clients to connect with their authentic selves. This approach aligns with a holistic view of mental health, emphasizing self-actualization and personal growth.
    • CBT, on the other hand, focuses on changing specific thought patterns and behaviors. It often involves structured exercises and homework assignments to challenge and modify cognitive distortions. CBT is more symptom-focused and may not delve as deeply into underlying existential or identity issues.

    As a PMHNP, I would consider the client’s preference for self-exploration and growth versus symptom reduction when choosing a therapeutic approach. Some clients may benefit more from a humanistic-existential approach, while others may prefer the practical tools offered by CBT.

  2. Role of the Therapist:
    • In humanistic-existential psychotherapy, the therapist acts as a supportive facilitator, fostering a non-judgmental and empathetic therapeutic relationship. The therapist’s role is to help clients discover their own insights and self-understanding.
    • In CBT, the therapist takes on a more directive role, teaching specific skills and strategies to challenge and reframe negative thoughts and behaviors. The therapist actively guides the client through structured interventions.

    As a PMHNP, I would need to consider my therapeutic style and the client’s preferences. Some clients may respond better to a more collaborative and exploratory relationship, while others may prefer a therapist who provides clear guidance and homework assignments.

  3. Time Frame and Goal:
    • Humanistic-existential psychotherapy is typically open-ended, with no specific time frame, as personal growth and self-discovery are ongoing processes. The goals often revolve around enhancing the client’s sense of meaning and fulfillment in life.
    • CBT is usually time-limited, with a focus on achieving specific, measurable goals in a relatively short period. The goals are typically related to symptom reduction and the development of coping skills.

    As a PMHNP, I would consider the client’s goals and the urgency of their condition when selecting a therapeutic approach. For clients seeking rapid symptom relief, CBT may be more suitable, while those interested in long-term personal growth may benefit from humanistic-existential psychotherapy.

In the context of the video I viewed, humanistic-existential psychotherapy may have been chosen for the patient because the therapist wanted to create a safe and supportive space for the client to explore their deep-seated emotional issues, such as existential concerns or a lack of self-fulfillment. This approach was likely chosen because it aligns with the client’s need for self-exploration and understanding.

If CBT had been used with the same patient, the expected potential outcome might have been more focused on symptom reduction, such as managing anxiety or depression symptoms. While CBT can be effective in addressing specific symptoms, it may not provide the same depth of exploration into the client’s existential or identity-related concerns.

In summary, the choice between humanistic-existential psychotherapy and CBT depends on the individual client’s needs, preferences, and therapeutic goals. As a PMHNP, it is essential to assess and collaborate with clients to select the most appropriate therapeutic approach for their unique circumstances and objectives.

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