Discuss the impacts of Group therapy for children.

Group therapy is a wonderful resource for kids who need to learn to manage symptoms of mood disorder, poor social skills, inatentiveness, work through variety of stressor and mood disorder. Group therapy gives therapist an opportunity to see how kids relate to one another in a group setting. The purpose of this journal is to discuss two group members. The discussion will include a description of their past medical and psychiatric history. A review of symptoms and correlations to the DSM5. The journal will discussed if cognitive behavior therapy for the groupPatient Initials: NTAge:12 y/oGender: MChief Complaint (CC): “I can’t do anything right,”History of Present Illness (HPI):NT is a 12 y/o African American female that presented to the outpatient clinic with indications of an extreme mood swing, argumentative, lousy temper, aggressive with his dad, and carries on at school. His dad is available during client intake and portrays NT as now and again losing his temper. His dad reports NT has crushed a divider in his room, hitting it with his clench hand. He likewise says he was as of late removed from school for ambushing a classmate without any justifiable cause. NT is likewise answered to get into conflicts with authority figures, which are one of the primary reasons his school eluded him to group therapy at the directing focus. Notwithstanding, contending NT is getting into quarrels and turning out to be hostile, which he reprimands others for his action as opposed to making possession? NT explains that individuals bother him, which drives her mad that is the reason she carries on.Past Medical History (PMH): No medical diagnosisMedications:No reported medicationPersonal/Social History: He goes to public school. She does not see her father much, lives in a nearby city. She spends most of her time with her sister. Grandparent helps after school supervision and babysitting. He love going to church on Sundays.Past Psychiatric History: Denies previous psychiatric history. Substance Use History:None reportedDiagnosis: Oppositional Defiant Disorder Moderate (ODD) (F91.3): According to the American Psychiatric Association (2013), moderate ODD is considered when symptoms are present in at least two settings in this case home and school. Criteria A. 1.) Frequent temper tantrums 2). Excessive arguing with adults. 3). Never obeys adults requests and question rules 4).Frequent anger. 7). Spiteful attitude and revenge seeking (American Psychiatric Association, 2013). Plan: Treatment involves different psychotherapies and parental trainings to manage the child’s behavior and parent-child interaction. NT will continue twice weekly group therapy sessions using CBT. Cognitive problem-solving skills training and medication management. NT teacher, will be be responsibility to make sure that the treatment plan is followed throughout the school day.Cognitive-behavioral therapy (CBT): Waxmonsky et al., (2015), Cognitive-behavioral therapy focuses on changing negative or distortion thought or behavior that perpetuate effective in treating ODD. Cognitive Behavior Therapy works by decreasing externalized and symptoms management. In therapy session 1)Cognitive Behavioral Therapy for children Homework:1 Nutrition2.Practice relaxation name RN-BSN05/03/20 ______ Signature DateClient (2)Patient Initials: EAAge:11 y/oGender: MalePresenting problem:Chief Complaint (CC): “They make me mad all the time”EA is an 11 y/o Caucasian male that was referred to the outpatient clinic, fractiousness, and physical upheavals, which has been depicted as improper for the circumstance. EA was alluded to aggregate treatment by the school for his conduct disturbances at school, which are both verbal and physical. EA verbalizes that “individuals simply drive me so mad”. EA is said not to be a cheerful individual describing him crabby and irate practically consistently. The grandma reports triggers can’t be distinguished on the grounds that his tantrums are unannounced. “He may choose to pitch a fit since I didn’t heat up his eggs, rather I mixed them”. She reported that he had tested for developmental delay. This testing was finished in light of the fact that EA decided to play with himself and got a kick out of the chance to be separated from everyone else, he was additionally reluctant to share his toys.Past Medical History (PMH): Anxiety InsomniaMedications:Zoloft 25mg dailyTrazodone 50mg PO at nightPersonal/Social History: Has a younger sister 6 years. Goes to public school. Not many friends. He lives at home with his grandmother. Native language is English.Past Psychiatric History: Denies any previous psychiatric history. Substance Use History:Denies tobacco abuse, ETOH abuse or illicit drugs.Diagnosis: Disruptive mood dysregulation disorder (DMDD) (F34.81, F34.8) – According to the American Psychiatric Association (2013), EA meets Criteria for DMDD based on A.) Severe recurrent temper outbursts manifested verbally B.) The temper outbursts are inconsistent with developmental level C.) Severe and recurrent temper outbursts that occur at least three times per week D.) The mood between temper outbursts is persistently irritable or angry most of the day, nearly every day, and is observable by others (e.g., parents, teachers, peers). E.) Criteria A–D has been present for 12 or more months. H.) By history or observation, the age at onset of Criteria A–E is before 10 years. (American Psychiatric Association, 2013, p. 156).Plan:The treatment plan for EA is involve both client and parent to learn to reward positive or appropriate. Train parent as coaches or provide support as their child works to use new skills techniques. Collaborative of problem solving, lifestyle changes and pharmacological intervention. Encourage client and to come to therapy sessions. Cognitive-behavioral therapy (CBT): According to Simona & Tinkara , 2020, CBT utilizes temperament balancing out systems to be viable in treating DMDD. CBT not just balances out the kid’s day by day schedule it can likewise fortify family backing and screen the customers influence and feelings. CBT treatment improved self-esteem, enhance ability to self recognize negative emotion and ability to identify connectionIn session procedures:1)Homework: Parent-child interaction therapy2.Journal triggers that stimulate mood changes3.Social Skills Training name RN-BSN05/03/2020______ Signature DateEthical Considerations:Counseling children presents unique ethical considerations; such considerations often don’t have clear solutions. It is important to be very clear about confidentiality and its limits when commencing a new counseling relationship with children. Educating the two parties lawfully gives a chance to the youngster to comprehend the treatment administration being given. Confidentiality, informed consent, boundaries and power in the child counselor relationship, values and professional competence are another ethical consideration as it is important to consider what and how data is to be imparted to the child’s parent and other associated parties (Barnett, & Jacobson, 2019).