Psychotherapy Clinical Practice Assignment Discussion

Psychotherapy Clinical Practice Assignment Discussion

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Among the many influential theories, two stand out: the CBT as well as the Roy Adaptation Model (RAM). Despite their differences in background, they complement one another to enhance the holistic approach to patient care that nurses provide.

Sister Callista Roy established the Roy Adaptation Model, a theory in nursing that views the patient as an adaptable system. The basic idea is that people try to keep themselves from becoming out of balance, or homeostasis, no matter what happens to them. Physiological, role function, self-concept, and interdependence are the four main adaptive modes that make up this paradigm (Phillips & Harris, 2014). This model was chosen because it takes a comprehensive view of patient care. The goal of nursing is to have a holistic knowledge of each patient, not only to alleviate their symptoms. Patients’ adaptive reactions to health difficulties may be assessed and addressed using the RAM’s complete framework. A nurse utilizing this approach may improve a patient’s health in every way by focusing on the three aspects of adaptation: physical, mental, and social (Hosseini & Soltanian, 2022)Psychotherapy Clinical Practice Assignment Discussion. To illustrate the point, the RAM directs the nurse to consider the patient’s self-concept, responsibilities, and connections in addition to their physical condition while evaluating the impact of a chronic disease diagnosis. In order to promote a more patient-centered as well as holistic approach to treatment, interventions may be developed to assist patients in adjusting to these changes.


The field of psychotherapy and counseling has long acknowledged Cognitive-Behavioral Therapy (CBT) as a viable and fruitful method. According to this theory, which was created by Aaron T. Beck and Albert Ellis, there is a one-to-one relationship between one’s ideas, emotions, and actions (Dobson & Dobson, 2018). When it comes to the mental health of patients, CBT is the method of choice for nurses. In addition to physical symptoms, patients may also face mental health issues, including anxiety or sadness (Wenzel, 2017). In order to assist patients in recognizing and altering dysfunctional ways of thinking and behaving, CBT provides nurses with a methodical and outcome-focused framework. A person who has been diagnosed with a long-term health problem may feel more anxious about their future and how they will handle their disease. In order to help patients better manage their emotions and develop coping mechanisms, nursing treatments might combine cognitive behavioral therapy (CBT) strategies such as behavioral activation and cognitive restructuring (Wenzel, 2017)Psychotherapy Clinical Practice Assignment Discussion.

Theories Integration

The complementary emphasis on the individual’s overall well-being is seen in the synergy between Cognitive-Behavioral Therapy as well as the Roy Adaptation Model. In contrast to RAM’s focus on systemic adaptive responses to health problems, CBT focuses on individual emotional and cognitive components. They provide an all-encompassing framework that takes into account the interdependence of mental and physical health when seen as a whole. Using the Roy Adaptation Model as a framework, a nurse may evaluate a patient’s adaptive reactions in four areas: physiological, role function, self-concept, and interdependence (Phillips & Harris, 2014)Psychotherapy Clinical Practice Assignment Discussion. This assessment can help in cases when patients are finding it difficult to adjust to newly diagnosed chronic illnesses. At the same time, the nurse works with the client to identify destructive thinking patterns that are contributing to their emotional suffering and then uses cognitive behavioral therapy (CBT) techniques to help reframe those patterns (Dobson & Dobson, 2018). The current focus on comprehensive and patient-centered treatment is congruent with the incorporation of these philosophies. This integrated approach allows nurses to better fulfill the different requirements of their patients by managing both the physical as well as psychological elements of health.

Therefore, dedication to comprehensive, patient-centered care is shown by the use of CBT and the Roy Adaptation Model in nursing practice. CBT helps nurses deal with the emotional and mental aspects of patient care, while the Roy Adaptation Model lays out a thorough framework for recognizing and managing patients’ adaptive reactions to health problems. By combining them, these ideas provide a coherent framework that helps people dealing with health issues to be resilient and well-rounded. Nursing is a dynamic and patient-focused science that is always evolving; therefore, this integrated theoretical basis helps with both clinical practice and progress.


Dobson, D., & Dobson, K. S. (2018). Evidence-based practice of cognitive-behavioral therapy. Guilford publications.

Hosseini, M., & Soltanian, M. (2022). Application of Roy’s adaptation model in clinical nursing: A Systematic Review. Journal of Iranian Medical Council5(4), 540-556.

Phillips, K. D., & Harris, R. (2014). Roy’s adaptation model in nursing practice. Nursing theory: utilization and application. 5th ed. United States: Elsevier Mosby, 263-84.

Wenzel, A. (2017). Basic strategies of cognitive behavioral therapy. Psychiatric Clinics40(4), 597-609. Psychotherapy Clinical Practice Assignment Discussion

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