I NEED THIS 01/23/21 BY 7PM Please no plagiarism and make

I NEED THIS 01/23/21 BY 7PM

Please no plagiarism and make sure you are able to access all resources on your own before you bid. You need to have scholarly support for any claim of fact or recommendation regarding treatment. Grammar, Writing, and APA Format: I expect you to write professionally, which means APA format, complete sentences, proper paragraphs, and well-organized and well-documented presentation of ideas. Remember to use scholarly research from peer-reviewed articles that is current. Sources such as Wikipedia, Ask.com, PsychCentral, and similar sites are never acceptable. Each classmate’s post is listed so please respond separately.

Read your classmates’ postings. Respond to your classmates’ postings.

  • Respond to all colleagues by discussing the elements of the mini script that you liked, and why. What might you add or have said differently?

1. Classmate (L. Wal)

Counselor: Hi Alex, welcome.  How may I help you today?

Alex: I can’t seem to get a good night’s sleep.

Counselor:  What do you think is going on?

Alex: I am scared to fall asleep.  My dreams can be really scary.

Counselor:  How long has this been going on?

Alex: For the last 6 months.

Counselor:  How many hours of sleep do you think you get per night?

Alex: Maybe 2 or 3 hours

Counselor:  Do you drink any sodas or juices before bed?

Alex: I sneak two or three Cokes sometimes when I am playing video games with my older brother.

Counselor: What video games do you play before bed?

Alex: I like playing grand theft auto.

Counselor:  What time do you go to bed after playing the video games?

Alex: Around 11pm or 11:30pm or maybe midnight

Counselor:  Did you like sleeping before those scary dreams started?

Alex: Yes

Counselor:  How long did you sleep before falling asleep and waking up?

Alex: Ummm…I would go to bed at 9pm and sleep until 7am.

Counselor:  If we could make the nightmares stop and get you some more sleep, then would you be happy?

Alex: Yes, that would be great.  I just feel edgy all the time now.

Counselor:  When you had those scary dreams, what images did you see in that dream that scared you?

Alex: I saw parents dead and I was all alone and did not know what to do next.

Counselor: Thank you for sharing!  I could not imagine how difficult it would be for me if I had a dream that I saw my parents or family members dead.  I think I would also be scared to fall asleep and have trouble getting a good night’s sleep.  Some of the long-term consequences of sleep-wake disorder include increased risk of hypertension, diabetes, obesity, depression, heart attack, and stroke.

Alex: You would be scared too?

Counselor:  Of course.  I would be frightened too.  Having these types of nightmares would terrify me too.

Alex: Really?

Counselor:  Definitely.  What are your thoughts of taking some kind of sleep aid for a week or two to get you some more sleep ad make you feel better?

Alex: Ok

Counselor:  I would like you to see a physician and see if either there is something you can take to make you fall asleep and not have any more nightmares.  Lunesta is a medication that is typically used to help people with sleep issues.  Sinacola, Peters-Strickland, and Wyner (2020) noted how Lunesta (eszopiclone) is a sleep aid for those suffering from insomnia and trouble sleeping through the night.  Typically, 1mg or 2mg is prescribed to help you fall asleep and stay asleep.  It probably will only be used for 7-14 days, due to the risk for abuse or dependence.  Would that work for you to get you back to sleeping 8-9 hours per night?

Alex: Yes, I need to ask my parents.

Counselor:  Definitely, let’s bring in your mother and father and discuss this as an option and get their thoughts.  If this medication does not work for them, then we could also explore some other ones too.  Don’t worry.  Your physician will have various options to help you fall asleep, get rid of the nightmares and bad dreams, and keep you sleeping through the night.  You will also notice the difference in how you feel during the daytime and in school.  This type of medication or similar sedatives in conjunction with counseling, will likely produce the best outcome to get you back to sleep and feeling like yourself again.

Alex: That would be nice.

Counselor: Let’s call your parent back and share some options with them and get you connected with a physician as soon as we can.

Alex: Ok.  Thank you!

Counselor: You are more than welcome.  Happy to help you get back to feeling like yourself again.

Reference

Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). Basic psychopharmacology for mental

health professionals (3rd ed.). Hoboken, NJ: Pearson.

2. Classmate (L. Mil)

Mini script

Alex, what you are describing sounds like a type of sleep disorder. I can understand how frustrating it may be having a lack of sleep interfere with your social and school life. Do you have difficulty falling asleep at night? You mentioned that this is disturbing your school and work environments. Can you explain more of that to me?

Most times sedative medication can aid in regulating your sleep patterns. You may want to speak with your physician about starting a sedative if you are interested. Ambien is a sedative that helps you fall asleep and stay asleep (Drugs.com, 2021). We can follow up each session and discuss what changes you see.

If you decide that medication is not the way you or your parents want to go, there are other options. One is practicing good sleep hygiene. Try not to go to sleep while watching or playing on your phone. If you do, use the night mode setting which decreases the amount of blue light (Sinacola, Peters-Strickland & Wyner, 2020). This helps your body know that it’s night time. Also, try to go to bed at the same time each night. When you do so, try to unwind about one hour before that time. 

Questions for Alex

Do you often drink caffeine or energy drinks throughout the day?

How many hours of sleep do you typically get each night?

Do you often get drowsy during the day? 

Do you work out or do an active activity while in school or after school?

Further review

Based on Alex’s explanation of symptoms, more information is needed to make a diagnosis and recommend medication. This can determine if his sleep problems are chronic or situational (Sinacola, Peters-Strickland & Wyner, 2020). The counselor should evaluate Alex further for other mental health conditions or significant stressors. Once that is complete, the counselor can recommend Alex for a sleep study to help determine a treatment plan. 

References

Drugs.com.(20, January 2021). About us. Retrieved from https://www.drugs.com/support/about.html

Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). Basic psychopharmacology for mental health professionals (3rd ed.). Hoboken, NJ: Pearson.

3. Classmate (T. Dav)

Counselor: Hi Alex, I’m glad you was able to make it in today. Is the reason for your visit today that you are experiencing sleep wake disorder? Can you discuss with me your sleep regiment on a usual basis? 

Counselor: Okay so from what I understand you usually only get a few hours a sleep a night.

Counselor: Alex, do you know that there are five stages of sleep? “Stage 1 and 2 is called the theta stage which is the light stages of sleep. Stage 3 and 4 is called the delta stage. In this stage the person is in a deeper sleep and they would have to be shaken to be waken. The person would also be groggy when awaken. “(Sincola, R., Peter-Strickland, T. & Wyner, J, 2020)

 

Counselor: When you are sleeping if your name is called do you wake up instantly and feel groggy? Or do a person have to shake you for you to be awaken? 

Counselor: So on a normal basis how many days of week do you think you are in the theta stage of sleep before you are awaken? 

Counselor: Do you normally awake on your own or do someone or something normally wake you? 

Counselor: Okay so usually your brain is racing the reason for your inability to sleep am I understanding you correctly? 

Counselor: I wanted to discuss with you the benefit of using therapy and medication for sleep disorder. Lunesta is a medication that may be prescribed by your physician to help with your sleep disorder. “Counseling will also be a benefit because it will help identify issues and stress that is associated with sleep disturbance. As a professional I am able to help you with coping skills and relaxation training.” (Sincola, R., Peter-Strickland, T. & Wyner, J, 2020)

 

Counselor: Do you have any questions about anything that we have discussed thus far?  

Counselor: Okay great I wanted to talk with you about the the long-term consequences of sleep-wake disorder. Some things that has been associated with sleep loss is a “large range of detritus health consequences including increased risk of hypertension, diabetes, obesity, depression, heart attack and stroke.” (National Academies Press, 2006) The information I am providing is not to scare you but to make you aware of the seriousness of what could happen if this disorder is not treated.

Counselor: I have had problems sleeping in the past and I understand your frustrations and how it is affecting your everyday life. I am here to help in anyway possible. The Lunesta your physician prescribed along with therapy will help you be able to relax and be able to achieve stage 5 sleep which is the REM Stage within the near future. “During this stage is when you have the majority of your dreams.” 

Counselor: Do you have any questions about anything we have discussed today? If you don’t we will end for today and get you scheduled for a session next week. 

 
 

Reference

Sincola, R., Peter-Strickland, T. & Wyner, J, (2020) Basic Psycopharmacology  for counselors and psychotherapist . Pearson Education , Hoboken NJ

National Academies Press(US) (2006) Sleep Disorders and Sleep Deprivation. Institute of medicine committee on sleep medicine and research. Washington DC.

Required Resources

Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). Basic psychopharmacology for mental health professionals (3rd ed.). Hoboken, NJ: Pearson.

· Chapter 11, “Treatment of Sleep Disorders” 

Borel, B. (2013, August 14). What’s the connection between sleep and mental health? A Q&A with circadian neuroscientist Russell Foster [Blog post]. Retrieved from https://blog.ted.com/the-connection-between-sleep-and-mental-health-a-qa-with-circadian-neuroscientist-russell-foster/

Required Media

TED (2018, June). Dan Kwartler: What causes insomnia? [Video file]. Retrieved from https://www.ted.com/talks/dan_kwartler_what_causes_insomnia

Note: The approximate length of this media piece is 5 minutes.

Optional Resources

Bonnet, M.H., & Arand, D.L. (2019). Behavioral and pharmacologic therapies for chronic insomnia in adults. UpToDate. Retrieved from https://www.uptodate.com/contents/behavioral-and-pharmacologic-therapies-for-chronic-insomnia-in-adults?search=sleep%20aids&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

National Sleep Foundation (n.d.). Sleep disorders. Retrieved June 11, 2019 from https://www.sleepfoundation.org/sleep-disorders

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