NRNP 6624 Week 10 Integrative Treatment Plan Example

Course	NRNP 6624 Foundations of Psychotherapy
Week	Week 10
Paper type	Integrative treatment plan
Length	About 770 words, 5 pages
Format	APA 7 student paper
School	Walden University
Program	MSN Psychiatric Mental Health Nurse Practitioner (PMHNP)
Updated	October 2026

Free sample paper for NRNP 6624 Week 10

Integrative Psychotherapy Treatment Plan: Depression and Drinking After a Divorce, With Explicit Criteria for Moving From Motivational Interviewing to CBT

Student Name

College of Nursing, Walden University

NRNP 6624: Foundations of Psychotherapy

Instructor Name

Month Day, Year

What this page is doingThe title names the two modalities and promises the criteria for moving from one to the other. A plan that names two approaches without saying when one gives way to the other reads as eclecticism, not integration.

Integrative Psychotherapy Treatment Plan: Depression and Drinking After a Divorce, With Explicit Criteria for Moving From Motivational Interviewing to CBT

Conceptualization Before Any Phase

Composite client: a 44-year-old woman, a regional sales manager, divorced 5 months ago after a 16-year marriage; she shares custody of two children, ages 11 and 14. Referred by her primary care clinician for depression. PHQ-9 score 18 (Kroenke et al., 2001). AUDIT score 14, with drinking up from 2 or 3 glasses of wine a week before the separation to about 3 glasses most nights, more on nights without the children (Saunders et al., 1993).

In cognitive behavioral terms, the two problems feed each other. Situation: an evening alone on the nights the children are with their father. Automatic thought: "I've failed at the most important thing, and now I'm alone." Intermediate belief: "If I can't hold a family together, I'm not worth much." Emotion: sadness and a restless anxiety. Behavior: drinking to "take the edge off," then sleeping poorly. Consequence: next-day fatigue and irritability with her children, which she reads as more evidence of failure. Drinking relieves the feeling in the short term and deepens both the depression and the belief over days.

Risk, Documented and Then Revisited

Intake: Columbia Suicide Severity Rating Scale screen completed (Posner et al., 2011). Wish to be dead: yes, some nights after drinking. Active thoughts, method, intent, plan: no. No past attempts or preparatory behavior. Alcohol is recorded as a risk factor that lowers the threshold for acting on thoughts. The plan repeats the screen at every session in phase 1, at any session after a reported heavy drinking episode, at the transition between phases, and at any increase of 5 or more points on the PHQ-9. A safety plan was written at intake, including a commitment not to drink alone on nights when the thoughts are present.

What this page is doingRisk appears at intake and again at stated points throughout the plan, rather than once at the door.

Phase 1: Engagement Through Motivational Interviewing

She is ambivalent about the drinking: "It's the only thing that helps me sleep, and I know it's not great." Starting with cognitive restructuring would ask her to change before she has decided to. Motivational interviewing, as Miller and Rollnick describe it, is a collaborative conversation that strengthens a person's own motivation for change by eliciting and exploring her reasons (Miller & Rollnick, 2013). Methods in phase 1: open questions about what the drinking gives and costs her; reflections that emphasize her own reasons for change; developing the discrepancy between the drinking and her value of being present for her children. Change talk to listen for: desire ("I want to feel clear in the mornings"), ability ("I stopped for Lent once"), reasons ("My son noticed"), need ("I can't keep doing this on custody nights"), and commitment ("I'm going to try not drinking on school nights").

Criteria for Shifting Modality

Shift from motivational interviewing to structured cognitive behavioral therapy when three criteria are met: she expresses commitment language about a specific drinking goal, she sets that goal herself, and she has kept to it for at least one week. Until then, cognitive behavioral techniques are introduced only in the service of her own goals. If she returns to heavy drinking during phase 2, the plan returns to motivational interviewing rather than pressing on with homework, since pressing against ambivalence tends to produce resistance. Combining the two approaches for co-occurring alcohol use and depression has small but significant effects on both drinking and depressive symptoms compared with usual care (Riper et al., 2014), which supports integration while setting modest expectations.

Phase 2: Cognitive Behavioral Work

Behavioral activation for custody nights, scheduling activities that are not drinking, such as a standing call with her sister and an evening exercise class. Thought records aimed at "I've failed" and "I'm alone." Coping skills for cravings: delay, distraction, and a written list of reasons. Measures: PHQ-9 every session; drinks per week, recorded by her in a phone log; AUDIT at the end of phase 2.

Goals are traced to the conceptualization: activation targets the behavior link on custody nights, thought records target the belief that she has failed, and craving skills target the drinking that links the two.

Phase 3: Consolidation and Coordination

Relapse prevention plan for both depression and drinking, with named warning signs. Tapering sessions from weekly to every two weeks. Coordination with her primary care clinician on liver tests and on any medication for depression or alcohol use, with her consent. Referral to a mutual-support group offered, and her decision recorded. Goals for discharge: PHQ-9 below 10 on two consecutive measurements, drinking within the goal she set for 4 consecutive weeks, and a written relapse plan she can describe.

References

Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x

Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). Guilford Press.

Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., Currier, G. W., Melvin, G. A., Greenhill, L., Shen, S., & Mann, J. J. (2011). The Columbia-Suicide Severity Rating Scale: Initial validity and internal consistency findings from three multisite studies with adolescents and adults. The American Journal of Psychiatry, 168(12), 1266-1277. https://doi.org/10.1176/appi.ajp.2011.10111704

Riper, H., Andersson, G., Hunter, S. B., de Wit, J., Berking, M., & Cuijpers, P. (2014). Treatment of comorbid alcohol use disorders and depression with cognitive-behavioural therapy and motivational interviewing: A meta-analysis. Addiction, 109(3), 394-406. https://doi.org/10.1111/add.12441

Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction, 88(6), 791-804. https://doi.org/10.1111/j.1360-0443.1993.tb02093.x

Reading the NRNP 6624 Week 10 instructions

Week 10 of NRNP 6624 often asks for an integrative treatment plan that combines more than one psychotherapy approach. You write a conceptualization, document risk with planned reassessment, organize treatment in phases, state criteria for moving from one modality to the next and plan coordination of care. Faculty grade integration, especially the rule for when one approach gives way to another. Cite each approach and validated measures in APA 7. Co-occurring substance use should be addressed within the plan. Phases are usually preferred to a problem list here. Measures should be repeated at named points. NRNP 6624 faculty want the conceptualization to explain how the divorce, mood and drinking connect. State the AUDIT and PHQ-9 scores and when they will be repeated. Write the shift criteria as observable changes.

Inside the NRNP 6624 Week 10 example

The plan opens with a one-page conceptualization of an invented client, forty-four and recently divorced, whose depression and increased drinking have fed each other since the separation, written in the cognitive behavioral terms the later phases will use. A risk section follows and recurs: the Columbia Suicide Severity Rating Scale is documented at intake, and the plan states the points at which it is repeated. Treatment is then organized in three phases. Engagement uses the motivational interviewing of William Miller and Stephen Rollnick to work with ambivalence, with change talk named as the marker of readiness. The active phase moves to cognitive behavioral work on the beliefs the conceptualization identified. Consolidation prepares for ending. Each phase carries goals, a measure and the evidence that would signal moving on. Coordination with the prescribing clinician takes a single paragraph.

NRNP 6624 Week 10 rubric: what earns full marks

Integration is where plans at this level earn or forfeit most of their marks. A plan naming two modalities without explaining when and why one gives way to the other reads as eclecticism, and the theoretical integration criterion is scored accordingly. Goals that cannot be traced to the conceptualization cost coherence. The risk element loses points when it appears once at intake and never again, since the course expects risk documentation throughout a plan rather than at its door. Motivational interviewing presented as a bag of techniques rather than a way of engaging ambivalence costs accuracy. Measures without intervals, and phases without exit criteria, leave the evaluation criterion empty. Plans treating the drinking as a separate problem for another service lose the integration point this week exists to test.

Common NRNP 6624 Week 10 mistakes, and how to avoid them

Integrative plans lose most when two modalities are named without saying when and why one gives way. Write the criteria for the shift. Another common gap is treating drinking as a separate problem for someone else to manage. Address it within the plan. Writers also screen for risk once and never return to it. Set reassessment points. Avoid vague phase goals such as "improve coping." Name measures and target scores. Include coordination with primary care and any child custody concerns that affect safety. Keep scores consistent across sections. Close with what would trigger a step back to motivational work. Writers also forget the children, whose safety and routines matter when a parent drinks. Mention how the plan accounts for them.

Get a NRNP 6624 Week 10 example written to your instructions

Your Week 10 case, the plan template if one exists and the final rubric go into one request, and the integrative plan is written out with phases, transition criteria and risk documented. Your first custom sample is free, turned around in 24-48 hours, built for an invented client and never from your caseload.

More NRNP 6624 papers and PMHNP samples

NRNP 6624 Week 10 questions, answered

Why organize the plan by phase instead of by problem?

Because the client's ambivalence makes sequence the central clinical question. A problem-based plan lists what needs to change, but it cannot show why motivational work comes before cognitive restructuring. Organizing by phase makes that reasoning explicit. Some sections require a problem-based format; the custom version then adopts it and carries the integration logic across.

How is the drinking handled in a psychotherapy plan?

As part of the conceptualization rather than as a separate referral. The plan shows how low mood and drinking reinforce each other, which is why motivational interviewing opens the work. Medication for alcohol use sits outside this course and is mentioned only in the coordination paragraph. Your own case might involve a different co-occurring concern, and the sample adapts to it.

How often does the risk screen recur?

The example documents it at intake and schedules it again within each phase, stating those points in the plan rather than leaving them to memory. The page offers no schedule for real practice. What rubrics credit is a plan in which risk is visibly continuous, and the example shows that by referencing risk inside every phase it describes.

Where can I find a free NRNP 6624 Week 10 sample paper?

The depression and drinking plan is reproduced here with the conceptualization, revisited risk, three phases and explicit criteria for shifting modality.

What does Phase 1 use in NRNP 6624 Week 10?

Motivational interviewing to build engagement and readiness around drinking, with criteria that define when the plan moves on.