Co-occurring disorders are common with most client cases that are presenting with a substance use disorder. Rosa is presenting with a history of several suicide attempts, alcohol use disorder, Post traumatic Stress Disorder (PTSD), and Borderline Personality Disorder (BPD). The client’s most severe symptoms are anger, fear, and shame. It is these symptoms that are complicating her life, causing distress, and self harming behaviors. Additionally, her treatment history is limited since she does not finish her therapy sessions.
Goal: Cm met with client for weekly follow up I: CM greeted client and followed up on last week’s session. CM reintegrated goal of the Harm Reduction program was to provided a referral for housing. Intern discussed plan of action to help manage the Client’s access to VA benefits and referral for VASH. Intern validated the progress the client is making and his interest in doing well.
PO started Intensive Outpatient Treatment on 05-24-2016. PO attended all scheduled groups and actively participated in the group activity. The individual treatment goal is to maintain abstinence. PO response to treatment overall is positive and is making progress towards to his treatment goal, as evidenced by attending sober support group regularly, and used learning skills to manage urges and cravings. No positive UA was reported.
Presenting Problem: Kwalon is currently residing in the home with his grandmother and receiving outpatient services. He is no-compliant in school and probation rules. Kwalon has engaged in negative and delinquent behaviors. He endorses continued problems with fragility of affect, frequent tearfulness, explosive frustration, and intrusive negative thoughts. He describes a sense of hopelessness about his environments.
PO returned to IOP group after being released from confinement. PO was on time and presented with a positive attitude. PO participated well in the group discussion and activities that included: checking-in; brainstorming the pros and cons of being in recovery, as well as the costs and benefits of continuing drug use. PO self-disclosed the use of heroin on 08-05-2015. PO used “The Payoff Matrix” handout to identify the Pros and Cons of his recent relapse, and shared feelings, thoughts, and behaviors that associated with relapse with peers openly and appropriately, also actively involved in the group discussion on how to stay motivated throughout the difficult times.
Addiction has been found to be multifaceted, and most agree that recovery must focus on the many “underlying” psychological, emotional, physical, spiritual and social issues that cause drug and alcohol abuse. Solomon’s book attempts to present why traditional treatment does not work and to provide resources for alternative methods. Some of the alternatives focus on specific aspects of recovery, while others address numerous factors tailored to fit an individual’s needs. People struggling to succeed in AA or other 12-step programs will find the information in this book
Final Project Assessment and Intervention: Dan Dunne from Half Nelson The diversity and scope of individuals’ experiences with addiction is infinite; addiction targets all walks of life, regardless of age, gender, socioeconomic status, etc. Addiction itself manifests in a variety of contexts in a person’s life, including inter- and intrapersonal function, employment, social, and environment, and observable changes can offer clues and insights into progression, severity, and levels of needed treatment (Wahler & Otis, 2014). To properly aid in the treatment and recovery of individuals with substance use disorders, counselors must employ a variety of effective tools and insights, to effectively align an individual’s addiction with a complete diagnostic
As long as people have access to illegal and dangerous substances, American will continue to have issues with substance abuse. If you have fallen victim to the insidious disease of addiction, it is incumbent on you and perhaps your family members to become aware of all that could potentially go wrong with extended substance abuse. It 's also important for you and perhaps your family members to know help is out there and available. In Louisiana, there is a number of drug and alcohol treatment centers located in interesting communities.
1.6 Alcohol relapse Alcohol relapse is the situation in which the person is returning to the previous pattern of alcohol use usually followed by the period of abstinence. Many studies have documented high rates of relapse upto 65-80 percent in the first year of treatment among substance dependents(Vyas and Ahuja 2008).It is a perplexing situation among the substance abusers. Eventhough there are dramatic advancements in the treatment modalities, client compliance is generally poor and response to a drug or alcoholic use is a common occurrence (Kumar, 2014). The major research finding of substance dependence treatment outcome is relapse with approximately 66 percent returning to drinking by the 90th day follow-up assessment. However a variety
This behavioral Treatment is to help 45 alcoholics and their spouses in 1 of 3 out-patient behavioral treatment circumstances: (1) alcohol-focused partner participation plus behavioral marital psychotherapy (2) alcohol-focused spouse participation, or (3) minimum partner involvement. The couples were trailed for a period of 18 months after completion of the treatment. The couples in all surroundings stated the important decline in the amount of intake and frequency of intense drinking; they also, stated how much their lives had become happier. This information was substantiating dependent information of the clients. The guide of conclusion varied across the 3 treatment environments, plus along with alcohol behavioral couple therapy, the clients began presenting a slow progress in the amount of days of having very few drinks, too total going without any drinks in a nine month period, compared to the other clients in the
Client lost her 10 years bartending job, car and driver license due to her substance use disorder. Client previously completed 80 days alcohol treatment program, and moved into a sober living house arrangement. Then, relapsed when she discovered about her former husband’s murder. Afterwards, she attempted suicide in 2015 by jumping off a freeway bridge with her car. She was sent for a psychiatric evaluation in which she was diagnosed with
Equally important, the client may be placed or assigned in a short-term or long -term facility, to receive professional researched based treatment. Not to mention, thirty-day treatment facilities, hospitals, and inpatient settings, outpatient settings, or rehab. The counselor may determine the length of stay and the therapeutic approach is taken, with the client and the disorder in mind. Equally important, the setting must correspond to the disorder for the treatment or intervention setting, to adequately work and fit the needs if the client’s substance use disorder. Hence, the needs fit the client and the therapist can follow the ethical guidelines and utilize research-based information for the right treatment
The treatment will cover the abandonment and abuse Megan has endured. Megan will be involved in group discussion, and be required to attend Narcotic Anonymous (NA) meetings. Another one of parole’s stipulations is for her to obtain the General Education Diploma (GED) while in this program. This will help with stability of finding employment upon Megan’s
On Friday December 1st, I conducted a clinical interview with two of my neighbors. During this interview I watched as they completed a couple of mathematical tasks. The tasks that they were given consisted of three problems: Marcy’s Dots, Sarah Dots, and David’s Staircase. Throughout these problems, I watched two students attack the problems in different ways, and struggle to understand, but despite their hardship, I watched them rationalize their thoughts in accordance with the skills this task required. These three problems address the Mathematical content standards 7.EE.1, 7.EE.2 and Mathematical practice standards, Problem Solving and reasoning abstractly and quantitatively.
An obstacle that can be presented in the treatment plan is attending AA classes and group counseling. The client has a lot of excuses and does not find the time to attend the meetings. Client disclosed she has a lot of homework and needs to study more than five hours each day because she has a hard course that is stressing her out. She said she will try her best to attend at least once a week, but she was not promising anything because of her school schedule. She will be able to attend individual therapy, but she is not sure of the rest of the
