Research Paper Advanced Individual and Group Counseling, Diagnosis and Assessment of the Addicted Client Instructor: Dr. Ozietta Taylor LCPC Psych 641 Wilber L. Jackson Date Submitted: December 8, 2014 Date Due: December 8, 2014 Treatment Strategies in Counseling Methadone Clients Using Benzodiazepines And other Licit and Illicit Substance Case Scenario: Michael Doe is a 21 year old methadone patient. He presented at a Methadone Treatment Center with a 3 year history of opioid prescription use (egg. Percocet). A) What is Methadone? (1 page) B) Purpose of Methadone: Primary and Side effects (2 Pages) C) History of Methadone Use in the United States (1 Page) D) The Synergistic Effects of Methadone …show more content…
There are many theories, though. For example, some people may inherit certain genes that make them more likely to abuse drugs. Another theory is that people learn how to use drugs by copying the behavior of others. Also, changes that happen in the brain due to long-term drug use may reinforce a person 's desire to keep using drugs. It is common for a person to deny that he has a drug problem. Symptoms of drug abuse include: Repeated work, school, or home problems due to drug use Continued use of drugs even though it means risking physical safety Recurring trouble with the law related to drug use (eg, driving while under the influence of drugs) Continuing to use drugs despite drug-related problems in personal relationships Drug abuse can occur without being physically dependent on a drug. Symptoms of drug dependence include at least three of the following: Craving for the drug Inability to stop or limit drug use Tolerance (taking greater amounts to feel the same effect) Withdrawal symptoms that occur when the drug is stopped Significant amounts of time trying to acquire drugs and recover from the effects Drug use continues even when it causes or worsens physical or mental health problems While there is no cure for drug abuse or dependence, there are three main treatment goals: To help you stop using drugs To decrease the toxic effects of the drugs being used and to aid in symptoms of drug withdrawal
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Many of the above may have contributed to the patient using drugs such as the environment they live in; the patient could have been living with other drug users which could result in the encouragement to continue abusing drugs, this could also make it difficult for the patient to stop if she is associating with people who also abuse drugs (WHO, 2015).
There are many factors such as biology, environment and development that results in the persons initial introduction into the world of drugs. Drug abuse may start as a way to socially connect. More often than not people try drugs for the first time in social
Based on what was learned during lectures there are varieties of different ways an individual can become addicted. Certain personality traits are more likely to abuse drugs such as individuals who are risk takers, have low self-esteem, or stressed. Mental health also plays a big role. Those individuals who suffer from anxiety, depression, antisocial, or personality traits are more likely to become an addict. According to the Intergenerational theory, children who have parents that are addicted to drugs or whose parents have been incarcerated due to drug charges; are more likely to follow in the footsteps of the parents. Although there is not a direct line or an “addictive gene”, the possibility is much higher. Another theory that shows a direct line to drug addiction is the Reinforcement Theory. This theory is based on repeating behaviors that the individual interprets as a “reward”. Once the individual feels that “reward”, they continue to repeat the behavior in order to feel that way again. Eventually the individual will need more and more drugs to achieve that high, which leads to addiction. According to the film, Eugene stated that individuals find variety of different ways to support their habits. One of those ways is through property crime. During lectures, it was said that property crime increases during the periods of active or heavier drug use. This is called Intensification Theory; drug use accelerates criminal behavior but
When concerning the patient situations there are some important facts that need to be reviewed. The important facts about this case is the patient was a 16 years old guy that got in an automobile accident. The patient stated that he was in a methadone treatment program. A methadone are drugs approved for use in treating opioid dependence patient such as
To begin with, studies have found that inherited genes are responsible for a considerably large part of the probability that someone will become addicted to any kind of substance or behavior. Addiction is strongly influenced by genetic factors in the later stages of addiction, such as problem use and dependence of an addictive substance. Some genetic factors can make an individual more likely to become addicted to only one specific drug. On the other hand, some genes can make an individual more likely to become addicted in general. Some individuals might be genetically inclined to risk-taking behavior such as receiving large jolts of dopamine through what they consider to be the “excitement” of drug use. These individuals could be subject to keep returning to the illicit and harmful drugs that they find enjoyable despite what they know of the harmful effects. These genetic influences could make them more likely to become addicted to alcohol, cocaine, tobacco, gambling, or any number of substances or activities. Addiction has an inherited component and it
Ms. McGinnis is an 82-year-old female, with history of Alzheimer dementia, diabetes, and hypertension. Her primary caregiver is her son, Michael McGinnis. Mr. McGinnis has admitted to the ER doctor, multiply employees at Senior Care and to DHR worker on the phone that he gave his mother methadone. Ms. McGinnis is not prescribed Methadone and is mental unable to consent to taking methadone.
D-The patient reports he is not stable at his current dose to the point he want to taper off. He expressed the need to want to get off on methadone. This writer listened to the patient vent about issues in his personal life and problematic issues with his transportation to ensure he dose daily. This writer then proceeded to discuss with the patient as to why he had entered treatment, his aspiration for his recovery process, and addressing alternatives to his barriers. The patient then reports he hasn't used any illicit drugs for three days, at which this writer commended the patient. When asked about what strategies to used to refrain from illicit drugs, he reports keeping himself busy and continue to care for his parents. The patient was
The patient appears to be happy and focused on her recovery process. This writer discussed with the patient briefly about her treatment plan goals and also, briefly discussed tapering off methadone, at which the patient is willing to pursue but at a seldom pace. There was no evidence of
Known treatments for substance use exist, but are only effective if the patient has the motivation to change his or her lifestyle (Durand, Barlow, 2016). Biological treatments include agonist substitution, antagonists and aversive treatment. Psychological treatments include Twelve Step programs such as AA, NA and CA, as well as Cognitive Behavioral Therapy (CBT) for
Objectives/Progress: Pt. has discontinued her use of opiates according to the last quarter UDS results, Pt. is now eligible to receive phase 1 take home privileges if she maintain her abstinence. Pt. demonstrated a improvement on her commitments to maintain regular dosing attendance. Also P During this upcoming quater, this writer will meet with pt. to establish rapport and trust. This writer will reinforce the importance of remaining in recovery and to resolve her current legal issues by the next month. Pt. identified her children as a motivational factor to change and to . The counselor told Pt. that he needs to be free from drugs (cocaine) in order for his prescribed medications to work and be more effective. Counselor will help patient understand the importance of restitution to self worth and then help in developing a plan to provide restitution.
Addictions can be passed through the genes. There is some truth to the debate of why one's heredity may make them predisposed to addictive behaviors pertaining to substance abuse. For example, consider a woman who is physically unable to stop abusing drugs and alcohol during her pregnancy. Her baby will most certainly be born with severe withdrawal
There are several reasons why drugs are hard to quit. For example, with increasing drug use a person’s tolerance then increases thus making the individual increase dosage to sustain the same high or receive the same rewards as before. A person’s mental set are factors that have been seen to influence response to drug use, and can be described as “the unique qualities of an individual’s personality like history of drug use, social experiences, attitudes towards the drug of choice, expectations of the drug effect, and the reason for motivation for continually drug use”(Hanson et al., 2015, p. 167). Another factor that contributes to a person’s ability to quit drugs is hereditary
Though the treatments for drug addiction is complicated one, it is curable. The treatment is complicated because the addiction has it’s long term effects on the brain and behavior of the person. But if the person has strong determination, consistent on treatment then it make easy to quit the addiction.
In Counseling for Alcohol and Drug Abuse, the need to use different techniques is an integral part of the process. Working with an individual that is either entering into recovery or actively in recovery, the clinician must take their time with introducing the 12 Steps. The individual may not be open to the 12 Step philosophies at the onset. Addiction is very complex and actively affects the person on a daily basis; therefore, it is so important to start from the beginning of counseling to create a structured program.
There are many reasons people become addicted to drugs and alcohol. Some of the reasons people become addicted are stress and pressure at work and school. People may also use drugs to satisfy personal pleasures and guiltiness. You will read an analysis about an addiction movie called Gridlock’d.