Biopsychosocial Case Study

Plan - The counselor Interventions until next review: Client is to continue current level of treatment to fulfill the court requirement. Counselor will work closely with the probation officer to help the client to complete his treatment successfully. Counselor will continue to motivate and educate to address alcohol use disorder and support remission and long-term

Over the weekend I was working in Evolv on a client Biopsychosocial Assessment , and I accidentally used Biopsychosocial Assessment RTF. After realizing my error I corrected it and used the Biopsychosocial Assessment RTF V.2, however there are now two assessments in Evolv for the same client. Can you please assist me with deleting the incorrect assessment.

My group’s category was the school aged child. We interviewed a 10 years old girl, named

John Wallace the author of Chapters two and three of Practical Approaches to Alcoholism Psychotherapy indicated that there is no systematic and specific theory of alcoholism. The purpose of chapter two is to “develop a theory of therapy specific to alcoholism, a theory that takes into account the nature of the disease, the characteristics of the client and the time- dependent nature of intelligent therapeutic intervention” (Zimberg et el., Pg 20).

In order to effectively execute this therapeutic technique, there are five basic principles of motivational interviewing such as the expression of empathy, the development of discrepancy, the avoidance of arguments, the adjustment to client resistance, and the support of self-efficacy and expression (Easton, Swan & Sinha 2000). Firstly, one must display an understanding and experiencing of the feelings, thoughts, and experience of another from the other person’s perspective ((Moller & Potter 2016b). In relation to an alcoholic client, one must develop a therapeutic and non-judgmental relationship with the client. By the use of active and reflective listening, one can create an empathetic atmosphere by establishing a safe and open environment to facilitate the vulnerability and honesty of the client. By taking the time to understand the client’s perspective, feelings, and values, you will create an empathetic environment that will facilitate the process of motivational interviewing (Easton, Swan & Sinha 2000).

The Louis de la Parte Florida Mental Health Institute (2002) states that substance abuse can occur in many clients who also have anxiety/stress disorders. The user believes that using alcohol or drugs will help lessen the feelings they have and somehow enable them to “cope” (The Louis de la Parte Florida Mental Health Institute, 2002). Unfortunately, most users like James are unable to realize the substances are not helping their problems. Most people with alcohol and other drug use disorders who also suffer from other mental health disorders require an integrated care plan for the best chance at recovery (Sterling, Chi, & Hinman, 2011).

Current available therapy for the treatment of alcohol is based on three different theories. Two popular and successful therapies are cognitive behavior therapy (CBT) and twelve step facilitation (TSF). CBT is a directive therapy that is focused on changing the way that patients think about alcohol (Villanueva, Tonigan, Miller, 2007). TSF is another

“Don’t treat the disease, treat the patient” [9]. The concept of health has seemed to become complex in definition over the centuries as science improves. “Health is a complete state of physical, mental and social well-being and not merely the absence of disease and infirmity.”-World Health Definition of Health (1948) [9]

each zone represents the risk level for patients and the intervention that should be implemented. The first zone refers to low risk drinking or abstinence. In this zone patients with scores 0-7 are recommended to have alcohol education. The second zone also refers to low-risk drinking with scores of 8-15. the implementation plan for this is providing simple advice to patients and education material, as they are at low risk for substance use. As scores begin to increase from 16-19 in the third zone, patients begin to be at a higher risk. the intervention for this zone is simple advice and brief counseling. patients scoring in the fourth zone with scores 20-40 are at severe risk. The implementation for this is for patients to be referred to a specialist for diagnostic evaluation and possibly treatment for alcohol dependence. The AUDIT program uses four elects including planning, training, monitoring, and feedback to successfully treat patients. Planning is used to design an alcohol screening program and to engage participants in the

If I was a Mental Health clinician working with Paul to overcome his anxiety issues, I would also make sure to utilize a multidisciplinary team including an addictions counselor since Paul has been exhibiting signs of a drinking addiction. I would collaborate with the addictions counselor to come up with an effective treatment plan for Paul. To ensure working in a collaborative environment, I would encourage Paul to have a session with me immediately after he has his session with the addictions counselor and vice versa. This will allow both me and the addictions counselor to meet after the sessions to review everything and to share ideas with one another to see what is working and not working with Paul and to implement the next steps in the treatment process. Both the addictions counselor and I should be able to evaluate treatment outcomes and set treatment goals to ensure a full and effective prognosis for Paul. In terms of Paul’s addiction issue, I would suggest

The client, Maria received a score of nineteen on her Alcohol Screening Questionnaire (AUDIT). Maria’s score can be interpreted as being in zone three which is considered harmful. The appropriate action for the aforementioned zone is a brief intervention or referral to specialized treatment. The intervention process is a procedure that is used to highlight how problematic alcohol use can be in one’s life. After the client and social worker’s realization of the frequency and seriousness of the patient’s alcohol use, it is advantageous to formulate a plan to lessen alcohol usage. Motivational Interviewing is a method that can be used in counseling sessions which encourages the client to become a motivated participator of change by identifying, exploring, and resolving he or she’s ambivalence towards their damaging behavior [PowerPoint Slides]. MI is collaborative and client-centered thus the patient can contribute to their planned change process. The process of MI involves appealing to, concentrating on, evoking, and lastly, planning with the patient. Subsequent steps of MI are reflection, summarization, and exploring inconsistencies [PowerPoint Slides]. Shifting gears,

Motivational Enhancement Therapy is a treatment approach I resonate with for the treatment of alcohol disorders. The use of this approach will allow the individual to engage exploring the internal motivations for their behavior and resolving any ambivalence. Using this intervention is effective but short in duration and will reduce any possible risk of abrupt termination of treatment by the client. Nonetheless, using this type of therapy will build and strengthen motivation to change drinking behavior, while achieving moving forward in set goals. In addition,

The cognitive behavioural therapy and relapse prevention aim at improving social skills and self-control and are repeatedly found effective in reducing drinking, therefore making them ideal for treatment of alcohol abuse (79, 1090, 1092–1094). Cognitive behavioural therapy treatment, comprising of behavioural self-control training (including self-monitoring, goal setting, goal achievement rewards, analysis of drinking triggers and learning to cope with those triggers) and stress management interventions have produced better results than that of control treatments in fifty percent of studies (79, 1090, 1095–1097). Follow up studies also show better outcomes for the individuals who display improved self-efficacy at the conclusion of treatment (184, 1098–1100) as well as for those who used mastery or problem solving as a coping mechanism instead of avoiding triggering situations (43, 265, 959, 1101).

Case studies are an important part of clinical psychology. One can learn about the biological, psychological, and social factors involved by studying patients with certain disorders or illnesses. The case study of Christina Ricci and Karen Carpenter are extraordinary and this analysis will give a brief overview of their case as well as discuss the biological, psychological, and social factors involved. This analysis will also explain the need for adaptation in the field of clinical psychology.

Cognitive and Behavioural approaches are also widely used with alcohol and drug using clients. In a meta-analysis of 17 studies Walters, Mortgenstern, & Rotgers (2003) found that behavioural self-control programs (training in drinking rate control, goal setting, identifying high risk situations, alternatives to alcohol use) were more effective than no treatment and at least as effective as abstinence based programs. CBT for substance abuse encompasses a variety of interventions that emphasize different targets. However, this essay will be focus only on motivational intervention and family therapy.