Case Study Formulation Drug and Alcohol

1248 Words Oct 17th, 2009 5 Pages
3. specific strategies

Although it was previously thought that cannabis was not a drug of addiction, it is now recognized that cannabis use can lead to substance dependence, according to the internationally accepted DSM-IV definition of ‘substance dependence’ .
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With this knowledge in mind, Rick could possibly display withdrawal symptoms such as • Irritability • Frustration • Anxiety • Compulsion to smoke Cannabis

1 presenting problem

Rick: Rick appears to have substance use disorder traits; his drug of choice is Cannabis.
Rick appears to be in the stage of contemplation:

Although Rick’s motivation is high and he indicates legitimately wants to cease his cannabis use, he is unsure that he will actually
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Considering this information Lesley’s alcohol consumption may well be considered harmful. The client’s appears to have no intention of giving up drinking or even to cut down. Leslie does not want to change her drinking habits.
Specific Intervention Strategies:

• Motivational Interviewing and Cognitive behavior therapy • Rolling with resistance • Develop discrepancy • Empathy • Identify and cope with high risk situation • Screening tools • Develop discrepency

Miller (1983) describes self efficacy as a fundamental of Motivational interviewing. When considering this point of view Lesley should be to be responsible for deciding and implementing change, not the counselor. Building rapport with Lesley is significantly important, empathizing with the Lesley’s situation in regards to the potential difficulty in raising three children in a share accommodation. Relapse prevention education;
Helping the client to identify stressful situations, the desire to drink may be strong. Exploring with the client to determine if any significant issue has caused the escalation of alcohol use may be a strategy to implement.

Lesley may be opposed to to certain interventions from a therapist, (Miller & Rollnick,(2002) argue that the best response to resistance is non-resistance.
Acknowledging Leslies concerns and complaints may enhance the therapeutic alliance which is of prime importance in relating with a client.

++> Lesley is unaware that
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