Cassandra Relapsing: A Case Study

Relapsers have to be familiar with the relapse process and the best ways to manage it. Involving the family and other sponsors is a great idea. The education should strive to emphasize four main messages:  First, relapse is an ordinary and a natural process in the recovery out of the chemical dependence. One should not be ashamed of it like in the case of Jed who “gets jumpy” when he tries to stay away from drinking, feeling “closed in or like he is suffocating”. He also cannot imagine how to explain to his buddies why he is not joining them in the bars. Secondly, people are not all of a sudden taken drunk. There are gradual warning sign patterns that indicate they are slowly cropping in again. Such signs can only be recognized when one is sober. Thirdly, after they are identified, the recovering individuals

It should be noticed that in the recent few decades, the science developed at an astonishing pace, and the problem of substance abuse cause a huge public concern. Currently, substance abuse has already become a pandemic around the world. It costs individuals substantially, and it of their family as a whole. It is essential for the society to help those people who struggle with drug addiction to get rid of their pain and get back their health and balance life. Therefore, I understand the substance abuse is a tough area, and people who are struggling with addiction really need help. During the course of the interview, I

The client met with his counselor on 05/06/2017 for his one on one session to discuss his treatment plan goals. the client has been on track with his goals and is working on his second step. the client discuss one of the things that his currently working on and that is acceptance. the client explained that he is having a hard time acceptance certain situations and things that happen in his life, and most of the time it result in him resulting to using drugs. the client as well talked about being disappointed in himself for relapsing after two years of being sober. the client reported that he didn't use the tools that were given to him from his last his was in the program, getting a sponsor and learning coping skills. the client reported that

The meeting consisted of twenty-five people including myself. The leader began by welcoming all returning addicts and non-addicts to the NA meeting. The meeting started with a moment of silence followed by everyone reciting the serenity prayer. After the prayer, the leader asked for volunteers to read the short messages about what the meeting is about and why they were there. Each person that volunteered to read one of the short messages began by saying, “Hi my name is (blank) and I’m an addict.” This was something that the group members did so that they could face the truth and admit that they had an addiction. The meeting continued by a volunteer reading the Twelve Step Traditions. This was a list that the members followed to achieve recovery from their addiction to narcotics. The leader then spoke aloud to the group about which of the twelve steps they were focusing on for the night. The leader then left it open for any group member to share a personal story about where they were on their road to recovery. Everyone who shared their story was open with the group and shared very personal experiences that they had. Everyone listened to each personal story that was shared. No one judged anyone from where they came from or what they had done in the past. Everyone was there to receive help and support those who were on their way to recovery as well. The meeting ended with

Deborah F. is a 53-year-old female who had been admitted to the Chemical Dependency Rehabilitation Program at Sharp Mesa Vista for the treatment of alcohol dependence and pain disorder. Her history includes several disorders that are a cause of her pain including lupus, fibromyalgia, spinal arthritis, interstitial cystitis, shoulder pain, and multiple foot surgeries. According to her chart, she had been drinking two bottles of wine daily for almost two weeks in attempt to forget about her increasing pain. She is currently on voluntary detoxification and is considered a high fall risk. Her plan of care includes a series of medications that are prescribed for her pain and medical problems. Along with her treatment, Sharp Mesa Vista Hospital implements a treatment plan for all patients in the CDRP, which is referred to the 12-step treatment. One of the main activities that are included in this treatment is regular participation at group meetings that are conducted each day. The concern with Deborah is that she has been continuously refusing to attend the groups during her three-day stay at the hospital. She believed that attendance would not help her with her drinking issues and believed that even groups such as Alcoholics Anonymous would not benefit her. Based on the nurses ' report, it seems that she will not be discharged in the near future. One way that she will be able to progress in her recovery

Mr. Charles’ ability to maintain sobriety and learn a healthy lifestyle of recovery, taking into account that his drug dependence will only continue and possibly increase if untreated. Mr. Charles would benefit from an outpatient treatment program in order to become educated regarding the dangers of substance use/abuse. Mr. Charles will also be able to process his patterns of drug use and learn to recognize triggers that lead to his substance abuse. Mr. Charles will also be able to learn the effects and consequences of substance abuse and how to remain abstinent from drugs. While in group therapy, Mr. Charles will learn appropriate techniques to resist peer pressure to drug use as well as assist him in developing a supportive network to encourage him to maintain abstinence. The intervention would assist to minimize the possibility of Mr. Charles’ drug use from progressing into the late stages of chemical dependency.

Met with client for ISP review and to discuss treatment progress. Client appeared to be stable and engaged in the conversation. Client reported that she completed the FAFSA and is planning to go to Everette Community College in the summer. Client reported no use of substances. Client reported coping with temptation by walking away from the situations. Client was reminded that her relapse potential was moderate to high at this time and that she thus would be cautioned to avoid any unintended consequences; with help and support from treatment and her family, client would make his treatment a success. Reviewed ISP in Dim.5 dated 11/29/17, reported completion on approach C, but was unable to identify which peer pressure could be positive (approach

Michelle is seeking counseling help due to the advice of her lawyer to help her out in her to achieve intoxication or desired affect; withdrawal symptoms are relieved by continued use of the substance; there is a persistent desire or unsuccessful efforts to cut down or control substance use; a great deal of time is spent on activities necessary to obtain the substance; and important social, occupational, or recreational activities are given up or reduced because of substance use. Additional indicators include: self-admission of substance dependence; extensive drug history; family and peer influence; and related legal problems.

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 presentation started with an introduction of the group of speaker and Dale Nabors got to go first, he talked about his road to recovery and how he was able to get a job at Life Core. Stephanie spoke about herself being someone who is in recovery. She spoke about the main thing that causes people to reach for drugs and that is that person is looking for a mood changer or something that would cause a mood altering experience. Her personal testimony is that she never felt good enough. She saw that the crowd she hung around with was always happy and her life was not going very well. Stephanie let us know that drug dependence is not prejudice, no

On the contrary, the comprehensive multi-dimensional assessment tool documents medical history, physical exams, family and social history, alcohol/drug histories. In addition to, documentation which includes sexual/mental health information collateral reporting of family and friends signed/or consented from the client, before any contact with others sharing of information and lab test. In summary, relapse education strategies include, teaching clients how incorporate self-regulation and relapse skills or strategies, to avoid a lapse and stay in recovery or continue sobriety. Next, to develop an understanding of General factors as to what causes a person to relapse begins with basic information such as medical social or clinical information.

The counselor met Johnathan for his scheduled individual session. Johnathan denies any substance use over the holiday weekend. Johnathan states he attend an AA meeting over the holiday as well. Johnathan father share he drink alcohol on the 1st of August when home along. Johnathan acknowledge that it did happen however states he has not drank since that date. Johnathan reports has been jobs seeking. Johnathan and I discuss Building Up to Drink and Drug (BUDD). Johnathan and I discuss way to cope with craving. Johnathan denies any HI/SI at the time of session. Johnathan appears to be is pre-contemplation stage of change as evidence by his willing to practice new skills to address his craving. The counselor next scheduled individual session

Understanding Marisa’s childhood and upbringing will help me determine which assessments, diagnosis, and treatments are appropriate. I will implement the appropriate assessments and follow up assessments. My diagnosis will be completed with the insight of Marisa’s childhood struggles and her current struggles. I will provide the proper treatment for Marisa’s drug use and help her find her identity. My main concern with Marisa is relapse. Marisa will still face challenges and become stressed, which may cause her to feel personal failure, leading to a relapse (Van Wormer & Davis, 2013). Marisa is at high risk for relapse, and it is my ethical duty to become aware of relapse before it

D: Group topic was focused on Dim 5. Reviewing the relapse process, identifying relapse warning signs, discussing how to take steps in the right direction and avoid even small steps back toward alcohol and other drug use. Client was present and actively engaged in the group activity as evidenced by completing the worksheet, and shared personal plans to maintain sobriety. Client stated “

Some of these difficulties that Melissa might experience as she starts her recovery is first to understand the likelihood of relapse. Educating the client on how to self-monitor the circumstances, emotional states of mind, and other outside sources that triggers the substance use is key. This area is one in which Melissa might have a difficult time especially in the beginning of treatment because she might be tempted to use. For this reason, self-monitoring must be accompanied by coping mechanisms that will help her resist temptation. Another aspect of the journey to recovery that will be difficult for Melissa and will most likely experience is the initial withdrawal process.