Counseling Addiction: A Case Study Of Women's Group

A psychiatrist in a methadone clinic in Northeast Washington, D.C. works with patients who are addicted to drugs. Some of her patients suffering from addiction

D-According to the patient, he went to Blue Hills because first, he needed a place to stay during the cold weather as to why he bgan to drink. The patient then says he was also going through some depression dealing with the lost of his mother. When asked about much alcohol he consumed before his admission to Blue Hills, his response was, " I had 2 nips to drink." Since the patient had left the program, he admits to relapsing and using heroin by smoking, " It was a lace by a cigarette." The patient is aware about the need to go to Wheeler Clinic to address the need to seek mental health services, at which he plan to do so today. Furthermore, this writer addressed the criteria needed for the patient to be reinstated into the program. This writer

D-The patient was placed on HOLD to see this writer to address her no show for counseling on Friday and missed dose as well. According to the patient, she had transportation issue. The patient admitted that she relapsed by using crack cocaine-$20 bags by smoking. Addressing the relapse is due to stressor of her current residency with her "baby-daddy," according to the patient. Alternatives were discussed. The patient asked this writer for assistance again for the contact number to CHR and CVS of which this writer provided. In addition, this writer questioned the patient about her living situation as she reported about it being a stressor in her life. According to the patient, she is no longer residing at her "baby-daddy" resident as she reported

The patient arrived on time for her counseling session. Reports stability on her dose and denies the need for a dose increase when it was offered by the writer. When questioned about what caused her to relapse recently, the patient started to cry as she did in fact regret her recent relapse as she said, " I didn't need that shit.....it didn't do anything for me......I am just tired Charlene, now there is warrant for my arrest and I may be charged with a felony for larceny. I just stressed out because I need to come up with $500 to pay this lawyer to drop the charges to a misdemeanor. The entire cost for the lawyer to represent me is $2500 that I honestly don't have, Charlene." The patient was tearful throughout the session. The writer validated

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.

D-The patient reports that he is not stable on his dose and is aware that his current dose was just increase since yesterday and he has to wait three consecutive days for another increase. The patient reports he used illicit drugs last night, heroin-2 bags, by IV. This writer addressed with the patient about his UDS result, + heroin and cocaine. This writer proceeded to discuss the patient's triggers and addressing alternatives to his ongoing use.

Helping Professionals Community Mental Health Center (HPCMHC) will be providing you with counseling services and I, Ben Walker am your assigned Substance Abuse Technician (SAT). In this document you will be informed about the services we provide, confidentiality (and the limitations thereof), and my background. HPCMHC offers various services that include: substance abuse counseling, psychiatric evaluation, individual counseling, group counseling, peer support groups, and medication monitoring. All residents of Pima county are eligible for services.

Patient stated that he was on detox unit in October of 2016. Patient stated that after his discharge and went to Salvation Army in Jersey City. Patient stated that he AMA'd from Salvation Army in February of this year. Patient stated that he felt that it was time to go get his own place, start working, and get his life together. Patient started working in construction Stated workin. got house care and within two to three months started using. Patient stated that he was stressed from life and physically tired from work as the reason for his relapse. Patient stated that he was fired two week ago. Patient will attend groups to identify coping skills for maintaining sobriety from drugs. Patient will increase socialization by interacting

Cassandra shared her experiences of relapsing with the group. She expressed her emotional feelings of shame and guilt after her usage. She encouraged the group to be transparent with themselves and consider the consequences before relapsing.Christopher shared with the group how fear can be an issue and one can continue to use to avoid it. He also expressed to the group his definition of relapsing and having an alcoholic drink that is not ones' DOC is okay. The client was immediately redirected and provided with psychoeducation on the consequences of illegal substances.shared his fear of leaving and going home. He noted he is afraid of how his family will react and treat him. He was provided with coping skills that will help him through the

Ms. Sims reports past treatment for her addiction to crystal methamphetamine and sexual abuse. She

The identified client in this case study is a 35 year old female named Katie. Katie is a wife, mother of two young children, beloved daughter and upcoming professional (Case Study 3). Katie has been battling an addiction to Prescription drugs (pain medication and muscle relaxants).

This writer commends the patient for developing different alternative to address her opioid use. Nevertheless, the patient shared with this writer that after she left her counseling session with this writer, she felt good about it because now, she is able to open up and not feel judged by this writer. In addition, the patient expressed she is able to be herself and received positive feedback from this writer. This writer thanks the patient for her feedback. The patient then says, " You going to make difference here. I am always hearing good things about you.....No other counselor could ever make me go to group....No matter what......since I've been assigned to you, I always feel good....I can stay here for hours and just talk. You listen to me and give me feedback...I like that." Again, this writer thanks the patient for the feedback.

Pt. has been in the AMS of DE program for 5 months and 7 days. Pt. has submitted three negative UDS results and he is compliant with the AMS of DE monthly mandatory counseling session. Pt. stated that he pays his TX fees every Saturday, works on his TX plan and takes medication as instructed by AMS Doctor. Pt. attends faithfully to the Clinic for dosing without skipping or missing days. Pt. reported that he maintains a supportive relationship with his brother and younger daughter. Pt. reported that he has not experienced any recent triggers and no relapse in the past 60 days. Pt. stated that he is committed to storing his prescribed take home medications in a secured lock box and placed on the top shelf of his closet. Pt. is a disabled veteran

In this phase, the patient reaches out to others who try to help him identify the damaging effect of addiction, realize that he suffers from the disease, and break the circle. In this phase, patient may experience denial, refusing to accept that he is an addict or thinking that he may result the problem by cutting down in the drug used rather than eliminating it totally. A counselor intervenes to help the patient to see the benefits of a drug-free lifestyle. A goal is set in place to restrain patient from using illicit drugs and to attend the scheduled counseling. Family should understand that approaching love ones during this time should be gentle and supportive. Caring for families, the nurse may identify an expected outcome that the family members will not take on the addict’s illness; rather, the family will provide support for recovery and seek healthy family functioning whether the family chooses recovery or not (Frisch,

A: The client appeared saddened when discussing missing birthdays and special dates with his child due to his substance abuse. The client reacted positively to motivational interviewing by realizing that his substance does not only negatively affect his life, but the lives of his loved ones as well.