Counseling Relapse: A Case Study

In the coaching discussion it was not said that my conduct was not meeting expectations, but not allow myself to be in situations where it appears I’m being insubordinate.

This writer agreed to meet with the patient as she missed group and her scheduled individual session with this writer. The patient apologized to this writer for her absence and then reports about transportation issue. This writer discussed with the patient about her MVA this month on the 18th and the status of obtaining a police report. The patient reports, " I can get the police report by the next appointment. I just have to go to my insurance company that isn't too far from where I live to get a copy of it."

D-Met with the patient as she placed on HOLD due to recent concern of her overall well-being reported by Nurse Frank as he reported to this writer yesterday of his concerns that the patient's boyfriend is refusing her to increase on her methadone due to an agreement and the patient tends to appear emotional. Upon meeting with the patient, the patient immediately knew why she is meeting with her and started to get emotional. Denies feeling SI/HI. According to the patient, she had an agreement with her boyfriend of which she agreed to increase her dose up to 55mgs as her boyfriend will closely monitor her recovery. The patient does not feel unsafe around her boyfriend as she reported. This writer strongly advised the patient that she has rights to her own recovery process because it's her in the recovery and seeking treatment, at which the patient agreed. But says, "I am fine with my current

Today is November seventeenth, this will be the first meeting with my new client Jill. She has an extensive criminal background due to the fact that she was caught shoplifting and under the influence on several occasions. At a later date, Jill was given a court date and failed to make an appearance. As a result of her failing to attend her court case, a warrant for her arrest was dispatched. Shortly after Jill’s warrant for her arrest was sent out she was caught speeding on Route eighty by a state trooper who then pulled Jill over. When, the officer scanned her license he discovered Jill 's warrant for arrest. On further inspection of Jill’s vehicle, the officer detected that she was in possession of various illegal substances and was then suspected of her herself being overwhelmingly intoxicated by such substances. Consequently, Jill was apprehended due to there being a warrant for her arrest in addition to her possession of drugs. As a result, of Jill being caught by the officer she has been forcefully stationed into the PHP program (Partial Hospitalization program). Which she will be spending half of her day counseling with various social workers such as myself. Meanwhile, the remainder of her day will be spent attending school under close supervision. If Jill refuses to make an appearance to these mandatory meetings there will be severe repercussions. Failure to attend will have her imprisoned in a juvenile detention center until she is of legal age to be relocated to a

D-The patient was advised that her bottles are in fact suspended due to the incident that occurred on 02/08/2017 of which the patient needs to accountability of taking a second dose of her methadone even though she has taken her methadone at home. The patient admits her accountability of her actions of taking the second dose. The patient then asked about how she can regained her take home bottles of which this writer explained the policy of take home bottles, referring to the reinstatement process. The patient is referred to attend the Take Home Bottle Group on 03/9/2017 to have her bottles reinstated. Then the patient shared that she wrote a grievance letter and still plans to submit it for the Program Director to review. Furthermore, this

Client has been successfully completed the Quest House program on 04/05/2017Client and counselor reviewed client treatment plan that was completed, and after careful review of his treatment plan. Client and counselor agreed that he needs learn how to set healthy boundary with the people around him . the client has trouble expressing his needs and getting them met. Client also agreed that he needs the he needs to learn how to self sufficient and live on his own. the also agreed that he need to learn to identify risky situation that will cause to relapse as his move further long in his recovery. Client will also want to go to sober living, but was not able because all sober living faclity are full.. After the reviewing client treatment

Robbie J. is a 19 year old African American male and at this time he is currently a freshman at Henderson County University. The client has been referred to this office by his school residential advisor and family doctor. The reason behind this is that the client has not been attending his college classes and has been caught drinking on campus by campus security three times in the past two months. His parents have been advised by the school that if the client doesn’t attend counseling sessions he will be asked to leave and not return back for the following academic school year. The client must attend five sessions and also join an A.A. group.

Relapse is highly prevalent following treatment for substance abuse, highlighting the need for more effective aftercare interventions. MBRP has the opportunity to improve treatment outcomes (Bowen, S., (2014). Roos et al., (2017) proposed an inverse relationship between treatment outcomes and the severity of Substance Use Disorder (SUD), with symptom severity effecting how much the individual benefited from MBRP treatment. Kelly, J. F., (2013) wrote that TAU, in this case 12-step participation before and after treatment, was able to build resistance to relapse among adults and adolescents. Research into treatment outcomes is essential when time and resources are limited. Information regarding treatment outcomes is clouded

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 “

Client is attended 10 out of 13 groups and missed 3 of them during the month of March, 2017. UA collected on 03/06 was positive for alcohol use. Client admitted 03/18/17 as his last day of alcohol use. Client appears to struggle to maintain his sobriety. Relapse prevention and ways to comply with treatment and court mendates were discussed. Client reported that he started taking Disulfiram 250 mg (Medication for alcoholism) on a daily basis to manage his cravings. Client also reported that he will try to attend self-help meeting daily. Client may benefit from a brief inpatient placement due to continued alcohol use.

Primary Counselor met with Pt. for his one hour monthly individual session. Pt. showed up late to this session. Counselor greeted him and asked him how he has been since last session. Pt. reported to be busy at work and he requested to reschedule this therapy session for tomorrow, 1/31/17. Counselor discussed why therapy is important for his recovery and encouraged him to don’t reschedule the session for tomorrow when he can do it today. Counselor stated, “Counseling is one of the keys to reaching his goals.” Pt. agreed to stay for the session, but this writer encouraged him to receive his dose of methadone before starting the session. After 5 minutes, Pt. returned to the office and agreed to sign his Record of Services sheet. Pt. stated that

D-The patient arrived to the clinic emotional and was advised to see this writer. According to the patient, she's upset about her DCF case, her supervised visit with her son that hasn't occurred yet, loss of employment, and owing $80. 00 for her rent. This writer provided support, validated the patient feelings, and encourages the patient to maintain contact with her attorney and to also, contact 211 for financial assistance. In addition, reach out to the court system to address the violation to her supervised visit as it is not being honored. During the remainder of the session, the patient provided an updated on her mental health provider whereas she is no longer going to Wheeler Clinic due to the travel distance. The patient signed an ROI

Just as relapse simple does not happen, neither does addiction. Addiction is quite readily accepted as a disease by the public and by professionals, and similar to the majority of diseases, its prevalence depends on a delicate dance of nature and nurture. Just as an individual that is predisposed to heart disease does not catch the disease by eating a single bag of potato chips, someone predisposed to alcoholism must develop a pattern of drinking before it reaches the severity of a “disorder.” The difficulty of avoiding and preventing relapse is wrapped up in all of these factors. While a person can unintentionally fall into alcoholism, it is much more difficult unintentionally fall out of it, and this is where John is struggling.

This essay is an evaluation of two counselling models applied to a situation where a client has experienced loss and how a counsellor can create a therapeutic relationship with the client using each counselling model. It will also contain other skills a counsellor could use to obtain/maintain a good therapeutic relationship with the client.

D-This writer met with the patient as she requested to see a Supervisor. According to the patient, she cannot stay to see her assigned counselor, Janice. When questioned as to why she is unable to see her counselor, the patient response was, " My mother is in a wheelchair and left alone with my son.....I have to go home." Supervisor reviewed the patient's alerts as the patient have a scheduled BAC and tested positive on 5/16/2017. This writer questioned the patient about this matter. The patient then says, " I am aware about this and the need to attend the alcohol group. I am willing to do the group session tomorrow." Supervisor called the patient assigned counselor to seek permission about releasing the HOLD on her behalf whereas it can be