Counselor's Relapse Case Study

In relation to drug abuse, relapse is resuming the use of a chemical substance or drug after a period of abstinence. The term can be said to be a landmark feature of a combination of substance abuse and substance independence. The propensity for dependency, repeated use, and tendencies that take the form of the substance being used, are some of the issues that drug users’ experience. Substances that enhance most severe tendencies in users and pose high pharmacological efficacy, are those that are cleared quickly from the body, in addition to those that bring out the highest tolerance. There can be increased substance tolerance with the increasing dependency in relation to drug in question,

Currently, I am a counselor in training at East Carolina University within the Department of Addictions and Rehabilitation Studies. Upon graduation, I will be pursuing licensure as a Clinical Addiction Specialist and a Professional Counselor. I am working at the Navigate Counseling Clinic, under the supervision of Qunesha Hinton, who also serves as my ECU doctoral student supervisor. My faculty supervisor is Shari Sias, Associate Professor, Substance Abuse and Clinical Counseling Program Director at East Carolina University (office number: 252-744-6304; email: siass@ecu.edu) and facility supervisor is Dr. Leigh Atherton at Navigate Counseling Clinic (office number: 252-744-6300; email: athertonw@ecu.edu) .

Substance abuse and addiction can impact every aspect of a person’s daily life, relationships, employment, and can have a profound impact on the user’s overall health. The certified professionals at the addiction treatment centers in Silver Spring, Maryland are uniquely qualified to mitigate the physical aspects of detox and withdrawl, but also help the individual to work through and resolve the many issues that evolve out of addiction. The addiction treatment centers in Baltimore, Maryland, and the surrounding area, offer inpatient services, outpatient care, and residential treatment options.

Objectives/Progress: As the Pt. has participated in the AMS program since 8/24/16 and he has been able to maintain abstinence from all illicit drugs for 6 months straight t. Pt.'s UDS has shown no evidence of drug use or lapse/relapse. Pt. is currently in the action stage of change as indicated by reminding himself of how much progress he has made and ability to change his behavior and achieve goals during the past quarter. He has currently obtained a full-time job as a shelving installer. Patient reports as scheduled to receive maintenance medication services as instructed by AMS Doctor and attends all mandatory one therapy session once a month. He continues to share his understanding of being powerless and unmanageable over his addiction. During the next quarter sessions, Counselor will support a realistic view of change through small steps.

Problem #5 Illicit opiate use Goal(s): To become drug free Status: Active Objectives/Progress: Pt. has not done well in achieving his goal of maintaining abstinence from all illicit substance use over the last quarter as evidenced by his positive UDS. Patient’s last urine screen results indicate that opiates have been used. Pt. reported that he was able to be clean from more than 30 days but he used drugs while walking through his neighborhood. Counselor expressed concern and disappointment about his recent relapse on heroin. During last month session, Pt. recognized the danger of the situation and how he will avoid the acquaintance that offered him drug. Pt. has failed to move to Phase 1 of the AMS of DE TX program due to his four positive UDS since entering the program on 7/6/16.Counselor will meet with Pt. to examine pt.'s motivation to stay clean, how to deal with triggers in order to achieve continued abstinence, to help him recover from his recent relapse and reenter the change process.

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

Problem # 5 Illicit opiate use Goal(s): to be free from illicit drugs. Status: Active Objectives/Progress: Pt. has struggled with continued use of illicit drugs (marijuana, opiates and amphetamines) and his last quarter UDS reflect a pattern of heavy substance use. Pt. was encouraged to work with the medical staff to achieve a stable dosing level. Pt. is regularly taking his medication as prescribed by AMS Doctor and he stated his current prescribed methadone 90 mg is working "well". During the last quarter, Pt. made progress on developing a therapeutic relationship with his new AMS counselor for the upcoming quarter. Also, Counselor focused therapy session on establishing rapport and building trust with him. Pt. is currently in the contemplation stage of change because he more open to receiving information about his negative habits and willing to use educational interventions which he agreed with this assessment. Pt. was reinforced for any statement that reflected acceptance of his chemical dependence and acknowledgment of the negative consequences that opiates has had on his life. During the upcoming quarter, Counselor will assist Pt. to discuss and weigh the pros and cons of continuing his addictive

These modern or alternative treatment techniques include options like recreational therapy, yoga, music and art therapy and dual diagnosis treatment. These treatment modalities are used to help patients regain the life skills and coping capabilities that may have been displaced while caught up in the cycle of addiction. This facility also focuses on family involvement in the treatment process through a formal family participation program. All of these options are available to experienced addiction counselors who are charged with developing tailored treatment programs for patients.

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

If recovering from drugs and alcohol is a process, then a relapse is an event. However, how a relapse is interpreted can be debated. In abstinence-based programs such as Narcotics Anonymous (NA), the basic text notes that relapse does occur and may be the result of an individual not following the program. If an individual stops following the basic principles of the NA program, old thoughts and behaviors may return which can lead to them to engage in the use of drugs or alcohol. Furthermore, the NA text suggests that these behaviors are “reservations” (p. 79) and because addiction is a disease, relapse can occur. As such, any individual who begins using drugs or alcohol again has relapsed. The basic text of NA describes relapse as a “reality” (p. 78) and states “It can and does happen”. When it does, the individual

Recommend Article Article Comments Print Article Share this article on Facebook Share this article on Twitter Share this article on Google+ Share this article on Linkedin Share this article on StumbleUpon Share this article on Delicious Share this article on Digg Share this article on Reddit Share this article on Pinterest

Motivation is one of the primary obstacles in getting an individual to participate in treatment and engage in the recovery process. Having worked in both inpatient and outpatient treatment facilities, I have experienced both motivated clients and unmotivated clients. Motivated clients enter treatment because they want to change their lives. Those who are motivated have acknowledged that their lives have become unmanageable and are looking to recover. By entering treatment they are seeking professional assistance to help them overcome their addiction and get their lives back on track. On the other hand, unmotivated clients may not necessarily be in denial about their problems, but quite frankly

According to the Center for Substance Abuse Treatment and the transtheoretical model of change, “for most people with substance abuse problems, recurrence of substance use is the rule not the exception” (Enhancing Motivation for Change, 1999, p. xvii). Relapse can and most likely will occur in recovery, and should be recognized as well as anticipated by substance abuse recovery counselors. The significant challenges to counselors are bringing a client successfully and securely through a relapse and eventually preventing relapse from occurring at all. For many, helping a client find faith in a higher power is an essential piece of the puzzle for overcoming addiction.

Counselor met with patient for his monthly individual session. In this session, Pt. expressed being bothered his family members interaction during his grandmother’s funeral and being worried about his mother. Pt. shared with this writer how few people show up and nobody when to see her been buried. Pt. reported that he, his wife and kids went to the funeral and observed her been buried. Pt. verbalized that he cried and his wife and kids were very upset. Primary Counselor assisted this Pt. with understanding that if you don’t ever deal with emotional pain, it never really goes away. Counselor encouraged Pt. to check on his mother everyday by calling her. Counselor inquired if he used heroin after the funeral, which he replied yes. Pt. shared that he used heroin by himself this past Friday around 7 pm. Counselor encouraged pt. to explore the reality of the relapse as a learning opportunity, to be aware of the justification he used to get permission to use and to use positive thoughts in order to not give up on his recovery. During session, Pt. received a call about new job offer installing solar panel in Rehoboth Beach, De. Counselor discussed with pt. that find about it was going to be recommend during this quarter tx suggestions due to being stress about financial issues. Pt. indicated that he is going to continue managing his Costal Construction Company. Pt. denied any suicidal ideation and mental health issues at the moment. Pt. reported that his current dosage of methadone is working well. Pt was advised to talk to his support person/sponsor and share his feelings at a meeting or with his peers during

In the physical stage, all the emotions have gotten the best of the individual who didn’t manage or notice all of their triggers. This has brought all of the justifications into the mind’s eye that they essentially have the power to “talk someone into using,” by making the ritual of indulging in substances an appealing choice. These phases act like dominos as they lead someone into a relapse situation. This is why it is crucial to recognize early on that the potential for relapse is strong when emotions or drifting thoughts begin to lead a person down a path they’ve already chosen and worked hard to