The road to recovery is one that many who have substance abuse problems might not like to consider at first. However, clinicians should be aware of what stage of change their client is in. Thus, the clinicians should listen attentively to what the client is saying because of the cues that will help determine the stage of change and how the clinician should approach the client. This being said, this essay will present Melissa’s case, discuss strategies to motivate change, adversity that she will encounter, and provide examples of how through motivational interviewing the ambivalence can be counteracted. To start with, the case will be focused on Melissa a thirty-two year old Caucasian female who by her own admission stated she uses marijuana on occasions. She reports that she was arrested and charged with driving while intoxicated (DWI) recently. The officer who arrested her found marijuana and cocaine in her vehicle. Melissa was mandated to complete a drug treatment after her stay in jail. On the …show more content…
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. Coupled with the fact that in order to protect her recovery progress she will be asked to deter from places and people who could put her recovery in
She said her criminal activity was directly related to her relationship with a man, with whom she no longer is involved. She said she previously had no knowledge of drugs and did not realize that by participating in the transaction she was committing a
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
Additionally, management of money and life skills should be addressed in conjunction with fair drug abuse, as issues gradually erupt the addicted female begins to address their issues and gradually prepares for them systematically as she begins to transition to independence he in her communal environment the critical component of treatment includes the psychosocial evaluation, treatment planning, individual and group counseling, psychoeducation and interactive group therapy. If all of these are used in conjunction with cognitive behavioral and other therapeutic approaches to treatment inclusive of 12-step concepts. Reference If these board concepts are addressed thoroughly in treatment the chemically addicted female can develop a solid foundation in which to learn to address and cold with her many issues. Not only has the responsibility been placed on the treatment environment, communal environment, but also much of the responsibility has been placed on the individual. This becomes essentially a valuable tool then the addicted woman can learn to set responsibility for herself give back to her community while building skills and self-esteem that help her gradually improve her own life. Reference
The client stated that due to his addiction, he would place himself in dangerous situations. The client has been able to identify previously unknown triggers that lead to relapse. For example, the client stated that he would drink large amounts of alcohol because it "wasn’t my drug of choice". The client soon relapsed on his drug of choice. The client stated, "I never thought about why I relapsed before". The client expressed the importance of aftercare to maintain long-term sobriety. The client attends weekly AA/NA and Big Book meetings in the PWC ADC. The client will continue to work on identifying and developing healthy coping skills, learning and building an awareness of triggers, understanding the importance of aftercare, and working on a relapse prevention
She participated in many risky situations that could have gotten her in a lot of trouble. For example once her license was suspended she would continue "casually" meeting patients at a park to talk. Although this was beneficial for the patients, who were in the midst of a crisis, without a license she could get into a lot of trouble providing therapy for them. She would also help children behind there parents back. If a parent
Substance abuse is a tragedy that touches many lives. Abuse begins with a single use event that, with continued use and overindulgence, transforms into a battle. The abuser most always loses that battle. Personal relationships, social ties, and employment suffers. Irresponsible and erratic behavior becomes the norm, and though the abuser is aware on some level of the reckless and thoughtless acts that they commit, they continue to use and abuse their drug of choice. What starts as experimentation often ends in addiction. The best hope for a person in the grips of substance abuse is immediate,
According to page 225, substance abuse is a maladaptive pattern of substance use that results in recurrent and significant negative consequences of substance use. What the Elyn Saks’ and Joanna Hari’s perspective add to my conceptualization of psychiatric conditions and substance abuse and treatment implications is that it has helped me recognize the link between substance abuse and psychiatric conditions. It can be difficult to diagnose certain types of substance abuse and mental illness. I found the video on motivational interviewing to be educational. Much of health care today involves client-provider relationships with providers helping the client. The motivational interview is a structured intervention designed to motivate the patient.
These factors imply that she is still in the contemplation stage according The Six Stages of Change in Addiction Recovery (Van Wormer & Davis, 2013). She will require developing of healthy and successful coping skills to address her substance use and inability to reduce her use. Jasmin’s social supports should be highlighted and integrated in her treatment to
So how does an addicted individual escape addiction? Miller (1998) argues that there can be a sudden shift in how the person perceives the pros and cons of their behavior. This is often seen over time as the suffering directly attached to the addiction increases and the ratio of pros and cons shifts. Through motivational interviewing, Miller suggests that therapists and other helping professionals can lend clients another perspective, a mirror image of themselves, so as to increase the client's conception of the consequences and saliency of their
DATA: Today’s group has been facilitated by Kirsten again, and includes relapse, what it is, and how each client can prevent it. Being that relapse is a process, it is an ongoing situation that can be interrupted, rather than a static event that is over and cannot be changed. It involves the individual reverting to old attitudes, beliefs, values, and risk behaviors. These are part of a progressive pattern, and will worsen until the process is interrupted or changed. Relapse is not a sign of failure, and, at times, may be part of the recovery process. There are times when individuals are more vulnerable to relapse, specifically, when they are too hungry, angry, lonely, or tired (HALT), and need to be aware of this vulnerability, and take
For those who suffer from substance abuse, there are often groups and programs created to help maintain sobriety, learn life lessons, relapse avoidance, and NA/AA groups, geared to work with both the mental illness as well as the addiction. In these clinics and facilities, there are often medication evaluations and consultations available, to monitor and help maintain medication adherence, and broaden understanding of the particular medications taken by patients. This
The client, Maria received a score of nineteen on her Alcohol Screening Questionnaire (AUDIT). Maria’s score can be interpreted as being in zone three which is considered harmful. The appropriate action for the aforementioned zone is a brief intervention or referral to specialized treatment. The intervention process is a procedure that is used to highlight how problematic alcohol use can be in one’s life. After the client and social worker’s realization of the frequency and seriousness of the patient’s alcohol use, it is advantageous to formulate a plan to lessen alcohol usage. Motivational Interviewing is a method that can be used in counseling sessions which encourages the client to become a motivated participator of change by identifying, exploring, and resolving he or she’s ambivalence towards their damaging behavior [PowerPoint Slides]. MI is collaborative and client-centered thus the patient can contribute to their planned change process. The process of MI involves appealing to, concentrating on, evoking, and lastly, planning with the patient. Subsequent steps of MI are reflection, summarization, and exploring inconsistencies [PowerPoint Slides]. Shifting gears,
Motivational Interviewing (MI) refers to a client centred counselling approach, which is directed to enhance motivation in an individual for behaviour change Miller & Rollnick (as cited in Christopher & Dougher, 2009). MI as a method understands and accepts that the clients are at different levels of readiness to change their behavior. It consistently focuses on goals to prepare the client for transformation by providing motivation for commitment to change (Bricker & Tollison, 2011) in the domains of substance abuse, addiction and risky health problems. It proceeds to make the client aware of the causes, consequences and risks that could be a result of the behavior. Through this, the client foresees the possibilities of enhancement and becomes motivated to achieve it (Jenson, Cushing, Aylward, Craig, Sorell & Steel, 2011). MI is coherent with the
The third and final stage of recovery is known as late recovery, and involves a client finding growth and meaning in life. In this stage, relapse may be less frequent as a sense of purpose is found. As this stage is found only by enduring great challenges, a client may not be as tempted by relapse and the act of back tracking in their recovery may seem tiresome and unworthy of their time. However, though a deep awareness of the consequences of substance abuse is profound, relapse is still possible if an addict forgets that he or she has a disease that is incurable and succumbs to the enticement of “just this one time can’t hurt” or has the thought that “I have been clean for so long. I am cured.” Bill W. stated in his book Alcoholics Anonymous that “This is the baffling feature of alcoholism as we know it-this utter inability to leave it alone, no matter how great the necessity or the wish” (pg. 34). Complete abstinence is the only choice for those with the disease of addiction, and so many recovering addicts forget this simple realization in the late recovery stage.
Detox programs are a gateway into the formal rehabilitation treatment process, which means the patients’ needs other forms of rehabilitation to help the client not to relapse (Doweiko, 2015). When a client is finished with their detox or rehabilitation program, they are plagued with withdrawals or cravings for their particular drug. A drug craving is an intense, subjective, emotional, and physical experience for the individual that varies in intensity between individuals (Doweiko, 2015). This cravings can be easily triggered by various things such as a specific smell, a hard day at work, or even an internal stimulus. Once released from the program, Rosa Lee will have to remember to not fall into the temptation of her cravings for illicit