Scenario 1: Michael Michael is being forced to look at his lifestyle choices. How he feels about making changes, how he feels about treatment, previous treatment may have an impact on his willingness to engage. What change is Michael willing to make regarding his drinking and behaviour? Because of previous similar convictions, he may face a more severe sentence including prison, this may be dependent on his willingness to actively participate in treatment. How Michael feels about his behaviour i.e. guilt or indifference will also impact on treatment needs. . Would he have support outside what the service has to offer? I.e. close relationships who may have more positive influences on his behaviour. Michael’s actions towards change may mean social exclusion, friendships and relationships may end. What were his relationships like before his drink related behaviour? Does Michael feel his relationships with his girlfriend and parents are repairable if he takes steps towards change? Michael seems to have mental health issues i.e. depression, this shows in his lack of interest for things he previously enjoyed, his relationships are suffering which may also have an impact on his mental state. Poor nutrition will also effect Michael’s motivation, energy levels metal and physical health. Does Michael have any other psychological or/and physical health issues? How does Michael handle withdrawal? Is Michael ever physically or verbally abusive? Michael’s present situation in regards
Michael had some failures and obstacles in his life so far. Michael wanted to be a professional hockey player but he couldn’t because he was too small in height and he never grew large enough to play (Mills). In 1991, Michael was diagnosed with Parkinson’s disease. He had a rough time dealing with it and he kept it as a secret for 7 sevens until he told the public in 1998 in New York
Michael was brought up in poor project housing that was consumed by drugs, alcohol, and gangs. He was pushed in and out of foster homes forcefully being separated from his mother and siblings. As the movie showed in harsh flashbacks, Michael is deeply affected by the forceful separation from his mother. This constant absence from the mother or other supportive figures leaves Michael unable to make a secure attachment to any strong base. Erikson’s stage of trust versus mistrust is displayed due to Michael’s inability to count on the kindness and compassion of others which leads him to withdraw from his surroundings (p 248). This abrupt memory in life affects Michael in his idea of family and commitment. The harsh environment also kept Michael from attending school, and the times he did there was no support for him to even try in school.
Michael suffers great depression since his dog Ked died. Most of his family and other colleagues address him to see if he is through with Ked’s death, but really he was depressed all along. “I can't tell how sad i really am about Keds versus how sad i am in general”(Cameron 223). In addition, Michael gets sad of unusual things. “I can picture her eating a banana in her tiny office. This, too, makes me sad”(226). Michael gets depressed about Mrs. Dietrich being alone. Also, Michael gets heartbroken about other little things. “I think of her learning to write beautifully as a child and then growing up to be a guidance counsellor, and this makes me unhappy”(227). Michael is not just depressed of his dogs death, but every little problems in his life.
This clinician would recommend that Jared get enrolled into an outpatient program for his depression and his alcoholism. Jared just completed an inpatient treatment facility and he needs more stabilization to build upon his sobriety. This clinician would also recommend that Jared attend Alcoholics Anonymous (AA) meetings to reinforce the outpatient treatment. The AA meetings will reinforce the church activity that Jared is already attending, as AA is a spiritual program and welcomes everyone regardless of their sexual orientation, religions or lack of religions, or their ethnicity.
The Erikson’s developmental stage that Michael was in when the crisis occurred was the intimacy versus isolation stage. The way that the crisis had an influence on Michael’s coping with the developmental tasks of the intimacy versus isolation stage was that he mentioned in the book that he still continued to isolate himself from his wife and son. While dealing with Parkinson’s disease and quitting alcohol, he did not meet those tasks because he would try to keep himself busy at all times by accepting new movie roles or doing other activities like exercise but not dedicating himself to his family. Being diagnosed with Parkinson’s disease, he didn’t know how to act around them so he kind of stayed in this shell where he didn’t let anyone in on
As a young child Michael suffered abuse and enforcement to succeed by his father. Michael has said that this has affected his physical development as there had been times when his father would come to see him and he would be sick. This was just from the fear he had of his father hurting him if he did not do well.
Although, PO appears to be aware and understand how alcohol and drug use negatively impact him physically and mentally, he is not yet implementing recommended changes. Further family work, anger management, education about addiction, and abstinent from alcohol and all mind-altering substances therefore are required to increase PO's readiness to change.
However, I feel that most of the problems and goals can be achieved, however, John has to work at them and be encouraged, supported, and helped through this journey which includes having outside services and resources available to achieve his goals. In addition, once John is motivated this will allow him to overcome obstacles and barriers to achieve his goals, however, I feel that if he had socials supports from friends, family, and ex-military buddies this would help him a great
The mental health services Jared should utilize should be flexible but focused in nature. It should also include aftercare in order to provide Jared and his partner, Kyle, support with adjusting to life outside of an in-patient alcohol treatment center. For example, a component of Jared’s treatment should include on-going alcohol treatment in the form of group support. An example of this type of support is the 12-step program called Alcoholics Anonymous (AA). According to Erford (2014), AA is comprised individuals who wish to lead a sober life. The program also includes a non-religious, spiritual component that has no religious affiliation.
Based on this disclosure and admission, I was able to begin my work. I reinforced what the treatment center began to implement, the 12 Steps of Alcoholics Anonymous. We created a structured schedule of meetings and the 12-step work began. Weekly he came to therapy and we “sparred” back and forth of his lack of interest and motivation on the program. It became clear to me that I was not making any headway on this type of counseling and my client could be in danger of relapse. I suggested over and over the vital importance of this activity. It was frustrating, because although he recently achieved two years of abstinence, I feared he was only “Dry.” Without the daily maintenance of a, “spiritual program.”
Michael’s childhood was not so good, his mother Denise Oher childhood was not any better. Denise Other father was murdered in his bed when she was a little girl. Her mother was addicted to drugs and was in and out of her life. Dee Dee had six kids in the span of five years, Michael was one of twelve kids. She became addicted to alcohol and crack cocaine, and did not spend anywasme with her kids. Michael father, Michael Jerome Williams Sr was in and out of prison till one day he was murdered inside prison Michael’s senior year in high school. Michael was placed in foster care at the age of just seven. Michael would sometimes run away leaving homeless sometimes.
The characteristics that I choose that represent Michael’s behavior are, an unhealthy dependence on the relationship, poor communication, difficulty identifying feelings and difficulty adjusting to change. Michael showed unhealthy dependence on the relationship during Alice’s recovery when
Firstly I would like to give a brief overview of the case study; John is a twenty-seven year old man who has recently been diagnosed with depression. John was raised in a poor inner-city area and left school with no qualifications, the school was rated as inadequate by ofsted and qualification rates fell below the national benchmark. John was solely raised by his mother as his father left when he was six; he had no further contact with his father. John became involved in antisocial behaviour and crime at the age of fourteen and received an eight month custodial sentence for burglary and selling cannabis. John attended an apprentice but struggled to hold down long term regular employment. His mother moved away and it is difficult for him to see her, john continues to use drugs and alcohol and was
“All behavior is our constant attempt to reduce the difference between what we want (the pictures in our heads) and what we actually have (the way we situations in the world)” (Glasser, p. 32, 1932). If Michael and Taylor do not make a life change they will be incapable of forming a relationship outside of the current sibling one they hold. Taylor screaming at Michael when he addresses the issue of her HIV is a sign of denial and embarrassment. Because she chooses not to move forward from her divorce she will continue to live an unhealthy lifestyle and struggle to find her self-identity and self-worth. Her role in life will always be that of a helpless child. Michael consciously chooses to change his diet in moderation showing improvement and change.
his therapy sessions, within time, Will evaluates his relationships with the people he is close