Nursing Approaches For Dual Diagnosis Patients

A clinical assessment is then conducted for treatment needs. Different treatment plans are made for each client. Individualized treatment plans are used to make referrals and they are updated periodically.”

Persons with common mental disorders such as schizophrenia have been deemed a danger to society, and substance abuse is known to be a contributing factor to this theory.

Individuals with a mental illness often turn to drugs or alcohol to reduce their symptoms, as opposed to or in addition to seeking treatment for their illness. This problem is much worse than previously imagined, with experts estimating 65 percent of prison inmates suffering from a dual diagnosis. The prevalence in the general population is likely very high also, thus anyone with a mental illness or substance abuse problem may find they need specialized care.

Recognizing that help is need is the first step toward sobriety. Once addicts realize that they need help, the next challenge is finding a New Haven heroin rehab center that suits their personal needs. While there are many treatment centers available, addicts and alcoholics need to find the right one if they want to recover. From looking for family programs to dual diagnosis treatment, the right treatment center will offer individualized treatment options that can be modified for each patient.

The practice that assist a therapist in determining a client diagnosis and the proper treatment plan that would resolve the issue surrounding the clinet’s diagnosis is Case Conceptualization and Treatment Planning. The clinet’s treatment plan must be appropriate and relational and this will alow any type of medication and adaptions to be adjusted if needed so that modifications and adaptations can be adjusted as needed (Altman, Briggs, Frankel, Gensler, and Pantone, 2002). The ultimate goal of case conceptualization and treatment planning is to discover complete findings in relation to the client. One approach is Existential Therapy. The human

During therapy, patients may or may not be receiving pharmacotherapy such as antidepressants. This is a clinical judgement best made by healthcare providers or treatment team responsible for patient’s care. Many mental health professionals refer CBT as the primary treatment than medications while other therapists incorporate CBT techniques into their practices along with medications. In a primary care setting, CBT is performed by certified CBT therapists or healthcare providers that are usually psychiatrists, psychologists, mental health nurses, social workers, counselors, physicians and occupational therapists who have received training and supervision in cognitive and behavioural therapy. After team and goal has been finalized, work begins on the first goal, using cognitive and behavioural skills to create awareness and effect change among seniors. Because many older adults are living independent or estranged from family, increasing behavioural engagement in everyday activities is

The National Institute on Drug Abuse is a government-based organization that makes it their goal to understand the causes of drug abuse as well as other factors that contribute to complete comprehension of the issue. On past studies in substance abuse regarding specifically mental health, the Institute states that “...people with severe mental illness were about 4 times more likely to be heavy alcohol users… and 4.6 times more likely to use... drugs at least 10 times in their lives” (“Severe mental” 1). These shown statistics prove that the chances of someone dealing with substance abuse are relatively higher if that person has a severe mental illness, rather than not have one at all. It can be concluded, in conjunction with these findings, that victims of the illness use these substances as a means of coping with their disorder. If McCandless had as severe of a mental illness as DID, it would be safe for one to assume that he would also abuse alcohol and drugs, as well.

In clinical setting, the case formulation guides a therapist how to structure the sessions and by prioritising the client’s core problems, give rise to a plan and choice of intervention. Case formulation is an element of an empirical hypothesis testing approach to clinical work and has three main elements which are assessment, formulation and intervention. The process of case formulation starts with an unstructured ‘problem list’ (Persons, 1989), then proceeds to look for common themes which could suggest underlying beliefs, schemas and early life experiences. This supports CBT in standing up against criticisms made by psychodynamic theorists which states that CBT deals only with symptom reduction, having no underlying rationale (Persons et al., 1996).

Substance abuse in people with co-occurring severe psychiatric disorders and substance abuse disorder contributes to worse prognosis. As well as more relapses and rehospitalizations, housing instability, impaired social functioning, homelessness. This includes legal problems as well. The advancement of combined treatment models that target both disorders at the same time by the same clinicians are ideal. Individuals with co-occurring mental illness, especially schizophrenia, and substance abuse problems are often non-compliant with treatment. They also have difficulty engaging in outpatient care. (K.T. Mueser 2013). In this paper, I will address co-occurring illness such as schizophrenia and substance abuse. Then, convey a suggested plan

The first nursing diagnosis based on the finding of my prior assessment would be, impaired urinary elimination, related to multiples causes, which is evidence by frequency, nocturia and urgency. One patient centered intervention would be to avoid any liquids after 6:00PM, and the use of a bedside urinal. The Second nursing diagnosis based on my assessment would be, disturbed sleep pattern, related to multiple causes, which is evidence by the verbalization of difficulty falling and staying asleep, reported fatigue and unsatisfied with the quality of sleep. One patient centered intervention would be, to explore and identify the reasons for sleep deprivation (Lippincott, 2017)

Case conceptualizations are critical tools that help therapists put a client’s problems and deficits into perspective. These documents serve as a resource to understand how current and past events contribute to a client’s problems and how to achieve the most effective treatment. In this conceptualization, I will be describing and interpreting Sharon’s problems to better understand her. After analysis, I will consider the best course of treatment for Sharon, and how she can get back to a healthy, happy lifestyle.

CBT is an integrated approach using various combinations of cognitive and behavioral modification interventions and techniques (Myers, 2005). The aim is to change maladaptive patterns of thinking and behaving that impact clients in the present (Weiten et al., 2009). From a cognitive behavioral perspective Jane would be diagnosed as having faulty thinking and dysfunctional behavioral issues suffering from depression, and anxiety in the form of Agoraphobia (Weiten et al., 2009).

Approximately 1 percent of the world’s population is affected by schizophrenia. This illness does not discriminate. The symptoms usually start between ages 16 and 30. Once an individual reaches the age of 45, it is rare that schizophrenia manifests. Schizophrenia seldom occurs in children; however, awareness of childhood-onset schizophrenia is increasing (The National Institute of Mental Health, 2009). The symptoms tend to effect men more severely than women and those who suffer from schizophrenia are known to have a higher risk of substance abuse and suicide rates. Approximately 10 percent of the schizophrenia communities commit suicide. The most common addiction shared by these individual is (The National Institute of Mental Health, 2009).

There are many multi-system diseases that affect numerous lives every day. One of those, known as preeclampsia, affects women who are pregnant. Because this disease can lead to death if not treated, nurses play a pivotal role in assessing, managing, and educating women with this disease.

CBT has shown to be as useful as antidepressant medication for individuals with depression and is superior in preventing relapse. Clients receiving CBT for all depression disorders are encouraged to schedule activities in order to increase the amount of pleasure they experience. In addition, depressed patients learn how to restructure negative thought patterns in order to interpret their environment in a less biased way. CBT for Bipolar Disorder and the high-risk depressed client is used as an adjunct to medication treatment and focuses on psychoeducation about the disorder and understanding cues and triggers for relapse. The client will have more reason to gain more confidence in them. Studies indicate