Patient Name: A Case Study Of Group Therapy And Relaxation Therapy

D-Met with the patient as the Women's Group was cancelled due to low attendance. This writer addressed with the patient about her AWOL status, at which the patient started to get emotional as she is struggling with transportation, borrowing her mother's car, her husband is still having issues getting into the Hartford Dispensary-tested postiive for methadone, and too much stressors in her life, which is causing the patient to not eat. This writer validated the patient's feelings, provided support, and made suggestions. The patient admits to relapsing yesterday by purchasing 10 bags of heroin, but using 6 and gave her husband 4 bags-use of method was IV. The patient feels guility of using, but her stress factors are overbearing her recovery process and the patient struggles with coping. She then says, " When I come to the Women's Group, I feel good....I was hoping there was going to be group today....I don't know." This writer provided empowerment and encouragement to the patient to focus on her recovery process and proceeded to discuss risk factors of what she will lose.

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

This writer met with the patient to address her non-compliance with treatment, referring to her attendance to the cocaine group and her AWOLs. This writer explained to the patient about the purpose of the clinical intervention as the patient continues to test positive for cocaine, opiates, and fentanyl. The patient appeared to be surprised to learn about the fentanyl results in her UA's and believes that her "dope" could have been laced. The patient is aware of her non-compliance and made excuses by reporting that she tends to oversleep as she often times cannot hear her alarm from her cellphone. In addition, when the patient AWOL from the clinic, she tends to relapse and her most recent was relapse was on 5/29/2017-3 bags of heroin by inhalation.

D-The patient reports he is not stable at his current dose to the point he want to taper off. He expressed the need to want to get off on methadone. This writer listened to the patient vent about issues in his personal life and problematic issues with his transportation to ensure he dose daily. This writer then proceeded to discuss with the patient as to why he had entered treatment, his aspiration for his recovery process, and addressing alternatives to his barriers. The patient then reports he hasn't used any illicit drugs for three days, at which this writer commended the patient. When asked about what strategies to used to refrain from illicit drugs, he reports keeping himself busy and continue to care for his parents. The patient was

Drug and chemical abuse affect many families and that particular family that lives through a loved one who is an addict and the priority is to get help for the individual. In any intervention that involves drug addicts, a family's disposition is very important. Full recovery of any drug addict involves the restoration of the person's life as well as ensuring that those who are around the addict have the best ability when it comes to helping with abstinence which is a long-term goal. Abusers are often in denial or even believe that they are totally in control of their use of drugs

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

There is not one treatment intervention that will solve all issues. Therefore, we have to be able to evaluate each situation uniquely. Treatment intervention can involve the use of prescription drugs in order to limit the outcomes of any condition. Good interventions include good monitoring procedures, follow-ups, and support. One treatment that works for an individual may not necessarily work for the next person. The purpose of the intervention is to break a negative cycle that has become destructive to an individual. Most of the individuals that undergo an intervention will begin with a slight condition of denial. The chemical dependency on any type of drug can be detrimental to an individual and his or her family. The situation in case one, dealing with the 18 year old high school student, would be an appropriate person to implement into a treatment intervention because he will need the additional support and medical support in order to overcome his addiction.

The client for this paper is a twenty-seven-year-old single mother to a six-year-old son. The client was raised in a hardworking middle class family in which her father built a successful business. Her parents divorced when she was ten years old, and she reports she never heard them argue before they announced to the family they were separating. The client describes the divorce as “ugly.” She started smoking marijuana with her friends at the age of fourteen which led to her opioid intravenous addiction by the age of eighteen. The client’s drug of choice is hydrocodone. She admits she has never tried to abstain from her drug use and has been arrested over twelve times as a result of her addiction. Her last drug charge resulted in a six-year prison sentence at the age of twenty-three. The client is currently court ordered to successfully complete an in-patient drug treatment program for up to eighteen months. If she successfully completes the program, she will be released two years early from her sentence. The client has been diagnosed with 304.00 (F11.20) Opioid Use Disorder – Severe which continues to make her eligible for treatment. Client is Hepatitis C positive.

Mr. HR just went through a major surgery after a car accident. His friend, also the driver, died in the accident. More assessment and screening are needed due to Mr. HR might feel shocked, traumatized, depressed and might also feel guilty for his friend’s death. These factors contribute the chance of relapse. Therefore, the relapse prevention is a very important issue of substance abuse that the NP should discuss with Mr. HR and his girlfriend.

I don’t know what to do. No matter what I am doing never satisfied her.” Client reported participating in self-help meeting regularly and will continue to do so. Verification of self-help meeting attendance was provided. No other problem was identified. Reviewed initial ISP dated on 03/19/2018, to identify new ideas about addiction and learn to practice coping skills, reported still working on completing the ISP. Reviewed ISP dated on 03/26/2018, to maintain sober and not to use drugs and alcohol. Reported that he has not started working on it yet. Both ISPs were extended for 04/25/2018. ISPs are continued to be monitored. No new ISP was developed at this time. Discussed relationship issues, and assisted client to understand the importance to have health boundaries with oneself and others. Discussed the reasons to complete ISP on time and to abstain from alcohol and drug with client. Discussed personal

Everyday more and more treatment options and medications are being used to help to combat the world of drug abuse and addiction. According to the CDC about 980,000 people in the United States are abusing some form of opiates, weather it is pills or heroin. One of the newer trends of treatment that is now being used and growing rapidly is Medical Assisted Treatment (MEDICAL ASSISTED TREATMENT). As with any treatment or medication therapy there are the medical benefits and also the medical downsides. Medical Assisted Treatment was intended to help prevent people from continuing their drug abuse, but is now not only helping people but is also turning into an abused drug itself. ‘

The Specialization chosen is addiction counseling. This paper will cover the key aspects of addiction counseling which include biological, psychological and physical aspects. As well as medical and social aspects of addiction and counseling. Addiction counseling must adhere to strict ethical codes, and the counselors need to have an understanding of addiction, and have knowledge in the various types of treatment programs. Other key aspects that are important in this specialization are the application to practice, and most important professional readiness. Addiction counseling differs from other specializations because it requires long-term care and treatment, and requires more than one form of treatment within individuals. Treating

Drug addiction is one of the many problems that is prevalent world-wide. An even bigger uphill battle that comes with drug addiction is the ethics behind rehabilitation and treatment. Heroin is one of the most controversial illicit drugs in regards to its use and its treatment. Treatments such as methadone maintenance, LAAM(Levomethadyl acetate) and naltrexone have definitely raised questions in terms of their effectiveness in combatting heroin/opiate addiction. This essay will be a comparative on the different treatments and how naltrexone is the most effective treatment that can help individuals overcome heroin addiction.

Depression in late life is very common, particularly in older adults who are moving in to a different phase of their lives. They may experience a loss of a job, death of a spouse, empty nest, or a move that has taken them away from their social network. Geriatric depression is expensive for everyone involved, from the seniors who suffer not only mentally but physically from its effects to the increased use of health services such as emergency room visits. Suicide is also a consequence of depression in seniors. Sometimes depression is not diagnosed properly because its physical symptoms can mimic other illnesses. Many women, ages 55 and up, experience feelings of loneliness, isolation and do not know what to do now that they are in this new stage in their life; not working etc. Is the women’s group effective in helping members overcome feelings of depression and isolation?

Drug and alcohol addiction is a very serious and widespread problem in America, and across the globe. Drug addiction is a constant craving, seeking, and using of a substance, despite the negative consequences it may have on the addict or those around them. When drug use becomes more frequent, it is considered drug abuse. Once an individual’s drug abuse is can no longer be controlled, and they are using the drug to get through everyday life, it beomes an addiction. A person on drugs has an altered way of thinking, behaving, and perceiving. There are treatment facilities all over the world dedicated to help those suffering with drug addictions. All