Primary Counseling

I researched the Texas state laws and the Oregon state laws for the licensing of professional counselors. The Texas State Board of Examiners of Professional Counselors requires a graduate level degree, supervised practicum experience, passing score for the National Counselor Exam and the Texas Jurisprudence Exam, and an internship. Texas offers two levels of credentialing which are the Licensed Professional Counselor Intern (LPC-I) and the Licensed Professional Counselor (LPC). As a LPC-I, the person is allowed to practice as a counselor while gaining the experience and intern hours needed to be a Licensed Professional Counselor (Counseling licensure in Texas, 2015).

This paper is intended to educate those who almost nothing about heroin and those who use it. Many people have been associated with friends or families who have used some kind of drug. There are many people who have not had any contact with heroin users or if they have, don’t understand much about it. Using various sources about heroin to explain where it came from, how it is used, who uses it and how a person starts on the path towards heroin, preventing addiction, and global issues surrounding this drug. Although the topic of heroin is inexhaustible, it is my hope to spark reader’s curiosity. Knowledge of this drug might just help the reader join in on discussions about heroin.

There are a variety of treatment modalities, both conservative and emerging, that clinicians, therapists, and doctors use to treat heroin and opioid dependence. Cognitive behavioral therapy (CBT), motivational interviewing (MI), 12 step programs, and acceptance and commitment therapy (ACT) are just a few that have been used in the past, and even today, in the treatment of substance dependence. Medication-assisted treatment (MAT) is yet another form of therapy; particularly for opioid and heroin dependence, that has been around for decades. However, it has recently begun to spark interest and controversy in light of the growing epidemic.

Addiction is a disease that I will battle for the rest of my life. After being sexually assaulted at the age of twelve, I started to self-destruct. Lack of parental support, less than pristine living conditions, and an addictive personality paved an expressway to a life of addiction. I chose to hang with undesirable people, and was introduced to Marijuana, LSD, Ecstasy, PCP, Cocaine, Heroin and eventually what became the love of my life, the prescription painkiller Morphine. Never did I think that trying pot would have a domino effect. It led me to try harder and more addictive substances ultimately turning my life upside down. Often publicly

THESIS STATEMENT: To investigate Methadone maintenance is found to be more effective in treating heroin addiction than 180 day detoxification. The objective is how methadone maintenance, a widely used but controversial method of weaning heroin addicts off the drug—with counseling has psychosocially enriched 180 day methadone assisted detoxification.

Counselor flagged Pt. on the AMS computer system to meet with this writer before dosing. Pt. met with counselor discussed and completed an AMS Dose evaluation to increase her dosage of methadone because she isn’t feeling well and experiencing side effects. Counselor prompted Pt. to talk about her pregnancy, medical appointment and to schedule her monthly therapy session with this writer. Pt. reported that her pregnancy is going well and she is having a lot of appointments at the Bay health hospital in Dover, DE. Pt. stated that they can’t determine the baby sex because her baby has the legs cross. Counselor told pt. that the Bay Health Hospital has a good nicu care unit and professional doctors. Counselor asked Pt.is

There area unit synthetic heroin maintenance program pass by several North American nation and Canadian governments that area unit Those within the a hundred and eighty day detoxification program received one hundred twenty days of synthetic heroin treatment, followed by sixty days of synthetic heroin dose reduction till they were not taking synthetic heroin. They conjointly received a number of drug subject matter services. During the primary six months, participants were needed to attend 2 hours per week of habit psychotherapy, one hour per week of cocaine cluster therapy if they were found to even be obsessed with that drug, and a series of one- hour habit education categories command weekly. They conjointly attended weekly individual medical care sessions. throughout the last seven months of the study, participants were offered medical care treatment that enclosed weekly individual and psychotherapy and liaison services with the criminal justice system, medical clinics and work agencies. Also, the study found that those obsessed with cocaine were additional seemingly to drop out of the 180-day program than the synthetic heroin maintenance

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 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.

Patient didn't call or show up for his scheduled individual counseling session today at 7 am; however, he received his dose of methadone at the Clinic around 9 :30 am. This writer called pt.’s phone number on file to reschedule a mandatory individual session. Counselor will be flag pt. in the system to see counselor before dosing tomorrow, 12/15/16 to discuss his recovery progress, what the program expects of him at this stage and how to get the most of out

2.1 Million people in the United States suffer from a disorder relating back to the abuse of opiates. (America’s Addiction to Opioids: Heroin and Prescription Drug Abuse, Volkow). Opiates build a wall around your thoughts and every wall of your life. When this happens, their lack of communication is cut off leaving them alone and making them make difficult decisions on their own. (How Does it Feel to be Addicted to Opiates, Donnelly). The substance takes everything from you including your money, family, and sanity. Without these things in their life, most abusers believe they have nothing left to rely on (How Does it Feel to be Addicted to Opiates, Donnelly). When people become addicted, they worry that they will never be back to normal. The substance had such a strong effect on them that they forget how life was before the abuse (How Does it Feel to be Addicted to Opiates,

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.

For a person who is abusing heroin, two obstacles must be overcome for treatment to be a success. The short term effects of heroin treatment involve withdrawing from the drug. Because heroin creates such a strong physical dependence, an addict will often continue taking the drug in order to ward off the physical pain of withdrawal symptoms. The second obstruction is the ability to stay off the drug. “After detoxification, the long-term problem of drug dependence remains. The craving for heroin persists and the abuser most often has little choice but to return to a drug-orientated

Heroin addiction is a chronically relapsing disease, usually characterized by tendencies such as drug seeking, drug abuse, tolerance and physical dependence. Substance abuse disorders have increased the levels of morbidity and mortality and with a consequent significant increase in HIV spread across the globe. Heroin increases psychiatric disorders, especially with mood anxiety, impulse control, and imbalance –related disorders.

Because of the increase of heroin use, it is imperative that there be an aftercare for those recovering from Heroin addiction, and those that are risk or possibly have just used Heroin once or twice. The program will offer education & prevention, and for those who have gone through the primary treatment program, this will be the last step or maintenance (Girtz, 2013). The program will offer education and support with group and individual counseling with psychotherapists and licensed interns who are educated and experienced in the field of heroin and general opioid addiction; practicing cognitive-behavioral therapy (National Institute on Drug Abuse, 2014). Family Service Agency of Burbank (Family Service Agency of Burbank, n.d.) has a long-time existing counseling service that includes treating those that suffer with addictions as well as a domestic violence program. It will be very for the agency to incorporate this program, since the counselors are already on all middle and high school campuses, including those that are for high risk and home schooled teens that are required to take their exams at local high school campuses.