Tony is 39 years old. He is very manipulative and charming, but struggles with substance abuse issues. Tony has a history of incarceration and hospital stays. As a child he didn’t have the best upbringing. Tony suffered from substance abuse, anger issues, and PTSD from when he was a child. Tony carried those behaviors on with him through his adult life. From reviewing the case study I would diagnose Tony with Avoidant Personality Disorder. Tony also suffers from Co-Occurring issues as well.
Avoidant personality Disorder is strongly associated with anxiety disorders, and may also be associated with actual or felt rejection by parents or peers in childhood (Burton, 2012). If you completed an assessment with this client, what Biological, family, and cultural
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For example, are there concerns related to offering medication versus talk therapy? Cultural considerations in the presentation of symptoms, or which treatment options you select? First I would like to understand Tony’s background, and how he grew up. With was it like economically, and the area he grew up. Being an African American boy a lot of multicultural issues will surface. A lot of times African American’s aren’t educated about talk therapy, and will take the medication because that’s all they know. There is also a stigma against mental health treatment in the African American Culture. Since Tony didn’t undergo any mental health treatment as a child he decided to self-medicate. For treating Avoidant PD it would involve long-term psychotherapy, and then slowly specifying what the client actually needs treatment in. People who suffer with any type of personality disorders struggles with trusting anyone. So you have to slowly warm them up to different types of therapy. Therapist will prescribe medication to help with the anxiety and depression. Another treatment I would use would be CBT therapy to help the client understand what they are going
He grew up without a father, it was because of this loss that he often wondered what it would be like to have one. The fact that his own brother was hanging around the wrong people and falling deeper, and deeper into the world that demolishes any chances of a decent future for young people. A world full of violence, drugs, and imprisonment. Tony undoubtedly influenced Wes for the worst. This is obvious when the author writes, “To Wes, Tony was a “certified gangsta.”
1. Describe personal attributes you possess or life experiences you have had that will enable you to better understand patients with a culture different from your own. Please include your self-reflection on how this experience has changed your insights, beliefs, and/or values. (1000 characters)
1. Describe personal attributes you possess or life experiences you have had that will enable you to better understand patients with a culture different from your own. Please include your self-reflection on how this experience has changed your insights, beliefs, and/or values. (1000 characters)
Many assessments fail to gather much information on a broader multi-cultural spectrum, this assessment proves that its makers are interested in finding how multiple cultures deal with issues within their family when they may arise. The cultures and the languages that the FAD addresses include: English, Arabic, Armenian, Chinese, French, Dutch, Hungarian, Italian, Japanese, Spanish, Thai, and Turkish. This assessment is made to be completed within a 10-15 minute time frame and is made to be scored within the same amount of time it takes to administer the assessment. This is a self-reporting assessment which can pose the risk of a client not being entirely truthful while completing the assessment however; when this assessment is given it is typically given to the entire family to identify what each individual family member is feeling to ensure that an effective treatment plan is put into place for the clients. This assessment should be completed before the family begins treatment and according to Whiston (2013) when making a treatment plan we have to consider the degree that the problem is affecting the client, the environmental or social factors that are contributing to the clients problems, the clients strengths, as well as should cultural issues
One of the biggest cultural issues encountered with the client is her lack of understanding about the health care systems and medical treatments needed for her son. In the past she has
He is extra sensitive to find his place in the world, as he is trapped between two competing cultural visions. Antonio is in search of role models to follow as he embarks on a quest for his destiny. In the process in finding himself Tony serves as the apprentice to Ultima the curandera, and Tony adapts to going to school, learning about his Christian faith, and an eyewitnesses some fatal events. Along the way on Tony’s path with Ultima he finds that there are so many clues to the answers to his questions. Answers that are incited by his dreams and I think this is why he has difficulties understanding the world around him.
However, it is important to note that like all medication, prescription drugs should only be used under very particular circumstances. Prescriptions should only be made for specific problems suffered by an individual, making such an option less viable to the general patient and more specifically tailored to particular scenarios (Grohol, 2015). The reason why it is hard to offer Mozart a specific medication is because the composer may be prone to sedative drug abuse and overdose, as he had a well-documented drinking problem (Schaffer, 1984). However, if medication were a viable choice, anti-anxiety agents and antidepressants may be prescribed to Mozart in conjunction with effective psychotherapy to help reduce anxiety issues or physical complaints that led to his dependency on his father, wife, and other close composers. Therefore, anti-anxiety drugs such as Xanax, Klonopin, and Buspirone are common medication registered today for individuals suffering from dependent personality disorders, whereas antidepressants such as Prozac, a common selective serotonin reuptake inhibitor, is used as an additional form of medical treatment (Bornstein, 2007). Hopefully, the use of medication in conjunction to psychotherapy, Mozart will be able to make his own decisions without excessive advice and reassurance, or be able to initiate projects and compositions without needing approval of other
Ronny is a 46-year-old white male who present to CRU from RRC-W on ACOT for PAD. He was amended by his OP clinic, Life Behavioral Wellness, for not complying with the terms of the order and treatment plan. Per collateral, Ronny has a hx of violent behavior including pulling knives on people and stabbing. According to his OP psychiatrist, Diana Havill, MD, Ronny pulled a knife on a pregnant woman. He also have a history of self-harm including attempted hanging. Patient is cooperative during admission, and answered all questions. He has a PMH of HTN, Asthma, TB, seizures, and Brain surgery (infant). His vital signs were WNLs. Patient will benefit from medication
Cultures considerably have different views of time and space, roles of men and women, concepts of class and status, language, rituals, and beliefs about health and treatment. It is SLP responsibility to accurately diagnose, establish appropriate treatment, and motivate with a recommended course of treatment. However, cultural beliefs will affect how they view, describe, duration, and evaluate the care provided. When multiple family members are involved, it may cause difficulties to determine which individual is responsible for making decisions regarding the client care. This may lead to disagreement and conflict between family and SLP, about decisions on the course of treatment, which may not be the best course for the client.
Social Data-Ask the client who helps them during times of stress? What effects have your illnesses had on the family and are there any family problems affecting your illness? Do you have any religion or beliefs that could affect your health or recovery? Moreover, find out about the client’s education.
Goals of therapy: treat symptoms, control problematic behavior, and to safely express what event caused this condition
In the treatment, I would provide structured sessions that are short in durations and with activities she chooses. During the sessions, I would reinforce the processes that are dysfunctional and attempt to create changes through an interpersonal approach. “Interventions should be concrete and tangible, and activities should be short term, simple and success enhancing” (MacRae, 2013, p. 238). Once the client has made changes to her processes then group treatments will be attempted to help reinforce the new beliefs, attributions, and appraisals she has with others that may have a similar diagnosis. In order to get her to come to these groups, I would reemphasize all the positive appraisals, attributions, and beliefs about herself during each session and also that others will also have the same thoughts about her. Another strategy is to have her engage in group treatment for shorter time span than gradually increase the time exposure based on her willingness. Exposure therapy enables an individual to weaken fears and avoidant behaviors (Cara & MacRae, 2013). The group can give her a sense of support and increase her ability to
Alcohol and opiate abuse is often collectively referred to as substance abuse. Addiction to alcohol and opiates can have debilitating effects on individuals, their families, and the society. Although there is significant awareness of repercussions related to substance abuse, this problem persists in the United States (U.S.). Primary care providers (PCP) can treat alcohol abuse management and with additional training they can also treat opiate abuse (Uphold & Graham, 2013).
It is important to note that culture intertwine with intervention strategies. Culture are may have a vital role in the intervention strategies. For example, Indian parents were more likely to notice social issues with the client more than Americans (). Another important aspect to examine when thinking about culture and intervention is the way symptoms are interpreted. According to, Pacific islanders and African Americans are less likely to agree with symptoms as disorders than Caucasian Americans, and effects whether the client’s caregivers choose to use interventions at all. Another important aspect
They are diverse linguistic and religious backgrounds, varied health beliefs