Substance abuse counseling assessment and intervention plan: Lisa
Therapy model
Substance abuse is one of the most difficult and intractable of mental illnesses to treat because it possesses both a physical and a mental component. The substances Lisa is currently abusing change her physical chemistry and cause withdrawal symptoms when they are not present in her body. Over time, they also change the way her brain experiences pleasure and pain.
Lisa has ingrained behavior patterns that have existed in her life since childhood which include using substance abuse to structure her day and cope with unpleasant stimuli and 'acting out' with rage. Although substance abuse may have biological origins, in terms of a genetic predisposition to addictive behavior, Lisa's belief in her need to fight as a way of dealing with conflict and to self-medicate with drugs, is, according to the cognitive therapy model, also a product of unproductive ways of thinking that have been 'learned' and thus can be unlearned. "Cognitive therapies provide a means for evaluating the reasons why an individual chooses to use substances and the affect or affects these actions can have on the individual's overall quality of life. In addition, it also provides a means whereby thoughts, values, and beliefs relating to substance abuse can be challenged and changed in instances where the client, with the therapist's assistance, finds a need to alter behaviors" (Cilente 2009). Cognitive behavioral therapy has
The choices he used to cope with his life events created his disorder. It almost seemed as inevitable for him to avoid this path because the cues that presented themselves were all just factors that amplified his poor mental health outcome. The biological indicator, the alcohol dependence for stress relief, and then the substance abuse that was evoked by the physicians were all measures that built on top of each other. The DSM-V categorizes substance use disorder as a combination of substance abuse and substance dependence. It is said that only two symptoms need to be apparent in order to be diagnosed with the disorder. Mark’s pharmacological effects of tolerance and withdraw of the pain medication are alone enough criteria for the diagnosis. In conclusion, Mark substance use disorder is a cluster oh his behavioral, cognitive, and physiological symptoms which resulted in his continue use of the substances despite the evident
The Global Criteria for the 12 Core Functions of the Substance Abuse Counselor, by John Herman, defines treatment planning as the process by which the counselor and client identify and rank problems, establish immediate and long-term goals, and decide on the treatment resources to be utilized. Treatment planning begins as soon as initial assessments are completed.
Substance abuse is a tragedy that touches many lives. Abuse begins with a single use event that, with continued use and overindulgence, transforms into a battle. The abuser most always loses that battle. Personal relationships, social ties, and employment suffers. Irresponsible and erratic behavior becomes the norm, and though the abuser is aware on some level of the reckless and thoughtless acts that they commit, they continue to use and abuse their drug of choice. What starts as experimentation often ends in addiction. The best hope for a person in the grips of substance abuse is immediate,
I want to start by saying I have appreciate your post for the past 7 weeks. I have tried to pick others but I always seem compelled to respond to yours. Substance Abuse Counselor are definitely needed these days. I am a product of two parents who have died of congestive heart failure because the use of drugs throughout their life. No one wants to lose a family member to this disease. I pray that you are able to help heel people along with utilizing God’s words. May you find your field rewarding and may your mind be strong to for those who need
However, many drug and substance abusers feel that their addiction is not a concern to their life and their own health. Hunnicutt states that, “addicts feel that they are being ganged up on or pushed into a corner without real possibility of success." Hunnicutt uses this quote to show that many addicts do not seek recovery even though their families bring the severity of addiction to their attention simply because the addict feels overwhelmed with the constraint of treatment and rules. Not only are addicts scared of just the treatment itself, but they genuinely cannot see themselves going without their drug/substance of their choice for a long period of time, ultimately causing the addict to refuse treatment. Susan Hunnicutt from Greenhaven Press also says,"addiction is almost inevitably accompanied by the addict's denial that there is a problem: "Most people, when they come down with a disease, will set about trying to find treatment for it”"Here is where chemical dependency distinguishes itself.... Chemical dependency is universally accompanied by an emotional syndrome that ... effectively blocks the consciousness that it exists."" Hunnicutt uses these definitions as proofs to enforce her argument that many addicts cannot
Statistical records don't lie when they present the number of people who abuse illicit substances. Some of them start in their teen years and become hooked on their chosen substances in the long run. The problem is that doing away with substance dependence can be challenging as the person experiences withdrawal symptoms as he tries to quit. This makes the whole process more difficult for them.
Despite some hesitance to reporting CRNAs with substance use disorder, depending on the state, individuals may have certain legal responsibilities to report an impaired colleague. According to the AANA, “States may hold colleagues responsible for harm to patients if they fail to report a coworker in whom substance use disorder is suspected” (2016). A chemically impaired provider might give inappropriate doses in an effort to divert some of the narcotic resulting in inadequate analgesia for the patient (Luck and Hedrick, 2004). Impairment of a colleague in the workplace can have harmful patient safety implications. Bringing a suspected colleague to the attention of a supervisor or someone who can help is an act of caring and concern, not
Michael Doe is a 21 year old methadone patient. He presented at a Methadone Treatment Center with a 3 year history of opioid prescription use (egg. Percocet).
There is no doubt that college campuses are filled with alcohol and parties. Many students engage in alcohol consumption and some also use drugs. Although alcohol use is widely accepted in the college student population there are intervention plans attempting to limit alcohol consumption to protect students from the negative consequences associated with alcohol abuse. This is a compilation of a few different behavioral intervention strategies for reducing alcohol consumption in college age students. According to Dr. Amaro of the Institute on Urban Research at Northeastern University in Boston, Massachusetts and Reed, Rowe, Picci, Mantella, and Prado, (2010), implementation of the “Brief Alcohol Screening and Intervention for College Students (BASICS)” can be linked to safer drinking practices among college students (2010). Two of the articles used for this research are about brief intervention strategies for college students. There was an interesting theory based intervention strategy, whose goal was to reduce pre-drinking (Caudwell, Mullan, Hagger, 2016). Pre-drinking is the act of drinking before going to the planned event for the night. Electronic interventions were also a mentioned method. One case study utilized an alternative counseling protocol with a combination of a brief intervention strategy as well. Self-monitoring interventions are a useful way to
Individual Therapy for Jeff. The counselor would initially focus of Jeff’s alcohol addiction Counselor would use Cognitive Behavioral Therapy and Person-Centered therapy to address Jeff’s alcohol addiction, depression, and anxiety, erratic behavior. The counselor would also refer Jeff to the Psychiatrist for medications for depression. The Counselor would get more information about Jeff’s alcoholism- frequency, quantity, physical problems due to alcohol. The counselor would help Jeff to recognize problematic behaviors and help guide him into recovery and empowered Jeff to take action and change his behaviors. The counselor would teach Jeff how to break the addictive cycle and establish total abstinence from all mood-altering drugs. The counselor
The prevalence of substance abuse and dependence in today’s society is alarming and to find effective treatments for those suffering from addiction is crucial yet challenging. The high rates of relapse in traditional treatments suggest its low effectiveness and therefore the need for the development and utilization of more successful and alternative programs. The authors of the article “Revisiting Holistic Interventions in Substance Abuse Treatment” consider the inclusion of holistic interventions such as expressive therapy into treatment plans. The holistic approach and the importance of treating all aspects of the person are explained along with the specific benefits and advantages of the art and dance movement therapy and its significant
To become an effective substance abuse counselor, there are six key points which include: knowing the principles of MI, being able to help strengthen a client’s coping skills, being able to utilize OARS, understanding Thomas Gordon’s Twelve Roadblocks, being knowledgeable about drugs, and having knowledge of assessing and Individualizing Evidence Based Treatment Plans.
There are plenty of options to choose from when it comes to selecting a drug addiction treatment program in New Hampshire. This is why most of the people here are confused about how to find the right kind of drug addiction treatment program. The following tips will make the going easier for those that are looking for a good drug addiction treatment program in New Hampshire.
There are various treatment options available to aid individuals with substance problems. Such methods include counseling, both inpatient and/or outpatient that can be done individually or in a group setting. Long-term residential treatment consists of 24-hour treatment, where the individual lives at the facility. Out-patient treatment can be described as a less intensive treatment program, that does not cost as much as long-term residential treatment and is useful for people who have an occupation or other commitments that they cannot neglect for a period of time (National Institute on Drug Abuse, 2012). As well as, there are 12-Step Programs that are group based. Some common 12-Step programs include Alcoholics Anonymous (AA), Narcotics Anonymous (NA), and Al-Anon, which is for friends and families of alcoholics (The Addiction Recovery Guide, 2015). A study conducted by Kelly, Stout, and Slaymaker, looked at the effectiveness of 12-step programs starting with intake, 3 months, 6 months, and 12 months. Participants were emerging adults so varied between 18-24 years of age. 303 participants were included in the study. They were able to gather that 36% of individuals attended meetings prior to treatment, rose to 89% by 3 months, 82% continued to attend at 6 months, and declined to 76% by 12 months. Also, participants attended approximately 3 meetings per a week. How often someone attended 12-step meetings did not impact effectiveness compared to involvement at the meetings
I completely agree with the importance of the therapist understanding the signs and what to do about resistance. Resistance as you said is “the tendency for an individual to resist change or act in a way that undermines the therapeutic process,” this factor unfortunately is something therapists experience all too well in a counseling session. For example, as I am hoping to go into addiction counseling I will have to expect resistance on a daily basis. Most people in these situations don’t want to be there because their counseling was mandatory by a court order or used as an ultimatum from their families. Resistance however, can be expected in every aspect and type of counseling as it is hard for some to open up to a complete stranger and talk