The Biopsychosocial-Spiritual Perspective

Although, Mr. Wilson denied suicidal ideation at the time of the assessment a crisis safety plan was put in place for him and he was provided with the number for the crisis hotline. In addition to the most recent hospitalization Mr. Wilson has history of six to eight psychiatric hospitalizations starting as early as at age of sixteen. In addition to the above-mentioned symptoms that lead to Ms. Wilson’s most recent hospitalization, he disclosed the following psychiatric problems within the last thirty days: depressed mood (daily); auditory hallucinations (3-6x monthly); diminished emotional expression (daily); feelings of feelings of helplessness and hopelessness (3-6x weekly); decreased energy (daily); paranoia (daily); and poor concentration (daily). In addition to having a difficult time with managing his mental health issues, Mr. Wilson presents with substance abuse issues as evidence by him using cocaine (2x weekly) and smoking pot (1-3x weekly). Mr. Wilson expressed he does not have a psychiatrist; however, when he was discharged from the hospital she was discharged with the following medications Hydroxyzine HCL

My client Marisa is an eighteen-year-old female, who was referred to me by her academic advisor for poor academic standing and noticeable weight loss. Marisa and I began the session with her family history and childhood. Marisa told me she was raised by mother, and had minimal contact with her father as a child. Her mother was married for a short time to a man who she was not in favor of. Although Marisa looks up to her mother, she explains how critical and controlling she is, but expresses it is out of love. Once Marisa opened up about her childhood, she began to discuss her drug use of cocaine. Marisa states she does not have a drug problem; nonetheless she uses cocaine to stay awake, stay thin, and control

In this paper, I will discuss the case study of a hypothetical client named "Mary." I will explain and describe a variety of factors that have been thought to underline substance abuse and will propose a formal diagnosis. After which, I will identify the treatment recommendations and specific approaches for Mary, as well as the ethical and legal obligations. To conclude, I will discuss the importance and significance of transference and counter transference.

1. Comment on the passage on page 54 that begins "Most of the craziness in this world-violence, addictions and frenetic activity comes from running away from pain." Disguising a person 's name (if you use one) and applying the value of confidentiality, discuss some of your observations at your field placement of people (or perhaps even staff or the organization as a whole) in "pain". Using a "person in environment" perspective and a bio-psycho-social-spiritual lens, discuss your findings. (Hint: use this question to get ready to informally present a case or pertinent clinical example during small group in the next few weeks.)

The client is experiencing depression. Client has complaints of not having any energy to do anything, having thoughts of not wanting to be here. Client reports that she attempted suicide after the death of her son many years ago, but she currently has no interest in attempting to commit suicide. Client presents with problems of hopelessness, inability to sleep, and loss of taste for food. Client is also having feelings of being worthless, ashamed and not wanting to be around anyone. Client has been experiencing these symptoms ever since her husband left. The client is unable to work

Roberts (2005) suggest for a crisis intervener to keep positive, instill hope, and to assure the client that they are capable of overcoming the situation. He also recommends says the client will be able to overcome later similar hazards easier once they overcome the current crisis. Carling (1990) states people with mental illnesses have the power to make positive decisions about choices in life. People who have mental illness and have substance abuse issues value dignity. There problems do not exclude them from having a right to dignity. Unconditional positive regard is valued among everyone. Barber (1995) recognizes the importance of treatment being individualized with substance abuse clients. This student assumes this concept to be an axiom no matter what client population is. In fact, each client would have their own unique strength to build on.

Researchers have found that a link exists between mental illness and substance abuse, which may have complications on the actual treatment for mental illness. It is very important for the addiction counselor to properly understand both the differences between acute primary psychiatric disorders and any underlying psychiatric symptoms, caused by alcohol and other drugs. Sometimes the addiction needs to be treated first in order for the mental illness to be properly identified and successfully treated. Also addiction counselors need to understand mental health disorder treatments. Clients with co-occurring substance abuse and mental health illness problems may benefit from substance abuse treatments, even those with serious mental health symptoms. This can set the foundation for the addiction counselor to provide a good integrated treatment strategy which can offer a lower relapse rate and achieve long term abstinence. When a counselor is a assessing a client, the client must understand how a co-occurring disorder may effect there addiction. Counselors must perform a thorough assessment in order to identify the proper criteria for each diagnosis that is identified.

The client met with his counselor to discuss the problem area that he needed to work on to improve his life situation. The client is currently working on several assignment that are part of his treatment plan. However, the first is dealing with addiction to Meth and how it has affected his nervous system and may have caused a stroke the client reported that he wants to stop, depending on others to help keep him focus, he wants to learn to do this for himself. The client reported that he’s never stood on his own two feet, he was always with somebody, mother wife, and using Meth. The client reported that it a scary thought having to do this by himself. When asked what were some of his triggers the reported the wife and mother were his triggers.

She expressed about how much she does not like the substance; however, she struggle stopping her use. Alternatives were discussed in the past and clearly, the patient knows the answer to resolving her triggers point, but still uses. Please note, the patient discussed about pleasure point of which she learned from the Cocaine Group as an explanation to her addiction. Then this writer questioned the patient about who she was as a person before her addiction and what she will need to do be that person again, but better as a recovery addict. This conversation led the patient to get emotional during the counseling session as she discussed the risk factor for her ongoing use, referring to losing her child again to DCF. This writer validated the patient's feeling, but again and as always, advised the patient to take her recovery seriously for the sake of herself and her daughter.

As a very young child, Smith started to drink and us drugs. As she got older, she became more distant, often depressed, and suicidal. As she continue living a wild life, Smith lost her younger sister and at that time she became more depressed becoming more symptomatic to additional psychological issues. Smith has emotional problems that are interfering with her ability to work and function at times. Smith is a recovering drug addict but she has issues controlling her alcohol problem.

When assessing individuals for co-occurring disorders there are two cross-cutting issues that must be addressed as an addiction counselor. The first most important cross-cutting issue to identify is suicidality. It is considered more a behavior that is high risk, than a mental health disorder. Suicidality has shown through research that those who commit suicide have substance abuse or co-occurring disorders which can be diagnosed early. Most common among clients is serious depression (U.S. Public Health Service 1999), brought on by substance abuse or aggravated by suicidal ideations or intentions of suicide, (Center for Substance Abuse Treatment, 2005, Chapter8 p. 214). This is why it’s important that counselors screen clients, especially those with co-occurring disorders which can double the possibility of suicide. Counselors must have a good understanding of their agency’s protocol for those identified as suicidal. The agency should have a process for identifying, confirming, and some type of established referral, or treatment process for clients who may be suicidal. Counselors need to be knowledgeable of the following facts. A major factor risk in suicide, is alcohol abuse or drug abuse which would include people with co-occurring disorders and the general public. Suicide is identifiable with 25 to 50 percent of the population in alcohol abuse, and that 5 to 27 percent include suicidal deaths which are also related to alcohol abuse. There is also a lifetime suicide risk

One of the strengths of this book is McMinn’s concentration on the practical aspect of the interdisciplinary integration: the amalgamation of

Ceasing to do business with Mr. Petersen would adversely impact his view of Christianity, God, and the farther exploration of his faith. Due to the unfavorable conditions on which our business relationship would be terminated, he may view Christians with bitterness and regard them as unjust, deceptive, and treacherous. His resentment toward my company may repel him from Christianity as a whole. He will certainly stop attending my Sunday school class, he may even leave the church or lose his faith in the process. Since Saint Paul urges Christians to “be careful…that this right of yours does not…become a stumbling block [to others]” (1 Cor. 8:9, English Standard Version); I should consider some biblical dispute resolution methods, which could lead to restoration and continued relations

According to Hutchison (2013) the biopsychosocial approach used by many social workers is an examination of the biological, psychological, and social systems; all are seen as interconnected. In recent years the spiritual dimension has also gained popularity in research and recognition as being inseparable from other dimensions of personhood. Culture is also seen as a powerful environmental dimension that demands acknowledgment to truly gain insight into a person’s worldview. The following is a brief summary of these dimensions in regards to youths experiencing bullying.

It is shown that one in four deaths are caused of overdosing to illicit drug use. People that are not abusing drugs are still in a dangerous situation if living with the individual. That could cause domestic violence and automobile accidents. Counselors should be concerned in how their environment will be after the treatment as well as, getting with the correct programs to help the client if need be. The clients’ safety is the main priority as well as trustworthy enough so the client can trust them with the best of their