Alcoholics often have a difficult time acknowledging, understanding, believing or admitting there is a problem. In the scenario 12 video, “Alcoholic in Denial” this person is no different. The therapist uses several strategies to portray a need for Tonya to change. This is initially done through motivational interviewing. During the beginning of the interview the therapist asks open and close ended questions to better understand the client’s situation and why she is seeking help. Understanding the Tonya’s situation creates a pathway to provide the motivation for change. Motivating a client to change that truly does not see a problem in their life can be difficult. In the motivational interview the assessment is completed by clarifying the understanding of the problem and…
This paper will use a case vignette, Twisted Sister, in an attempt to identify patient’s substance use disorders, mental health diagnosis, and other problems that affected patient’s major life areas. In addition, to fulfill the assignment requirements, patient’s stage of change and readiness to change will be discussed. Also, using CBT framework, this paper will explore the type of CBT homework that would be assigned and hypothetical counseling dialogue will be created between the patient and the counselor.…
You locked in ur back seat of ur car windows open rain pouring? NO open the door you are inside…
One of the largest problems facing society today is substance abuse. The individuals that face this issue are able to receive services…
Freedom from addiction is no different, so each client should consider what must be sacrificed, what compliance must be made, in order to achieve real recovery from addiction. Individual members of the group are encouraged to set personal goals for themselves, as well. This is where in-group motivational interviewing and reflective listening is useful. What do you want? What is important to you and your loved ones? Where will you be in five years? Can you remember when you were really happy? What did you experience that first time you used? What about the last time you used? What problems are you having now? Based on the answers, a client can be led into a self-epiphany about the role that substances play as a perceived solution to his or her chronic fears and problems, and in turn goals can be set to achieve healthy cognitive and behavioral changes. The client can be shown alternative solutions to fears and problems, and taught coping skills to carry out of treatment and develop further in aftercare. Deb is particularly good at working with defensive clients, and claims that meeting anger with tactful persistence…
This paper will consider information illustrating the fact that there are many special populations that have a real need for services from social agencies. A special population can be explained as a group of people that need assistance in order to function and have as normal and productive quality of life as possible. They are unable to do this on their own because of a disability or deficiency that creates a disadvantage not necessarily experienced by the mainstream population. (Rothman & Sager 1998)…
There are types of approaches to help an individual with recovering from drug and substance abuse. The approaches that are being looked at to help someone recover is Cognitive Behavioral Therapy (CBT), Motivational Enhancement Therapy (MET), Medication Management, Community Reinforcement Approach (CRA), and Community Reinforcement and Family Training Approach (CRAFT).…
The outcomes of the treatment are evidence that the approach is results oriented (NIDA, 2012). Patients suffering from drug dependency are able to develop coping skills that help them to regain control of their lives. Furthermore, by assessing and identifying the root cause(s) of alcohol and cocaine dependency, the approach helps patients to develop best practices for turning their lives around. They are able to learn the positive outcomes of a drug-free life and pursue…
A client’s social and cultural background can influence the interviewing process. Their gender, sexual preference, and the fact that I am a female who will be interviewing…
They are taught about the dangers of extended substance abuse and also directed to look at their own situation for a better understanding of how addiction dominates their lives. While therapy and treatment are being administered, patients begin the process of collecting the life skills and tools they will need to live a normal life. Living a normal life will include avoiding…
The impact of this approach, which is more a person centred approach, may not be useful for a client facing addiction issues. I understand that for a person with addiction they may benefit more from a Cognitive Behaviour approach as this looks more at changing the way of thinking and their…
The proposed therapeutic approach (intervention) that I would use is family therapy and person centered therapy. Ray Charles first used marijuana for two reasons. First, he was nervous about starting his music career and he wanted to get those haunting thoughts of his baby brother drowning to death. He didn’t know what the drug was all he knew that it lifted the nerves and made him feel extra good; good enough to give a stellar performance on stage. Certain phrases people say or certain things that people do would trigger emotional responses from his childhood. He would have visions of his brother dying. Sometimes he would feel water around his feet or even feel his lifeless baby brother hand. The drug that he used was a scapegoat to his childhood problems. When he was deeper in drug use, ray would have daydreams of his mother preaching to him telling him that he doing drugs wasn’t right.…
The group exercise discussed all through this essay used motivational interviewing to role play a person centred social change. The group was focusing on a 25 year old female who is just recovering from a drug and alcohol addiction. The role play started at the pre-contemplation stage of change where clients are very likely to resist change and avoid the subject. At this stage, clients show little or no signs of taking responsibility and present a lot of defence mechanism (Healy 2011). Motivational interviewing is a very client centred and directive method used to enhance intrinsic motivation to change through exploring and resolving ambivalence. It is non-judgemental and value-laden. The style of motivational interviewing should manifest itself in the practitioner’s attitude in three possible…
Philosophy- “A belief in miracles leads to the concept of a god who favors some but not all his creation”…
In the past, traditional treatment methods for drug addiction and alcoholism have been characteristically intense and confrontational. They are designed to break down a client’s denial, defenses, and/or resistance to his or her addictive disorders, as they are perceived by the provider. Admissions criteria to substance abuse treatment programs usually require abstinence from all illicit substances. Potential clients are expected to have some awareness of the problems caused by substance abuse and be motivated to receive treatment. In contrast, traditional treatment methods for mental illness have been supportive, benign and non-threatening. They are designed to maintain the client's already-fragile defenses. Clients entering the mental health system are generally not seeking treatment for their substance abuse problems. Frequently clients within the mental health system who actively abuse drugs and alcohol are not formally identified. If they are, they do not admit to such substance use. As some attention began to focus on clients with both substance abuse problems and mental illnesses, it quickly became apparent that new methods and interventions were necessary. Working with dual disorder clients who deny substance abuse, who are unmotivated for substance abuse treatment, and who are unable to tolerate intense confrontation, required a new model, a non-confrontational approach to the engagement and treatment of this special population. I first developed such a treatment model in 1984, with the goal of providing nonjudgmental acceptance of all symptoms and experiences related to both mental illness and substance…