Unfortunately, there is a commonality that each treatment provider is faced with a client that only has one single issue. However, in this example, the client has more than one issue ranging from substance abuse to mental illness to homelessness. The provider will then need to determine if the client will need additional assistance with other issues that may be outside our scope of practice. For example, if the provider is working in a substance abuse treatment program the primary focus is helping the client to stop using drugs and/ or alcohol. As the client is no longer supposed to use substances or drink, the client can no longer reside in an environment where substances and/or alcohol are being used; this can become a trigger for the client and risk the client’s sobriety and recovery. This client is now homeless and will need assistance with housing. As the client continues in sobriety the treatment provider may notice that the client appears to be struggling with mental health issues that have not been previously diagnosed; this client will now need to be referred to a mental health provider for further evaluation and possible medication management. The provider has been made aware of these arising situations through communication and effective listening skills while interacting with the client in the group and individual therapy process. The provider will need to be aware of the client’s verbal and non-verbal cues as the clients’ affect may be incongruent with the current situation. The provider will also need to be aware of the client’s cultural issues as treatment may cause the client to have stigmatization within his or her family…
Spaulding stated it’s important for someone who is dealing with substance abuse to change people, places, and things that he did while using. If not, that person will find himself being triggered either psychologically, behaviorally, or emotionally that will cause him to use or want to use again. Dr. Spaulding stated certain substances are difficult to withdraw off of, even after someone has received detox treatment. Dr. Spaulding also informed me that someone who is recovering from substance abuse is usually advised not to make any major decisions within the first year of getting clean. He stated it’s imperative for someone in recovery to follow certain steps; from his experience in the prison, most of them have been court ordered to attend ninety meetings in ninety days and get a sponsor. Dr. Spaulding reported it’s important to get the family involved in family treatment to address family dysfunction, and that family-related stress is the leading cause of…
The South had every opportunity to win the war. Even When they seemed doomed, England was there, ready to jump in. When the North issued the Emancipation Proclamation, all p\\hope was lost. They lost England’s support. They were stuck in a losing battle.…
Primary Counselor met with Pt. for his first individual sessions after his readmission from the program. Counselor greeted him and he explained to this writer his desire to develop a positive therapeutic relationship. Counselor and Pt. discussed her recovery progress; possible side effects due to his prescribed methadone medication and current emotional status. Pt. explained that his current prescribed 40 mg of methadone isn’t working as expected because he gets really tired at the end of the day. Pt. stated, “I would like go down in a future.” Pt. reported that he is a married, white male whom recently bought a house in the Rehoboth area. Pt. stills married and his wife is a teacher. Pt. verbalized that he is currently living with his wife…
What do you see when you look in the mirror? Are you pleased, or do you immediately come up with an endless list of insecurities? As a child one of my favorite memories was laying around the house with my older sister on rainy days. We would leave the windows open so we could hear the rain coming down on the tin roof over our patio, while watching reruns of our favorite tv show “America's Next Top Model”. I always thought that these women were gorgeous and I would catch myself constantly comparing their looks to my own. I wanted to be just like them until I realized the unrealistic expectations that they had to live up to. A sizeable butt and breasts, but not too large; they have got to be proportional. A skinny waist, impeccable hair, blemish free face although even with clear skin you are expected to cake on makeup because no one is actually pretty without mile long eyelashes, the perfect smoky eye, and exemplary contouring. Society has idolized these things as “beautiful” and shamed the girls that do not meet these standards; however, society should be making everyone feel confident in their bodies. Girls need to know that it is okay not to have an “hourglass figure” so they don’t…
As an avid reader, I always understood and appreciated what it took to get that story to print. Especially since I always found it so difficult to take the ideas from head and articulate that point whether it be written or verbal. As the five weeks have passed I am becoming more aware of what my challenges and my strengths are in my writing.…
Initially when I meet my client for the first initial session, I would like to keep in mind the purpose for the counseling session, and establish some attainable goals for both myself and the client. Although, as a counselor meeting a client for the first time may be awkward in the beginning (Laureate Education, 2010d).…
In chapter 12, the key event to me was when Claudia and Finn talked to each other through the keys. I felt many emotions when reading their interaction one of them being happy. I felt happy when they talked to each other because it was a turning point in the story in my opinion. I also felt surprised because at first, I thought by having two keys, there would be a lock that would need both keys to hear and speak to each other. I also felt confused by the way they conversed; How could they now hear each other but not before. I think by having one key being touched, the other key can hear because on page 153 Claudia says she breathed and rubbed on the key making it warm and on page 154 Finn says when he touches the key it's warm.I like the way the author wrote the scene from both perspectives, it gave us the readers a clearer understanding of how both Finn and Claudia felt. I also like how the author described the way both keys affect each other and have a "key" connection.…
My mother, “Regina Hopkins,” has been a positive influence in my life. She has raised 6 kids all by herself as well as earned a Bachelor’s degree in nursing from a City College in Gainesville, Florida. My mother has been through pretty much everything a person can go through outside of war and was still able to be there and provide for all 6 of her kids. In high school, my mother wanted to play football and couldn't because she was a girl and back-in-the-day women were not allowed to play football with the guys. However, she remained strong by raising 6 kids and independently took care of all of us on her own. My mother has several qualities that I would love to develop. The first quality she has is balance; she certainly knows how to make…
time for me to begin my 10 minute warming up. I move my head side to side, stretch my legs, and I begin to walk briskly. I drank my water because I need to stay hydrated. When I was ready I sprinted out like a rocket. My brother began to time me. It took me 12 minutes to finish my one mile. Once I felt that my heart was pounding, my stomach started to develop painful cramps, and my My throat was as dry as a bone. I stopped and took deep breaths in and out. I took a five minute break and finished my 3 miles by walking. Once I finished my three miles I felt proud of myself and motivated for the next days to…
Ever since I was born, I was a military brat. Not knowing where to call home, or if any place could be home, I moved. I moved six times, four of those places were towns that nobody could think about. Germany, North Carolina, Alaska, North Carolina, Germany, and Alaska, yet no place to call home. May 22, 1999, my first day on this world; Kronach hospital had its first American baby in their hands, yet they acted like I was a different species. The only event I remember was when I was about one. While I was one, I grabbed everything in my reach, even a grill handle. As a baby, I did not know that the handle was moving, the grill top had smashed my thumb. Ever since that event, I now have a starfish mark on the side of my right thumb from where the stiches were.…
After retaking the LASSI I have noticed a considerable amount of improvement as well as regression. In the beginning of the year, I vowed to myself that I would become a better student. I wanted to maximize all of my abilities in order to be successful. So, after I took my first LASSI and had my talk with Mac, I began to implement new strategies meant to help me accomplish my goal. First I had to deal with my anxiety. In past years I suffered with a lot of anxiety while learning math. I used to love math very much, however, this changed after my 6th grade year. Math became a foreign subject to me. I could no longer make connections and solve problems. As a result, my grades in math began to drop. As a person who is used to getting A’s and B’s on assignments, I had a difficult time in coping with my failure since it didn’t live up to my standards in the subject of math. My difficulty with math eventually caused me to have anxiety. I had carried this anxiety until my sophomore year in high school. It seemed as if no matter how hard I tried to concentrate on math tests my mind would always become blank. Luckily I had an…
Traveling into the Indian Territory, we were being angrily chased down by three Indians furiously shouting at us. Dashing through the thick forest, the savage Indians were throwing spears and shooting arrows that narrowly missed us. Although neither Gideon nor I was mortally injured, I did suffer from a nick from an arrow piercing near my ear. Thankfully, a group of burly fur traders approached from the side, which frightened the Indians to run away. Acknowledging that Gideon and I were inexperienced travelers in the west, they offered us protection in exchange for some valuable possessions. As a consequence, knowing that they were our best alternative for survival, we gave them our antique gold pocket watches and assumed the identities of novice fur traders. From that point on, we followed them through the west and adopted their skills for efficiently hunting animals and keeping warm in the harsh, cold weather. During one of our rest points, we approached a large Cherokee settlement located in Park Hill in which our group leader was friends with the Cherokee leader John Ross.…
Football has always been a big part of my life. As a young boy I would day dream of making insane touchdowns, making tackles that would leave man stuck in the ground, and even winning the heisman trophy. In 7th grade I had begged my mother endlessly to sign me up for pee wee football because she would always worry about the risks of football. After finally getting her to sign me up, we went straight into the season. I chose to play running back because as a 12-year-old I was remarkably fast having timed 5.3 in the 40 yard-dash. After a few weeks in the season we approached the playoffs and found out our opponent for the first round of the playoffs were the jaguars who were undefeated. Our team didn’t have the best chemistry on…
I see myself as someone who is expressive. I am an outgoing girl and I find making friends to be a simple task. However, I am one of those people who will not fully open up to you unless I know I am comfortable. I am an open book, as long as the person reading me takes it one page at a time and doesn't jump chapters. I believe that I am this was because of how I grew up. I learned early on that you can't trust everyone you know, and you can't keep toxic people around. Day in and day out at school, I always tried to fit the mold of the stereotypical highschool student. Timid and shy, but more than willing to fit in with everyone else. Finally as a senior I have realized it is more important to be seen as yourself than as a copy of everyone else…