Manuel is a client that has been depressed for the past two months. He has lost his construction job, because he missed too much from the effects of drinking heavily and using drugs. His use of drugs and alcohol became a daily routine and was close to killing himself several times. He would be in his apartment all day watching T.V. and drinking and isolated from his family. Also thought of death a lot. His girlfriend left him and became even more depressed because he was alone. He used more to feel better but it made him feel more depressed. He did go see a doctor and prescribed him medication for his depression but he didn’t disclose that he was using drugs.
The approach I would use for Manuel’s treatment would be Behavioral Therapy. Behavioral therapy focuses on current behavioral problems and the environment that clients are confronting. This therapy is used to treat psychological disorders, for example depression, anxiety, PSTD and substance abuse. Behavioral Therapy deals with the client’s current problems and the reasons they are happening. I would do a behavioral assessment interview to Manuel to know where his at currently and know how these behaviors initiated, by asking opened questions and reflecting is statements. Manuel is currently experiencing depression and using alcohol and methamphetamine. It would be a helpful to understand Manuel’s past to know more information about is depression and substance abuse. His current in environment isolation and anti- social and does not want to do anything but watch T.V and do drugs. Behavioral Therapy is a constant and vigorous, clients need to do tasks for their current behaviors to change. This therapy has clients do homework inside and outside the sess...
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...has for father. This will help Maria with her frustrations and accepting what is and letting go of her feelings. The other letter would be writing a letter on her experience while she was in the gang letting of all the traumas she has stored. Maria will make her own interpretations and meanings with her experiences, and she could gain self-awareness and build her self-esteem. It will take time to work with Maria in letting go of her resentments but more work will use Gestalt in doing more exercises. The second intervention that would help Maria would be to attend Alcoholics Anonymous for her substance abuse. It would also be helpful for her to go into a women’s shelter to get her away from the gang and drugs. A multicultural issue would be addressing her being raped by several men at once. It could be difficult and uncomfortable for Maria to talk about the situation.
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