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T.D. is a 63-year-old Caucasian male patient who voluntarily admitted himself into HCPC for substance abuse and depression. Axis I: Depression and Substance Abuse, Axis II: N/A, Axis III: N/A Axis IV: unemployment and family conflict, and Axis V: 50. It was my second day at HCPC when I met T.D. and I was unsure of how to approach a client. However, T.D. seemed willing to give me insight into his life struggles and family history. He started by telling me that substance abuse was hereditary in his family. His mother was addicted to prescription pills, his older brother had died of cirrhosis caused by alcohol abuse, and his younger brother also suffered from substance abuse. Towards the middle of our conversation it was clear to me that the client was struggling with effective coping skills that were causing him to seek alternative relief methods. His priority nursing diagnosis was identified to be ineffective coping related to substance abuse and depression. The interventions implemented were verbalization of feelings and fears, exploring alternative coping strategies, and assessing suicidal thoughts. Throughout, the behavioral health course we learned that the first step in recovering from substance abuse is recognizing the client has a problem. In this case, T.D. came to that realization through an intervention organized by his family and friends. T.D. is currently in the chronic phase of …show more content…
He was hoping the social worker could set him up with government assistant and rehab. That way he could get his life together. He was ready to change because he wanted to be a father to his 16-year -old son. However, he seemed not to have so much hope in the system, because he had heard of how the system has failed so many others. I reassured him that the social worker and everybody in charge of his care would do the best they could to help
I met with Christine, an acquaintance I know through members of a twelve step program. We met for about 20 minutes over coffee. As we spoke, I asked the questions that I prepared, omitting some and adding others based on the responses given. The list of questions in reproduced in the last section of this work. Christine works at an inpatient drug and alcohol rehabilitation center in New Jersey, the specifics of which have been intentionally omitted. Her interest in the field is identical to mine; she has a personal history of substance abuse. After obtaining sobriety, she wished to help others with her experience. This similarity is the primary reason I wanted to discuss this topic with her.
Mangrum, L., Spence, R., & Steinley-Bumgarner, (2006). Gender Differences in Substance-Abuse Treatment Clients with Co-occurring Psychiatric and Substance-Use Disorders. Brief Treatment and Crisis Intervention, 6 (3), 255 - 267
Substance use affects not only the individual who is using but the whole family unit. The family can be an important key factor in an individual's life when they choose to seek treatment. The family can help the individual who is addicted or they can negatively contribute to them relapsing. Family therapy is treatment that can reduce substance use and improve the family dynamics in a household. Brief Strategic Family Therapy is a common therapy used to treat substance use in families. This paper will explain why family therapy is important. It will also explain what Brief Strategic Family Therapy is and the process that families go through in it.
The physician will question the patient about any stressors she may be contending with at home or work prior to her entering the hospital. The physician will order lab tests and speak with the patient to understand the psychological factors; a referral will be made for making a final diagnosis. After the physician reviews both lab tests and the psychological factors, a referral will be made for the patient to see a clinician. The referral will focus on obtaining support and stabilization. The clinical assessment will gather information using written forms as a first step, including releases to speak with family members. The second step would be to invite the family along with the client in an effort to obtain a better understanding of existing medical conditions along with any past mental disorders. Abuse as a child or abuse as an adult will be determined. The clinician will evaluate if the client is portraying any signs due to alcoholism or a drug addictions. An example of one question her clin...
"NIH Study Finds Chronic Alcohol Use Shifts Brain's Control of Behavior." NIH News Release. 22 Aug. 2013: n.p. SIRS Government Reporter. Web. 19 Mar. 2014.
This experience helped me to recognize the internal struggle that a substance abuser faces on a continuous basis. In addition, I know that an individual can have a difficult time changing their behavior even when they have a strong desire to change; the smallest thing can cause a person to relapse.
Jody was born biologically with male genitals and he was brought up as a boy. Unlike his more gender-typical older brother, Jody’s childhood behavior was considered “sissy”. Jody genetically preferred the company of girls compared to boys during childhood. Jody considered herself a bisexual male until the age of 19. At 19 years of age, she became involved with a man, and her identity would be transgender, meaning that Jody was unhappy with her gender of birth and seeks a change from male to female. It would seem that there was some late-onset dissatisfaction, and late-onset is linked to attraction to women; in comparison to early childhood-onset, which are attracted to men. Jody identified herself as bisexual. The relationship with the man ended; nevertheless, Jody’s desire to become a woman consumed her, and Jody feels that’s he was born in the
Despite the higher cost, a high-end substance abuse treatment center does not constitute better treatment. The support of therapists, counselors, family, friends, and peers can all be important factors in the recovery process. The most significant factor for an individual in the recovery process is a desire and a willingness to change. Many options exist for individuals that want to recover from addiction. These options include substance abuse rehabilitation centers and support groups such as Alcoholics Anonymous and SMART Recovery. These programs all have the same goal but use different techniques that at times even contradict other programs. Although the approach of the programs may vary, they have all been proven to work for certain individuals.
Severe mood swings, violent rages, memory loss—each of these problems were a part of my family life during the past two or three years. These problems are the result of alcoholism. Recently, a member of my family realized his abuse of alcohol was a major problem to not only himself, but also to those around him. He would lose control of his temper and often would not even remember doing it the next day. Alcohol became a part of his daily life including work, home, and any other activities. His problem was that of a "hidden" and "high-society" alcoholism. When he was threatened with the loss of his job and the possibility of losing his family, this man knew it was time to get help. After he reached his lowest point, he took the first step towards recovery—admitting his problem.
The ingestion of alcoholic beverages for their enjoyable effects is a custom which has been around for thousands of years, and alcohol continues to be a popular drug because of its short-term effects (Coleman, Butcher & Carson, 1984). An enormous amount of damage can be attributed directly to alcohol abuse as a result of lost jobs, accidents caused by drunk drivers, and so forth (Maltzman, 2000). Alcohol also compounds other problems--an estimated 25% to 40% of hospital patients have problems caused by, or recovery delayed by alcohol abuse (Maltzman, 2000). Clinical psychologists spend about one-fourth of their time dealing with people who are suffering in part from alcohol or other substance problems (Vaillant, 1995). Although alcohol problems have been around for so long, it is only recently that these problems have begun to be associated with medical or psychological difficulties.
These ethical concerns must be addressed with every client. This is where closed ended questions may be considered, the best approach is to intertwine these questions into the normal flow of conversation so that the client does not feel like they are being judged. One of the ethical concerns the clinician needs to address is suicide, since those dealing with the crisis have no ability to cope and are vulnerable and overwhelmed, suicide may feel like their only option to end the crisis (Kanel, 2007). The clinician needs this information to keep the client safe. Another ethical concern the clinician must address is the possibility of abuse towards a child or the elderly or any harm to others. It is always a counselor or mental health workers ' duty to report any suspicion of this kind of activity to the proper authorities (Kanel, 2007). Organic or medical concerns are one of the other ethical considerations which must be addressed in the second stage. This includes making evaluations about any mental health or behavioral disorders as well as making any necessary referrals (Kanel, 2007). Substance abuse is another ethical concern that must be addressed by the clinician. Since substance abuse is commonly used to treat stress for those in crisis the clinician must be assertive in gathering information about drug use (Kanel, 2007). This information will direct the clinician in the
Substance abuse complicates almost every aspect of care for the person with a mental disorder. When drugs enter the brain, they can interrupt the work and actually change how the brain performs its jobs; these changes are what lead to compulsive drug use. Drug abuse plays a major role when concerning mental health. It is very difficult for these individuals to engage in treatment. Diagnosis for a treatment is difficult because it takes time to disengage the interacting effects of substance abuse and the mental illness. It may also be difficult for substance abusers to be accommodated at home and it may not be tolerated in the community of residents of rehabilitation programs. The author states, that they end up losing their support systems and suffer frequent relapses and hospitalizations (Agnes B. Hatfield, 1993).
Most of the thousands and thousands of substance abusers in early recovery, that I have crossed paths with over the past four decades, have had a great deal of trouble understanding who they are early on in their sobriety. One common factor that all substance abusers share in early
I have been restlessly questioning if our team has done everything possible to produce a long-lasting outcome for our patient population. I have been making many positive impacts on individual levels but how can I expand my spheres of influences to a population level? I find this question is intellectually challenging and pursuing the Psychiatric Mental Health Nurse Practitioner (PMHNP) will be the pragmatic solution. As PMHNP, I will be equipped to bring a more holistic approach to prove the best comprehensive care rather than addressing a " current primary complaint" of a more complex problem. On a personal and professional level, I fiercely believed that mental illness and addiction are family's disease. One suffers, the rest suffer and I am motivated to cultivate a better understanding of mental health and to embrace a culture of kindness and empathy for those who suffer and their loved ones. The autonomy, prescriptive authority, diagnostic ability and psychotherapy skills that I gain from Maryville's Psychiatric Nurse Practitioner program will empower me to bring compassion and empathy back to the art of
Substance abuse is an issue that plays a major social problem in society, the effect of drugs on families and communities is destructive. This paper will discuss evidence showing how substance abuse is a specific social problem that is widespread, and is affecting every level of our judicial system. Many people turn to drugs for many different reasons, they will try just about anything to relieve the pain. In our society today many people go through devastating experiences in their life. Furthermore people turn to drugs to mask the horrible memories and find relief. Drugs can temporarily relieve the symptoms of angry, loneliness or boredom, but it may be a temporary fix to an individual problems. They may