The Case of Mary Jane
Mary Jane has come to counseling for guidance on her cannabis use. Mary Jane has been using cannabis since she was younger, however within the last ten years she has been using cannabis heavily. She explains, her use of cannabis use to just be a weekend thing for fun, but now is more of an uncontrolled habit. Mary Jane has been using a large amount of cannabis daily, since her body has become tolerant. Recently within the last three months, Mary Jane has been experiencing difficulty concentrating, paranoia, rapid heart rate, and panic attacks. Mary Jane believes these symptoms are due to using an excessive amount of cannabis. Mary Jane has started consuming supplementary amounts of alcohol to relieve these symptoms. Her
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She believes she is loosing herself and needs a new change. She continues to work through her problems with the counselor (Therapeutic Journeys, Exploring Choice, 2001).
Cannabis Use Disorder After learning about Mary Jane and her cannabis use, I would have to diagnosis her with F12.280 Cannabis Use Disorder, severe, with induced Anxiety Disorder. The DSM examines Cannabis Use Disorder as a problematic pattern leading to clinical significant impairment or distress, occurring in a twelve-month period. Mary Jane exhibits nine out of eleven of the diagnostic criteria under Cannabis Use Disorder.
The first criteria is cannabis is taken in large amounts or over a long period. Mary Jane has been using for years and consumes large amounts of cannabis daily. The second criteria is a persistent desire or unsuccessful efforts to try to cut down cannabis use. Mary Jane try’s to cut down, however she has been unsuccessful. The third criteria a great deal of time is spent obtaining, using, and recovering from cannabis. Mary Jane has large amounts of cannabis and uses every night, leading to the next day recovering from it. The fourth criteria
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I believe every client will present differently, which will force the clinician to use his or her best judgment when applying a therapy type (Butcher, Hooley, & Mineka, 2013). In the case of Mary Jane, I believe the best approach is Cognitive Behavioral Therapy. This treatment approach will allow Mary Jane to think about her cannabis use and decide how she is going to change it. Implementing coping strategies is a huge part in the treatment plan for Mary Jane. She has to learn how to control her anxiety is healthy ways. A relaxation technique such as mediation is a therapeutic way for Mary Jane to focus on herself and body as a whole. She will be able to relax on her own without the use of cannabis. Behavioral Self Control Training has had success with individuals who suffer from Cannabis Use Disorder. The client will keep track of their using behavior and record times, locations, and emotions, in order to become aware of when they are likely to use. Awareness is key in Behavioral Self Control Training (Comer, 2008). I believe the use of Cognitive Behavioral Therapy will set Mary Jane up for success with her desired goals of cutting
She explained how she relapsed after being 3 months clean. Since the relapse in 2015 to 2016 she became clean again in August of 2016 with the help of her fiancé and her family. Since she took responsibility for her actions and explained that she does have a problem. I believe that is the first step to recovery. She was very adamant about how she does do wrong and then she had a plan to do what was right in her life for herself and not for anyone else. It may seem selfish, but that is the only way to control an addiction within one’s self, in my opinion. Accepting what is wrong and willing to deal with it is a start and having a great support system will help tremendously. The State Board of Nursing should allow her a second chance to prove that she can overcome and control her addiction while preforming the career she worked hard to achieve. The board should place a strict probation, and tasks that she can perform should be evaluated periodically. In the Nurse Practice Act it states, “Use or unlawful possession of any controlled substance, as defined in chapter 195, or alcoholic beverage to an extent that such use impairs a person 's ability to perform the work of any profession licensed or regulated by sections 335.011 to 335.096 (pg.
The second stage she is struggling in is Stage 6 Intimacy vs Isolation in young adulthood (Rogers, 2013). She is 28 years old, and is isolated from her family and her son, Joey, who her parents now have custody due to her drug abuse. The other reason she is isolated from her family is due to her having an abortion, and her parents feel she has committed a mortal sin and they do not want her in their home. She has the lost the intimacy of being with her son and her
Christa R. has it all – a picture-perfect, fairytale life: The head cheerleader and class salutatorian in high school, valedictorian in community college, married to a multi-millionaire who is about to inherit the family’s company, and currently works as a hematology oncologist at Moffitt Cancer Center, while pursuing her fourth (or maybe it was fifth – I lost count) Bachelor’s degree with a 4.0 GPA. She has been an honorable speaker at many prestigious medical conferences, and has had the opportunity to travel to Austria, Cuba, China, etc. for her studies and for her career. With all of this in mind, one would be compelled to believe that Christa is determined, hard-working, and a good role model. She does, however, have one major flaw. Christa
Margaret E. O’Kane is the founder and president of the National Committee for Quality Assurance (NCQA). NCQA is one of the nation’s leading advocates for improving healthcare through measurement, reporting, and accountability. NCQA is the foremost accrediting organization for health plans including HMOs, PPOs, and consumer directed plans. (Margaret) “Our goal is to increase the value of NCQA accreditation both to organizations pursuing accreditation and to the audiences who seek help in assessing the quality of health care provided by those organizations”. NCQA has developed, maintained, and expanded the nation’s most widely used health care quality tool, which is known as the Healthcare Effectiveness Data and Information Set (HEDIS). HEDIS is responsible for evaluating whether and how well
Marijuana is a drug that is harmful to a person¡¯s health. It has been found to have adverse impacts on one¡¯s mental processes such as memory, attention, judgement, and problem- solving (Butcher, Mineka, Hooley, 2004, p.415). Also, marijuana can interfere with a person¡¯s ability to think rationally and logically. Thus, the lapse in judgement caused by the drug use can lead to risky sexual behaviours and this may result in increasing sexually transmitted disease such as AIDS. Moreover, the long-term use of marijuana may cause chronic breathing problems and cancer ...
The first therapy to discuss is Cognitive-Behavioral Therapy, otherwise know as CBT. The main focus of CBT therapy is a “functional analysis of the thinking and behavioral process” (Content Guide 4, n.d.). This being said, CBT has been effective in the treatment of those struggling with substance
It has been established substance control is a far more feasible short-term goal than outright eradication. With this ideology, the premise of one’s analysis will be on substance abuse control methodologies, gauging effectiveness and overall success in achieving its purpose. The harm reduction model is the most prevalent ideology within the large spectrum of substance control methods, defined by the Centre for Mental Health and Addiction as any program or policy designed to reduce drug-related harm without requiring the cessation of drug use. In essence, instead of adhering to the conventional eradication style practices aforementioned, this style focuses on helping the offender cope with their mental illness. This not only encourages offenders to take active participation within their treatment, but makes them the directors of their own rehabilitation, using their own will power to gauge treatment.
The second concept that will be applied False Safety Behavior Elimination treatment. False Safety Behavior Elimination treatment “focuses chiefly on the elimination of anxiety maintaining behaviors and cognitive strategies (example: safety aids)” (Riccardi, Korte, & Schmidt, 2017). The safety aids that are introduced through false safety behavior elimination treatment help to alleviate anxiety, and in the long run exacerbate and maintain the anxiety to a minimal level. James has expressed that he began smoking cannabis to help calm him throughout the day, since he never knew when a flashback or negative thoughts from his past would pop up again. This is the case for many people, but this only provides short-term relief. “People who use cannabis
• This experience made her very secluded and reserved. She thought a lot about suicide but found comfort in writing. She became an observer rather than a participator in everyday life.
According to the National Institute on Drug Abuse marijuana causes the user to feel euphoric by acting on the brain’s reward system. The euphoria is caused by the release of dopamine it to the user system. Other effects can include heightened sensory perception (e.g., brighter colors), laughter, altered perception of time, and increased appetite. Marijuana also inhibits the formation of new memories and causes coordination and balance to be degraded. These reactions are caused by binding the receptors in the cerebellum and base ganglia. The effect is similar to the impairments that are normally associated with consuming alcohol. Habitual users can also develop acute psychosis, a fundamental derangement of the mind (as in schizophrenia) characterized by defective or lost contact with reality especially as evidenced by delusions, hallucinations, and disorganized speech and behavior (Merriam-Webster Dictionary). The IQ level of a marijuana users also decreases over time according to a Duke University study conducted by clinical psychologist Madeline Meier “people who bega...
Marijuana tends to be disassociated with the conventional spectrum of drugs in today's society. Certainly we can agree that cocaine, ecstasy, and heroine are drugs and thus highly addictive and dangerous. But can marijuana be mentioned in the same breath as these drugs? It is not my point nor belief to disagree that marijuana is a drug that can be addictive. I place strong emphasis however on the fact that physical dependency is not nearly as common as psychological dependency among marijuana users.
In an the article titled medical use of marijuana the topic is that of people who uses marijuana for medical reasons verses those who uses it just because. There are indications that marijuana is sometimes used to alleviate pain from cancer, to reduce nausea from chemotherapy, and to mitigate the wasting syndrome of AIDS. Studies have suggested that the medical use of marijuana is common among people with HIV/AIDS (CAMJ). There was a survey that involved telephone interviews with Ontario male adults eighteen years and older and completed with 2508 people. In the weighted sample 49 respondents reported using marijuana for a medical reason in the year preceding the survey, a total of 173 respondents reported using marijuana, but not for medical reasons. The remaining 2305 respondents in the weighted sample reported no use of marijuana in the preceding year (CAMJ). In this article it was also stated that compared with nonusers, those who use marijuana for any reason tend to be younger, more likely to have alcohol problems and more likely to have used cocaine in their lifetime. Those who use marijuana for medical reasons were similar to other users but more likely to use cocaine. About 2 percent of the population can claim the right to use marijuana for medical reasons, considering their needs, confronts the growth of a system to make sure they have entry to quality-controlled marijuana for medical use and could increase arguments for decriminalization of marijuana for personal use. The use of marijuana for any reason was linked with a male, comparative youth, smoking cigarettes, a lot of drinking, and the use of cocaine (CAMJ). Additional research has to be performed to decide whether uses with alcohol, drugs and other lifestyle choices influence the want for marijuana use and viewpoint in its medical benefits.
Volkow, Nora D., M.D. “Marijuana Abuse.” National Institute on Drug Abuse. N.p., July 2012. Web. 19 Feb. 2014. .
Before I start to discuss the various ways to get control of substance abuse I
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).