1. Discuss three different ways that the success of therapy can be assessed. What factors complicate the determination of whether treatment is successful?
In order to determine whether treatment has been effective, some change in the person needs to have occurred. Therefore, some way to measure to effectiveness is needed, as well as a source of the necessary information. It should be mentioned that there are cases where people just sometimes get better with the passage of time. This must be taken into account when considering the effectiveness of treatment. One must ask themselves did the treatment work, or would the person have improved without any care? Establishing whether improvements have occurred can be assessed with information obtained from the therapist, the client, family or friends of the client, test scores, and/or the measurement of overt behavior. Clearly, a number of these information sources are likely to be biased, either for treatment success or against it. Ideally, an independent source would assess treatment success and the measures employed would be objective. This may or may not be possible it depends on the situation.
2. Discuss the techniques used in psychodynamic
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This has a poorer prognosis for treatment than OCD. The treatment for this is Medication such as is SSRI (Selective Serotonin Reuptake Inhibitors) medications such as Paxil, Prozac or Effexor, taken at a high dose for at least three months. Added with that is Cognitive and Behavior Therapy to deal with how to get rid of stuff. Intervention plays a strong role as well, my father is a classical trash hoarder and my sister routinely has him remove stuff, and stays up on that. Support groups are vital to this since treatment tends to fail and of course self-help. My father is a hoarder probably due to his upbringing, i.e he and siblings were abused by their father. Thankfully, while my father is weird and difficult to deal with, he never abused
9). Based on the afore initiatives, the mental health professional must decide which therapy would be beneficial in treatment for the clients’ problems. Evaluations and reevaluations may be needed to be successful in treatment (Nurcombe, 2014,
Hoarding may appear in a variety of forms, including Clinical Compulsive Hoarding, Obsessive Compulsive Disorder or ‘perfectionist’ hoarding, and Animal Hoarding. Clinical Compulsive Hoarding proves to be the most common type (Defining Compulsive Hoarding). Similar to many other addictions, a compulsive hoarder’s addiction exists both figuratively and literally behind closed doors. Merriam-Webster defines a hoard as “a supply or fund stored up and often hidden away”, or alternatively, “a secret store of valuables or money” (“Hoard”). OCD hoarding is a term that is applicable to most forms of hoarding in the sense that the act itself is one out of both obsession and compulsion. The afflicted person may have either a variant of Obses...
In general, treatments are not exclusively scientific or pseudoscientific and the list above is by no means comprehensive. However, it does provide a framework for evaluating possible therapy options. Evaluating a treatment based on the ten criteria cannot guarantee a treatment’s effectiveness but it can help establish its validity (Fin, Bothe, and Bramlett, 2005, p. 178).
Psychodynamic therapy, focuses on unconscious mind and how past experiences, inner thoughts, fears, and emotions The main goal of psychodynamic therapy is for clients to be self-aware of the past and how it effects who they are in the present. This type of therapy focuses on the underlying problems and emotions that influenced the client’s behavior. (Psych Central, 2016)
Goal 2- Garner experience and practice in treatment planning and assessments through performing psychosocial and diagnostic assessments; consider methods of interventions appropriate to client presentation; develop treatment plans with supervisor for assigned clients.
The goals that I have set myself to accomplish this semester is to be more competent in my therapeutic practice that utilizes my theoretical orientation, being more professionally assertive, and being more knowledgeable about the approaches in adolescent substance abuse group counseling. These three objectives are an aspect in my counseling practice that need improvement and what I am determined to strengthen.
Hoarding is defined as, “The excessive collection of items, along with the inability to discard them.” Hoarding is a lot more than a bunch of words bunched together in a definition though. It is a psychological disorder that can have a huge affect on people and their lives. Since it is found in 2%-5% of the general population, it isn’t a disorder that should be taken at all lightly (psycchiatrictimes.com). Hoarding is often a symptom of obsessive–compulsive disorder (OCD), but there is often people who hoard but don’t have symptoms related to OCD (mayoclinic.org). It is something that people can’t control or keep themselves from doing. They see a need to save random items that they think that they might need in the future or that they think might have some sort of value. Everything starts to stockpile up, and before the people know it, there whole living or working space will be cluttered with junk that disrupts their abilities to do anything (psychiatry.org). The bad think about hoarders is that they don’t even see a problem with what they do, so it makes treatment a lot more difficult (mayoclinic.org). Compulsive hoarding, as it is also called, is a big issue for quite a few reasons. There is also more than one kind of hoarding. There are also symptoms of the disorder, causes of the disorder, and risk factors created by the disorder. Even with all of the negatives hoarding has, it still has its treatments.
Hoarding Disorder has only been widely researched and studied within the past two decades since Frost and Hartl (1996) first conducted their study of hoarding behaviors in clinical setting and provided an operational definition of the behavior. In 2013, hoarding became recognized as its own diagnostic entity as a disorder by the American Psychiatric Association’s (APA) new Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM 5) (APA, 2013) instead a subtype of OCD as listed in the previous version of DSM-IV-TR (APA, 2000). The prevalence of hoarding disorder is ranged between 2 % and 6% of the general population (Samuels, Bienvenu, & Grados, 2008; Tolin, Frost, Steketee, Gray, & Fitch, 2007; American Psychiatric Association (APA), 2013), which indicated 2 to 6 times greater than the prevalence of schizophrenia (1%) (APA, 2000). Symptoms of hoarding have been identified in 18% to 42% of adults and children as a subtype of obsessive compulsive disorder (OCD) in the United States. (Feusner & Saxena; Frost, Steketee, & Tolin, 2011).
Imagine how much trash and waste people discard in their lifetimes. Now imagine a person living in that waste they have accumulated in their lifetime stored in their own homes because of their inability to discard the useless items. This is what day-to-day life is like for a compulsive hoarder. Compulsive hoarding is a chronic behavioral syndrome that is defined by a person's extreme retention of useless items and crippling inability to discard such items. Compulsive hoarding has been traditionally recognized amongst psychiatrists and researchers in human behavior as a sub-type of obsessive-compulsive disorder due to similar symptoms hoarders have with those that suffer from OCD. However, there is substantial evidence that proves contrary. Hoarders often have several other behavioral or physical symptoms that are not typical of a person with OCD, hoarders also have genetic and physical anomalies different from OCD, and finally, most compulsive hoarders do not respond to treatments intended for OCD patients. Because of these differences, compulsive hoarding should be seen as a separate syndrome apart from OCD, so that the disorder may be categorized and studied accurately in order to pursue more effective treatments.
Cognitive behavior therapy has been proven to work in many different areas and presenting problems. One area that was not mention above that would significantly improve the outcome of any given therapy is the willingness of the client to accept treatment. The goal of cognitive behavior therapy is to focus on the present and to help the client identify their own strengths, learn new tools or techniques that they can use on their everyday life, and to be able to identify the different thought, emotional, and behavioral patterns that lead to undesirable
Some notable symptoms of a hoarder may include excessive anxiety, inability to organize, inability to decide what to keep, accusing others of taking their belongings, health hazards, financial problems, loss of space to live in and obsession of purchasing items for the future. Severe hoarding not only affects the person hoarding, but it also affects those surrounding them. It causes strong feelings of displeasure towards loved ones with a hoarding disorder, shame, and has shown to affect social development of children that are raised in that type of environment (Neziroglu, n.d.). Hoarding does not discriminate on age or sex, but it is proven to affect women more than men. The only known treatments for hoarding is psychotherapy, or therapy talk that helps one develop better decision making and problem- solving skills. Although this may sound demeaning it is a reality that
Sigmund Freud viewed human nature as being deterministic and influenced by both sexual energy and instincts (Corey, 2017). He further identifies that soon after birth, instincts drive our desire and force internal motivations into the reality of which we live. Although unconscious desires are the driving forces of existence in the beginning, it does not remain the only force throughout our lives. We begin to develop into a conscious being as we recognize the world around us. Our external world introduces the conscious mind by showing us moral code, paternal
These strategies must be realistic and solution focused for the client to accomplish the desired outcomes. The client will determine the problems that need to be addresses, the social worker will offer insight and recommendations, the problems are reviewed and grouped into categories, and the client and social worker collaborate to prioritize the problems. There should be no more than three problems being addressed at any given time, a new goal can be established following the accomplishment of another goal. I complete treatment plans with each client I serve, which consists of three goals and three objectives for each goal. Within the treatment plan the client also identifies the possible barriers to each goal along with possible solutions to the
Compulsive hoarding is a disorder that affects one’s brain; no one should ever blame himself or herself for a problem they can’t control. With a problem like hoarding, there is always a solution. There will always be people around to help you solve the problem, whether it is your family or your therapist.
2. A true experimental design was used. Participants who met the criteria for the study where randomly assigned to a control group, which received Treatment as Usual and a treatment group that was provided Assertive Community Treatment. Assessments were given at the start of the program, in six-month intervals, and then at the end of the program. This indicates a time trial type of method, but a pre-test and post-test were conducted.