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Ryan is the presented client in this case at twenty-five years old. He identifies himself as a heroin addict and first started using substances at the age of twelve years old. This was around the time that Ryan reports his parents got divorced. His substance use first began with occasional alcohol and marijuana use that became daily use by the age of fifteen. Ryan shares that he then began to experiment with a variety of drugs including opiates which became his drug of choice. His use of opiates escalated from pills to intravenous heroin use that he was supporting through dealing, stealing, and pawning. The client has made attempts at sobriety previously including detox, inpatient, intensive outpatient treatment, and one-on-one therapy. His girlfriend recently entered treatment for her heroin use and Ryan is able to report numerous consequences of his drug use over the past several years including pending legal issues that have driven him to …show more content…
The Adlerian approach encourages individuals to take steps and develop goals to change their lives. Also, the Adlerian approach encourages a more productive and positive way of life through developing new skills, insights, and behaviors (Sharf, 2012). Specific skills from the Adlerian approach I would like to implement with Ryan would include life tasks and therapy along with task setting and commitment. In these skills we would work on testing Ryan’s satisfaction in five areas of his life including occupation, society, love, self-development, and spiritual development. This would assist in identifying issues to be addressed in counseling and can be used throughout to measure his progress. With the issues identified task setting and commitment may be used to develop small attainable tasks that reach positive goals of changing one’s life (Sharf,
This approach would have a person take immediate responsibility for their feelings as actions in the present moment; focusing on and exploring feelings as they occur. The ideal humanistic solution is that a person’s problems will diminish as they get in touch with their feelings.
Stein, H. T., & Edwards, E. M., (1998), Classical Adlerian Theory and Practice. Retrieved December 11, 2013 from www.aldlerian.us/theoprac.htm
The client of focus is a twenty-seven year old, African American male who suffers from severe alcoholism. In order to protect the confidentiality of my client he will be referred to as Johnathan throughout this paper. Johnathan has a daughter that is 5 years of age who also suffers from the consequences of her father’s actions. Before interviewing I explained to Johnathan that anything he shared with me would be completely confidential, and that he could stop at any time during the interview if he felt uncomfortable. I also explained to him that the purpose of my paper was to simply assess his real life situation based on multiple theories in social work. To begin the interview off I went on to seek the root of Johnathan’s drinking problem. Johnathan shared with me that he doesn’t really know why he started drinking but, he knows why he continues to drink. He then expressed to me that he feels as if the ones he considers closest to him, including friends, and family judge him based on his lifestyle. He feels that he cannot make anyone proud, including his daughter.
We are introduced to the story of Matt Schoonover, a young man who had recently obtained his masters degree from Yale. He had grown up “attending a Christian private school, and a prominent church” (2). Matt had begun abusing pills, though he was originally prescribed them by a doctor. Even after undergoing detoxification and then rehab, Matt could not curb his addiction. “Unable to afford street Oxycontin, Matt switched to black tar heroin, brought in from Mexico” (3). We are told how this is unfortunately quite common. People who are prescribed pills often end up abusing them; and once they can no longer afford the high prices of OxyContin they switch to black tar heroin. This transition is often what leads to overdoses, as black tar heroin is extremely deadly and overdoses like Matt’s are common. This is just one story out of tens of thousands of similar stories that all have the same ending. The opiate crisis is a problem that few recognize because it crept up on a majority of Americans. Young people throughout the nation were not using drugs in public, but privately in their own
Scott, C. G. (2000). Ethical issues in addictions counseling. Rehabilitation Counseling Bulletin, 43(4), 209. Retrieved from http://search.proquest.com/docview/213919931?accountid=12085
The healing process includes teaching, enlightening and encouraging the student, in order to help the student resolve some basic mistakes in their individual reasoning. A counselor using Adlerian therapy will assists students in understanding their thoughts, drives, and emotions that influence their way of life or thinking. When students are occupied in challenging situations, they sometimes have difficulty seeing beyond the problem and need help stepping away from or out of the problem so that another viewpoint can materialize. Students are also encouraged to acquire a more positive and productive way of life by developing
Substance abuse treatments are offered in a variety of ways. Some treatments can be done on an outpatient basis, while others may require a stay in a hospital or other facility. The two types of treatments are similar in nature. The main difference is that outpatient treatment is offered to those addicts that have circumstances or situations that will not allow them to get treatment in an inpatient rehabilitation program. Outpatient programs provide patients with more freedom of movement which allows them to maintain a regular commitment to family, work, and educational responsibilities. (Gifford, 2015). This service is also used for those that have already been a part of an inpatient rehabilitation program, yet still require some further support so they do not relapse. Both treatment types first seek to help the individual with their physical addiction and get them rehabilitated, and then focuses on the underlying causes of their addiction and help them deal with it to help prevent and avoid any relapse. Choosing which type of treatment is needed and which would best benefit the individual would need to be decided between the addict and their doctor or counselor. It is not a decision to be made lightly especially for those that need the extra care that an inpatient facility would
Alder is the founder of the Individual Psychology Therapy. This theory is developed from Freud’s psychodynamic theory and is considered one of the three major contributors to psychodynamic therapies. The beginning of the 20th century, the Adlerian therapy is a type of psychoanalysis known as the Individual Psychology therapy (IP), broke free from the Freudian school as a result rejecting Freud’s driven view of human nature. Adlerians have a calculated view of human nature. The terms Individual Psychology and Adlerian Psychology are interchangeable throughout this paper. Many other individuals have contributed to the Individual Psychology Theory. Alfred Adler’s development of the Individual Psychology therapy is a theory composed of personality and maladjustments (Watts, 2015). The medical model orientation to
This theory states that we are influenced by our parents but not determined by our early childhood developments or instincts. Most people live with limited self-reflection, they avoid core issues related to humanness and meaninglessness, facing our core issues head on leads to anxiety and dread, not facing our core life issues head on leads to a neurotic existence. It is better to face our core issues, aloneness, death, and living meaningfully, even if there is a price to pay with such awareness. Changing ones way of living requires focused self-discipline. When treating an issue the person has, you have to consider the whole person and how that issues might have contributed to all parts of their
During my time in the ward, I recently had a patient with alcohol dependency in my care. My patient, Mr Grey was a 51 year old male patient who was admitted with a fractured neck of femur and consistent hypertension. Mr Grey required a vast amount of medical treatment for his injuries. As well as Mr Grey’s physiological problems he also had poor mental health problems such as depression and anxiety. We later discovered my patient had some social issues and that he was homeless.
In regards to the questions and answers, I feel as though my personal approach to counseling is based off of my own priorities I set forth in myself that follow more closely to the aspects of Reality Therapy, and Adlerian Therapy. Though Reality Therapy primarily focuses on the present, it still has some grounding in the past but not as much as Adlerian does. Even knowing this I still feel these two therapies are more closely related to my own belief system. I am in agreement with Reality Therapy, in that we are responsible for the choices we make. I trust that we can exercise great control over our lives, over how we can change to better ourselves, and to better our relationships with those around us. I feel that we all as a society are influenced by basic needs: belonging, survival, freedom, and power, and that these needs can be used as motivational tool when working with clients.
Watching anyone struggle with addiction is indeed difficult, and being connected personally may be even more so. Loosing family or loved ones, and friends to addiction and eventually jail or possibly death can be devastating. The effects are wide spread and touch many lives often felt very deeply for a long time, some for a lifetime. What can be done to help these people, to assist the families and society is ever evolving. This group of addicted offenders should be targeted for intensive and rigorous treatment. Courts and prosecutors have increasingly been making an effort to identify such addicts, and to induce them to enter into criminal justice based treatment.
Therefore, when I work with substance abusers I will show empathy, encourage and validate their successes and their feelings about any failures. In addiction, I will help the person learn from their failures and normalize the situation. Furthermore, I would attempt to ensure that the person had several coping strategies in place, to help when he or she finds themselves in a difficult situation. Moreover, I intend to ensure the client has all the tools he or she needs to succeed while getting to the root of their problem through counseling.
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.
Each year the U.S spends billions of dollars to keep federal inmates behind bars. Nearly half of these federal inmates are convicted of drug abuse, and a vast majority of the ones convicted are low-level nonviolent criminals. Keeping these low-level criminals in jail is expensive, and it’s not very helpful because many of them end up going back to jail with higher drug charges. We as a society need to recognize that addiction is worthy of medical help and not just a crime that deserves punishment. Hey, I’m tori smith and today I 'm going to discuss the benefits of using a rehab facility instead of jail for these criminals.