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Group counseling case study
Group counseling case study
Fundamentals of group therapy
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ADRE 6793 Case Study Identifying information The client presents as well groomed middle age female and is oriented to time, person, place. Upon starting the conversation the client stated, “I am ready to get clean and find another job”. The client possesses strong internal motivation to get a job and be financially independent. Her affect appears normal and appropriate to the conversation matter. She is cooperative with the intake process and rapport is easily established. Family History: Client is a 40 year old and identifies as an African American female. She currently resides in Greenville, North Carolina with her husband to whom she has been married to for nine years. The client has two grown sons who do not live in the Greenville, …show more content…
She now reports that she has not used marijuana in the last two weeks. She also reports frequent alcohol use, about 3-4 days out of the week, and reports drinking 5-6 drinks at a time. She denies any history of withdrawal symptoms but admits that she has never stopped drinking for an extended period of time. She does report being able to drink more than she used to and has admitted to having one “blackout” in the past. Client reports that she had a DUI at the age of 22. She was required to attend 6 weeks of drug education and pay a fine. Client denies any current or pending legal …show more content…
The SASSI will be used to help determine level of dependence and the BDI-II to screen for depression since the client presents with a history of postpartum depression and depression is a symptom of withdrawal from cannabis. Other background information that is needed includes: detailed work history and more relationship information. The client may also benefit from vocational evaluation and rehabilitation. This service will provide the client with information on government assistance and provide the client information regarding returning to
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.
Client attempted to call Dan’s home but his wife would pick up and she would hang up. She would constantly call his job and he would ignore her calls. Client also that Dan had moved to the suburbs once she notified him that she was pregnant with their child. When she first notified him about being pregnant, he was under the impression that she would abort the child but she was not going to do that because she loved him and she was going to love this child as well. She made c...
I will be evaluating the case of Angela and Adam. Angela is a white 17 year old female and Adam is her son who is 11 months old (Broderick, P., & Blewitt, P., 2015). According to Broderick, P., & Blewitt, P., (2015) Angela and her baby live with her mother, Sarah, in a small rental house in a semirural community in the Midwest. Adam’s father, Wayne, is estranged from the family due to Sarah refusing to allow him in the house however, Angela continues to see him without her mother’s permission which is very upsetting for Sarah. Angela dropped out of high school and struggles raising her son (Broderick, P., & Blewitt, P., 2015). With all that is going on in Angela and Sarah’s life right now their relationship has become strained and hostile which
The clients goals are to be reunited with her children, maintain housing, and to attend parenting to strengthen her skills and the bond with her children. Client is doing well: abstaining from drinking and complying with and attending program, no longer with abusive boyfriend, willing to work hard. Key players agree on goals for the most part. Goals represent a change on the micro level. Identified objectives are to develop her parenting skills and strengthen the bond with her children, maintain sobriety, and to develop healthier coping skills, develop positive self-esteem.
The client is a 20-year college student, who has experienced many hard times through her life, especially with her family. Before beginning
Mr. and Mrs. Jacques moved to the Unites States, with Samuel, from the Bahamas, approximately eleven years ago. She stated that Samuel was a child from a sexual assault and she had him due to her religious beliefs. Mr. Jacques had promised to accept him as his own. She is currently the mother of five children, who are all displaying different behavioral issues. Her husband is abusing alcohol, using drugs and is emotionally abusive. He was diagnosed as bipolar with psychotic symptoms. He does not take his medication on a consistent basis which causes problematic behavior. They have had periods of good times where Mr. Jacques was working and providing for the family. They have lived in their own home and were evicted due to Mr. Jacques inability to provide for the family due to his alcohol and substance abuse. The family was displaced into homeless shelters, due to their eviction, and were placed in transitional housing. Following placement in transitional housing Mrs. Jacques’ problems becam...
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.
“Motivational interviewing was introduced by Dr. William R. Miller in 1983, to help problem drinkers prepare for treatment and has been developed in collaboration with Dr. Stephen Rollnick. Motivational interviewing is a client centered directive method of communication for enhancing intrinsic motivation to change by helping people to explore and work through ambivalence. (Miller &Rollnick,2002).” This definition simply means that motivational interviewing is a method that uses the techniques taught by Carl Rodgers, such as empathy, positive regard, and congruence all of which lead to a collaborative relationship between the counselor and the client. This supportive and collaborative relationship will enable the client to open up and have honest discussions with the counselor. Therefore, the counselor will be able to help the client recognize:
Liehr, P, Marcus, M, Carroll, D, Granmayeh, K L, Cron, S, Pennebaker, J ;( Apr-Jun 2010). Substance Abuse; Vol. 31 (2); 79-85. Doi: 10.1080/08897071003641271
Solowij et al. (2002). Cognitive Functioning of Long-term Heavy Cannabis Users Seeking Treatment. JAMA: The Journal of the American Medical Association, 287, 1123-1131.
Nobody denies that every client and situation is unique, but there is a general layout out of a treatment plan that can be used thought out the facility to ensure success for the client. The first step in the treatment plan is to screen clients to determine if he/she meets the criteria of the facilities drug, or alcohol program. The facility will use the standard CAGE, of the Substance Abuse Subtitle Screening Inventory questioner as a screening tool. These two screening tools are consist of few questions and require only short answers to determine (American Society of Addiction Medicine, 2012). These tools are easy to use and can be done by any qualified staff according to the ASAM. If more through information is needed then the client will go under an assessment.
The group members chosen was an African-American male, Caucasian female, and an African-American/Puerto Rican lesbian. Their ages eighty, sixty-one, and forty-three respectively. Each participant was chosen as a representation of diversity across age, gender, ethic, and social backgrounds. The African-American male is a retired labor movement organizer and has a daughter who has been clean now for several years. The Caucasian female is a therapist in the field of addiction and has twenty-two years clean. The African-American/Puerto Rican lesbian is a dog groomer who has struggled with staying clean for the past twenty-three years. Each person chosen has a personal connection my father, my sponsor, and my ex-partner of three years. Although the group appears to be diverse they all have a common denominator each on...
Another controversy plays a role in marijuana use. Marijuana usage has been linked to mental health illness. Some studies have reported that marijuana use is associated with the increased risk of onset of depression, anxiety, bipolar disorder, substance use disorders and psychosis (Blanco, 2016). The main question that remains is whether marijuana use causes these conditions or its people who use marijuana to relieve their distress. Marijuana usage is more common in the adolescent’s population. This paper is about Bill A1557 which is now active and plays a big role in today's society. This bill was introduced on January 9, 2018 by assemblyman Michael Patrick Carroll in the state of New Jersey. The bill’s focus "legalizes marijuana and provides
In the personal assessment, it asked a series of questions in regard to whether or not I was dependent to marijuana and alcohol. Basically, if I answered yes to any of the particular questions stated then I should indicate problematic use of marijuana and alcohol and should seek help. Based off the interpretation of the assessment it states that I do not have any problematic use with marijuana or alcohol.
The diagnosis of this type of substance use disorder often is difficult because the symptoms of substance abuse can be comparable to the symptoms of other medical and behavioral problems that are found in older adults, such as dementia, diabetes, and depression. Many healthcare providers underestimate the extent of substance abuse problems among older generation, therefore, do not screen older adults. Seniors often live with or are supported by their adult children or other family members because of financial necessity and with their substance abuse it is placing additional financial hardship on supporting families, as well as the psychological damage. If the older adult’s spouse is present, they are likely to be an older adult as well, and may be perplexed by their partners new and disruptive behaviors and may not be able to understand the addiction. Therefore, their spouse may not be in a position to help assist in recovery. Their children may take on a parental, caretaking role. This role reversal can be stressful, painful, and embarrassing. In some cases, grown children may stop providing financial support, physical abuse, and assert emotional control because it is the only influence they have over the parent. Children may cut ties with the parent due to their substance abuse. Cutting ties have only increased the parent’s isolation and may worsen the predicament.