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Ethics of counseling
Mental health counseling paper on ethical issues in counseling
The effectiveness of cognitive behavioral therapy
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The mental health disorder I have chosen for analysis is Obsessive Compulsive Disorder (OCD). First, I will discuss symptoms and diagnostic criteria that is in the Diagnostic and Statistical Manual of Mental Disorders (DSM). Then I will cover treatment OCD as it relates to the strengths perspective and the medical model of mental health. Finally, I will discuss the ethical responsibilities that Social Workers have towards clients in the mental health field.
Symptoms and Diagnostic Criteria
OCD often starts in adolescence or early adult hood (DSM, 2000). It is in the Axis I category of the DSM. It often starts from some experience in the client life. These experiences could be because of trauma, abuse, or other important life transitions. For most people OCD, gradually develops over time, and it can be many years before fully blown OCD is developed. The cause of OCD is unknown, but “family and twin studies show it has a strong heritable component and is likely genetically linked to Tourette’s disorder” (Andreason & Black, p.190).
Two very important aspects of OCD are obsession and compulsion. Clients will develop obsession which can be defined by the DSM as “recurrent and persistent thoughts, impulses, or images that are experienced, at some point during the disturbance as intrusive and inappropriate and that cause marked anxiety or distress” (p.462). Compulsion is “repetitive behaviors or mental acts that the person feels they should perform in response to an obsession or according to rules that must be applied rigidly” (DSM, 2000, p. 462).
These obsessive thoughts are more then just worrying about everyday life. These obsessions create a lot of anxiety and stress in the client’s life. A client can have obs...
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...urselves in an ethically competent way. We must work within the bounds of our training, education, certification, licensure, knowledge etc. I should not be diagnosing a client unless I am properly education and have the proper licensure. Clients have the right to confidentiality and privacy in the worker-client relationship. These are just a few of the ethical responsibilities that we as Social Workers have towards clients in the mental health field.
Works Cited
Andreasen, N., Black, D (2006). Introductory Textbook of Psychiatry Forth Edition. Washington, DC: American Psychiatric Publishing, Inc
Cognitive-Behavioral Therapy… (n.d.). National Association of of Cognitive-Behavioral Therapists. Retrieved June 22, 2010 from http://nacbt.org/whatiscbt.htm
Diagnostical and Statistical manual of Mental Disorders. Arlington, VA: American Psychiatric Association
American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders: Fourth Edition. Arlington : American Psychiatric Association.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th Edition. Arlington, VA: American Psychiatric Publishing.
Kaplan, H. I., Sadock, B. J., & Grebb, J. A. (1994). Synopsis of psychiatry: behavioral sciences,
Obsessive-Compulsive disorder (OCD) - is characterized by persistent, uncontrollable and unwanted feelings or thoughts (obsessions) and routines or rituals (compulsions) in which individuals engage to try to prevent or rid themselves of these thoughts. In example of common compulsions include washing hands or cleaning repeatedly for fear of germs.
Obsessive-compulsive disorder has been classified as a type of anxiety disorder under DSM-5, in which there is a presence of obsessions, compulsions or both. Obsessions are defined as “intrusive and mostly nonsensical thoughts, images, or urges that the individual tries to resist or eliminate,” while compulsion are the thought or actions that accompany these obsessions to try to suppress and provide relief. (TEXTBOOK) The obsessions are categorized into four major types, and each is linked with a certain pattern of compulsive behaviors.
Obsessive-Compulsive Disorder is a disease that afflicts up to six million Americans, however all its characteristics are yet to be fully understood. Its causes, triggers, attributes, and variations are still unknown although effective medicines exist to treat the symptoms. OCD is a very peculiar disease as Rapoport discusses it comes in many different forms and have different symptoms yet have many similarities. One sure aspect is that it appears, or at least its symptoms do, out of the blue and is triggered either by stressful experiences or, most of the time, just appears out of nowhere. One example is a boy who's father was hard on him for being affected by the worlds "modern ways", the boy at a high school party tries LSD ( a hallucinatory drug), after that thoughts of whether his mind was dangerously affected by the drug. What seemed like completely appropriate worrying and anxiety turned into attacks of anxiety, he couldn't shake the thoughts that something was wrong with his mind. Essentially he had "his mind on his mind" constantly and that haunted his days his thought were as follows: " did the lsd do anything to my mind? The thought never went away ; instead it got more and more complicated. There must be something wrong with my mind if i am spending so much time worrying about it. Is there something wrong with my mind? Was this from the lsd? Will it ever get better?" (The boy who, J. L. Rapoport 125,126) Dr. Rapoport promptly put him on Anafranil (an anti-depressant, used for OCD, not marketed in the U.
middle of paper ... ... Retrieved June 16, 2002, from http://nimh.nih.gov/publicat/numbers.cfm. National Mental Health Association. 2000 May 15.
Obsessive-Compulsive Disorder (OCD) is a disorder which causes people to develop an anxiety when certain obsessions or compulsions are not fulfilled. OCD can affect both children and adults with more than half of all adults with OCD stating that they experienced signs as a child. People living with OCD display many obvious signs such as opening and closing a door fifty times because they have to do it “just right”. Others exhibit extreme cleanliness and will wash their hands or take showers as often as they can because they constantly feel dirty. OCD devastates people’s social lives as they are fixated and obsessed with perfection that can take forever to achieve. However people living with OCD are often found to have an above average intelligence and typically excel at school due to their detail oriented mindset, cautious planning and patience. OCD can be caused by many different factors such as genetics or the ever changing world a...
There are a couple evident symptoms of OCD. People tend to do an action over and over again to calm their anxiety levels. They tend to not be able to control unwanted thoughts or actions, and spend minimum an hour each day on the obsessing rituals which gets in their way for daily life. Common obsessions are needs for symmetry or order, fear of germs, causing harm to other people, dirt or germs, etc. Common compulsions include constant bathing, hoarding of items, constant counting, etc. These signs can interfere with a person’s life and ruin relationships with others.
Obsessive-compulsive disorder is characterized by unreasonable thoughts, fears, and obsessions that lead you to do repetitive behaviors or compulsions. Living with OCD is like remembering every little thing you need to do for that week, every second of the day, every hour of the day, every minute of the day and all at once. One to two percent of the population in The United States suffers from OCD which is roughly 1 to 2 million people. ("How Many People Have OCD?)
People from all walks of life can get a diagnosis of OCD. It can be found in multiple groups of people in all social and ethnic groups and found in both male and female. Most symptoms are formed in early childhood, the teenage or young adult years. If the appearance of OCD suddenly appears later in life could merit a thorough medical evaluation to ensure that another illness is not the underlining causes of these symptoms. This paper will discuss what OCD is, who actually gets it is, what the actual causes of OCD are, and what the effective treatments for OCD are available out there (Obsessive-Compulsive Disorder, OCD, ...
There are several things that are included in OCD, including its symptoms, treatments and its involvement with the brain. Obsessive Compulsive Disorder recognize their symptoms to be ego-dystonic which are thoughts one would not usually have and not within one’s control but is still a product of one’s mind. The two common symptoms of Obsessive Compulsive Disorder are obsessions and compulsions. Obsessions take the form of persistent and uncontrollable thoughts, images, impulses, worries, fears or doubts. An anonymous writer wrote about his/her images, “These images included hitting, stabbing, poisoning and shooting people, even the people I loved the most…” However, compulsions are either repetitive physical behaviors or mental thought rituals that are performed over and over again to help relieve a person’s anxiety. Over time compulsions can become more elaborate and time- consuming. Shirley Brinkerhoff mentions in her book Amanda, a high school girl facing OCD, said, “Then I started having to count my steps. Like, 387 steps to the bus stop, and if missed...
Kahn, Ada P., and Jan Fawcett. The Encyclopedia of Mental Health. 2nd ed. New York: Facts On File, 2001.
Wedding, D., & Corsini, R. J. (Eds.). (2014). Current psychotherapies (10th ed.). Belmont, CA: Brooks/Cole, Cengage