Assessing Clients with Addictive Disorder

Assessing Clients with Addictive Disorder

Addictive disorders can be particularly challenging for clients. Not only do these disorders typically interfere with a client’s ability to function in daily life, but they also often manifest as negative and sometimes criminal behaviors. Sometime clients with addictive disorders also suffer from other mental health issues, creating even greater struggles for them to overcome. In your role, you have the opportunity to help clients address their addictions and improve outcomes for both the clients and their families. For this Assignment, as you examine the Levy Family video in this week’s Learning Resources, consider how you might assess and treat clients presenting with addiction Assessing Clients with Addictive Disorder.

Learning Objectives

Students will:

  • Assess clients presenting with addictive disorders
  • Analyze therapeutic approaches for treating clients with addictive disorders
  • Evaluate outcomes for clients with addictive disorders

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To prepare:

  • Review this week’s Learning Resources and consider the insights they provide.
  • Review the Levy Family video Episodes 1 through 5.

The Assignment

In a 2- to 3-page paper, address the following:

  • After watching Episode 1, describe:

o             What is Mr. Levy’s perception of the problem?

o             What is Mrs. Levy’s perception of the problem?

o             What can be some of the implications of the problem on the family as a whole?

  • After watching Episode 2, describe:

o             What did you think of Mr. Levy’s social worker’s ideas?

o             What were your thoughts of her supervisor’s questions about her suggested therapies and his advice to Mr. Levy’s supervisor?

  • After watching Episode 3, discuss the following:

o             What were your thoughts about the way Mr. Levy’s therapist responded to what Mr. Levy had to say?

o             What were your impressions of how the therapist worked with Mr. Levy? What did you think about the therapy session as a whole?

o             Informed by your knowledge of pathophysiology, explain the physiology of deep breathing (a common technique that we use in helping clients to manage anxiety). Explain how changing breathing mechanics can alter blood chemistry.

o             Describe the therapeutic approach his therapist selected. Would you use exposure therapy with Mr. Levy? Why or why not? What evidence exists to support the use of exposure therapy (or the therapeutic approach you would consider if you disagree with exposure therapy)Assessing Clients with Addictive Disorder?

  • In Episode 4, Mr. Levy tells a very difficult story about Kurt, his platoon officer.

o             Discuss how you would have responded to this revelation.

o             Describe how this information would inform your therapeutic approach. What would you say/do next?

  • In Episode 5, Mr. Levy’s therapist is having issues with his story.

o             Imagine that you were providing supervision to this therapist, how would you respond to her concerns?

  • Support your approach with evidence-based literature.

After watching Episode 1, describe:

o What is Mr. Levy’s perception of the problem?

Mr. Levy believes that going to Iraq changed him. To deal with the change, he has resorted to drinking that has made it difficult for him to attend work. In this respect, Mr. Levy’s drinking is used as a coping mechanism to address the changes he experienced in Iraq.

o What is Mrs. Levy’s perception of the problem?

Mrs. Levy believes that the drinking and non-communication is a problem. In fact, the drinking has made it difficult for Mr. Levy to go to work or even get out of the house. These changes occurred after he comes from Iraq. As such, although she believes that the drinking can other changes occurred after he came from Iraq, going to Iraq is not really the problem. Rather, the drinking and missing work is the problem.

o What can be some of the implications of the problem on the family as a whole?

The drinking problem has some implications for the family. Firstly, it has caused a conflict between the two whereby communication has now become a problem. Secondly, Mr. Levy finds it difficult to attend work thereby implying that income has been reduced. Finally, there is a possibility that the couple could break up if the situation continues unabated (Wheeler, 2014).

  • After watching Episode 2, describe:

o What did you think of Mr. Levy’s social worker’s ideas?

The social worker has presented the possibility of using alternative therapies on the patient. Although this could look like a good idea, it is not. That is because the patient’s needs should be paramount. The first step is that the therapist should assess the patient and determine his needs. This should then be followed by creating a match between the patient’s needs and the therapies that the social worker is most proficient in using. She is not proficient in using alternative therapies and should therefore not conceive using them (Wheeler, 2014).

o What were your thoughts of her supervisor’s questions about her suggested therapies and his advice to Mr. Levy’s supervisor?

The supervisor offers some very good advice. Firstly, the social worker should not think of using alternative therapies before determining what the client needs. Secondly, the social worker should not use a therapy she is not familiar with. Finally, a therapy should only be considered if there is tangible evidence to show that it has acceptable efficacy (Wheeler, 2014)Assessing Clients with Addictive Disorder.

  • After watching Episode 3, discuss the following:

o What were your thoughts about the way Mr. Levy’s therapist responded to what Mr. Levy had to say?

The therapist responded in the right way by creating an opportunity for Mr. Levy to recount a past traumatic event. She notices that he was getting emotional and proposed the use of exposure therapy to calm him down and continue recounting the traumatic event.

o What were your impressions of how the therapist worked with Mr. Levy? What did you think about the therapy session as a whole?

The therapy proceeded in the right way by having the client confront the trauma. Recounting these events ensures that instead of avoidance and having the event continue affecting his personality negatively, he is able to confront the event and live with it (Reamer, 2014).

o Informed by your knowledge of pathophysiology, explain the physiology of deep breathing (a common technique that we use in helping clients to manage anxiety). Explain how changing breathing mechanics can alter blood chemistry.

Anxiety is characterized by faster breathing and heart rate that create an oxygen deficiency. This further increases the breathing and heart rate in a bid to compensate for the oxygen deficiency. Taking deep breaths increases the oxygen volume in the lungs, ensures that more oxygen can be transferred to the blood thus reducing the heart rate (Alverti & Pedotti, 2014).

o Describe the therapeutic approach his therapist selected. Would you use exposure therapy with Mr. Levy? Why or why not? What evidence exists to support the use of exposure therapy (or the therapeutic approach you would consider if you disagree with exposure therapy)?

Exposure therapy is appropriate for the present situation. That is because it is a fast acting relief for anxiety that presents immediate results thereby ensuring that the present session is not interrupted. Through this approach, the patient gets relief for his anxiety and is able to continue recounting the traumatic event (Cautlin & Lilienfield, 2015).

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  • In Episode 4, Mr. Levy tells a very difficult story about Kurt, his platoon officer.

o Discuss how you would have responded to this revelation.

I would have responded to the revelation by acknowledging that it was a difficult choice. On one hand, his platoon officer was in so much pain, was sure he was dying and wanted faster relief through death. On the other hand, killing him would have provided faster relief but eliminated all possibility of him surviving if the right medical treatment had been provided or even presented the likelihood of him being accused of murder. As such, the response should have reassured the patient that whatever way he responded would have presented its own unique challenges (Wheeler, 2014) Assessing Clients with Addictive Disorder.

o Describe how this information would inform your therapeutic approach. What would you say/do next?

The information would inform the therapy approach by getting the client to acknowledge that whatever choice was made at the time. As such, the best therapeutic approach would get the client to accept that the events occurred and should not have any regrets.

  • In Episode 5, Mr. Levy’s therapist is having issues with his story.

o Imagine that you were providing supervision to this therapist, how would you respond to her concerns?

As a supervisor, it is important to remind the therapist that helping the best outcome for the patient can only be achieved if the therapist adopts an objective approach and not a subjective approach. Viewing the situation from an objective perspective ensures that she is not influenced by the situation, but instead acts on what the situation presents (Shea, 2015).

References

Alverti, A. & Pedotti, A. (2014). Mechanics of Breathing: new insights from new technologies. Berlin: Springer.

Cautin, R. & Lilienfeld, S. (2015). The encyclopedia of clinical psychology, volume II Cli-E. Hoboken, NJ: John Wiley & Sons.

Reamer, F. (2014). Risk management in social work: preventing professional malpractice, liability and disciplinary action. New York, NY: Columbia University Press.

Shea, D. (2015). Cognitive behavioral approaches for counselors. Thousand Oaks, CA: SAGE Publications.

Wheeler, K. (Eds.). (2014). Psychotherapy for the advanced practice psychiatric nurse: a how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company Assessing Clients with Addictive Disorder.

 

 

 

 

 

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