When responding to other postings pick a different position than the person you are engaging in the discussion as if you were in a team meeting discussing this case. You might take the position of a Psychiatrist, Psychologist Supervisor, Nurse, or Counselor, but look for constructive feedback for you classmates’ position. Think of 2 positive statements you could make regarding the case and 2 challenging statements you might make to brainstorm this case.
Student paper down below:
As a helping professional at the community mental health center, I have been asked to counsel an adult female client (55-years-old) with Major Depressive Disorder (suicidal thoughts, feelings of helplessness and hopelessness, sleep and appetite disturbances pattern) and Borderline Personality Disorder (chronic feelings of unhappiness and alienation from others, conflicts with authority, and family discord and it coexist from substance abuse) Darryl S.Inaba, 2011.Also, the client suffers from:
·Addiction issues from alcohol and illegal drugs
·Abandonment issues and lashes out at her family
·Not taking her psychotropic medications
·Isolation and increased depression, sleeps 14 hours a-day and over-eats the other part of her day.
The client would be able to socialize and need to get her life back, so she will be able to work on her mental illnesses and her abandonment issues.Today, I am sharing and would like to discuss with our community mental health team regarding this 55-year-old adult female client who has Major Depressive Disorder and Borderline Personality Disorder.It is my opinion to address the clients goal and objectives and complete her assessment, now.I strongly believe the client would benefit from the two techniques for treating substance abusers or using a behavioral contract and a contingent reinforcement.Within the behavioral contract the client would agree to specific behaviors and certain consequences along with her contingent reinforcement, then she will be rewarded for her targeted behavior.
The clients’ group selection is categorized by her use of drugs and alcohol, since she has both addiction issues.She will be split into several groups.We will have to take into consideration of any of her underlying abuse histories and her major depression/borderline personality disorders.This will be a positive group interaction and a challenge for her future growth.The client’s group goals will identify her program needs and treatment plans by placing the 55-year-old client into an Intensive In-patient Treatment Center (residential) for 6 months to a year.This intensive treatment would provide detox services since she need to get off drugs and alcohol and be treated for her Major Depression and Borderline Personality Disorders.She would engage in a Cognitive Behavioral Therapy Group (CBT) group to let her know she is not alone in dealing with her dual addictions, psychotherapy and her healing process (M.U.S.E, 2018).
These services will also provide a safe place for her to clear her body of any illegal drugs and alcohol (all addictions).She will be medicated to ease the detox process.At this treatment center physicians and nurses will be available to assist and monitor her needs within her groups.I also believe the client is at a fragile state and it would be very crucial to oversee her throughout the program. This process can be intense since the client has dual-diagnosis because she needs several treatment plans.Her groups counseling planning would be:
·Dually Diagnosed Groups using drug addiction and mental illness, along with MR/DD and mental illness.
·Psycho-Educational Group using medication education and mental illness education:
These groups will be targeted on the client’s specific disorders: psychotropic medication and illness education facts; side effects, medication usefulness, short or long-term use, her group will be led by a health professional.These groups will also educate the client on her Borderline Personality and Major Depression Disorders by enhancing her coping skills, and the class can be anywhere from 1-2 hours or in sessions.The client will need upon her completion of intensive inpatient treatment plan an aftercare structured ongoing program.We must take into consideration that the client had stopped taking her psychotropic medication over a year ago (NIDA, 2000).
The one drawback for this client would be: if the group does not go well for her and she becomes agitated and disheartened (this could be worse for her than her not attending classes at all).Therefore, additional social support is necessary for the 55-year-old client, in case she relapse into another addition.Most of these actions require serious medical treatment because it does affect the client’s brain (Adams & Johnson-Greene, 1995).Depending on the illegal drug(s) the client has taken may have done extensive damages to the body’s system in e.g. the drugs cocaine or amphetamines places a great strain on the cardiovascular system (the heart rate and blood pressure).Overall, a treatment plan using the Cognitive (reconstructive) Behavioral therapy eliminates negative habits and form new and offer more positive changes to her lifestyle: changes physical exercise, medication, social environmental and more skills and resources to address behavior addictions.This will help the client out of threats or harming herself, and/or others.At this time, another health professional will be able to review the Dialectical Behavioral Group that can work in conjunction with her weekly individual therapy to address her abandonment issues as a part of her treatment plan.