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PSYCHOTHERAPY FOR CLIENTS WITH ADDICTIVE DISORDERS

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.

THE ASSIGNMENT

In a 5- to 10-slide PowerPoint presentation, address the following. Your title and references slides do not count toward the 5- to 10-slide limit. 

  • Provide an overview of the article you selected
    • What population (individual, group, or family) is under consideration?
    • What was the specific intervention that was used? Is this a new intervention or one that was already studied?
    • What were the author’s claims?
  • Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?
  • Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article.
  • Use the Notes function of PowerPoint to craft presenter notes to expand upon the content of your slides.
  • Support your response with at least three other peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Provide references to your sources on your last slide. Be sure to include the article you used as the basis for this Assignment.
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Adult Psychotherapy Treatment Planner

Psychological Treatment Plan, It is recommended that students review the e-book The Complete Adult Psychotherapy Treatment Planner (Jongsma, Peterson, & Bruce, 2014) for additional assistance in completing this assignment.

Clinical and counseling psychologists utilize treatment plans to document a client’s progress toward short- and long-term goals. The content within psychological treatment plans varies depending on the clinical setting. The clinician’s theoretical orientation, evidenced-based practices, and the client’s needs are taken into account when developing and implementing a treatment plan. Typically, the client’s presenting problem(s), behaviorally defined symptom(s), goals, objectives, and interventions determined by the clinician are included within a treatment plan.

To understand the treatment planning process, students will assume the role of a clinical or counseling psychologist and develop a comprehensive treatment plan based on the same case study utilized for the Psychiatric Diagnosis assignment in PSY645. A minimum of five peer-reviewed resources must be used to support the recommendations made within the plan. The Psychological Treatment Plan must include the headings and content outlined below.

Behaviorally Defined Symptoms

Define the client’s presenting problem(s) and provide a diagnostic impression.
Identify how the problem(s) is/are evidenced in the client’s behavior.
List the client’s cognitive and behavioral symptoms.
Long-Term Goal

Generate a long-term treatment goal that represents the desired outcome for the client.
This goal should be broad and does not need to be measureable.
Short-Term Objectives

Generate a minimum of three short-term objectives for attaining the long-term goal.
Each objective should be stated in behaviorally measureable language. Subjective or vague objectives are not acceptable. For example, it should be stated that the objective will be accomplished by a specific date or that a specific symptom will be reduced by a certain percentage.
Interventions

Identify at least one intervention for achieving each of the short-term objectives.
Compare a minimum of three evidence-based theoretical orientations from which appropriate interventions can be selected for the client.
Explain the connection between the theoretical orientation and corresponding intervention selected.
Provide a rationale for the integration of multiple theoretical orientations within this treatment plan.
Identify two to three treatment modalities (e.g., individual, couple, family, group, etc.) that would be appropriate for use with the client.
It is a best practice to include outside providers (e.g., psychiatrists, medical doctors, nutritionists, social workers, holistic practitioners, etc.) in the intervention planning process to build a support network that will assist the client in the achievement of treatment goals.

Evaluation

List the anticipated outcomes of each proposed treatment intervention based on scholarly literature.
Be sure to take into account the individual’s strengths, weaknesses, external stressors, and cultural factors (e.g., gender, age, disability, race, ethnicity, religion, sexual orientation, socioeconomic status, etc.) in the evaluation.
Provide an assessment of the efficacy of evidence-based intervention options.
Ethics

Analyze and describe potential ethical dilemmas that may arise while implementing this treatment plan.
Cite specific ethical principles and any applicable law(s) for resolving the ethical dilemma(s).
The Psychological Treatment Plan

Must be 7 to 10 double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.).
Must include a separate title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
Must use at least five peer-reviewed sources in addition to the course text.
Must document all sources in APA style as outlined in the Ashford Writing Center.
Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center.

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Psychological treatment plan

This is a treatment plan for Julia, an adult who is presenting the symptoms of anorexia nervosa. It analyses the behaviorally defined symptoms including defining the presenting problems and the diagnostic impression, the evidence in the client’s behavior and the cognitive and behavioral symptoms. The paper also has a long-term treatment goals, the short-term objectives and suggested treatment interventions as per the objectives. The interventions are tied to corresponding theoretical orientations. It also evaluates the effectiveness of the interventions as well as the potential ethical dilemmas and their resolutions.

Behaviorally defined symptoms

Julia does not eat enough. She alsoexercises a lot. This has madeher body mass index to fall below normal. Further, she presents exhaustion, antisocial behavior, stress and severe weight loss. These are all signs of anorexia nervosa (DSM-5 – 307.1, ICD-10 – F50.02). Nonetheless, Julia does not present any other medical condition and does not have a history of mental illness, therefore comorbidity is not evident.

Because of the anorexia nervosa, Julia is very defensive about her condition. She does not want anyone to help her with her health condition, not wishing to discuss the issue even with medical professionals. Indeed, she tries to hide her condition because she is afraid of criticism and being made fun of. Her antisocial behavior has led to depression. She also suffers from low self-esteem. However, she does not engage in alcohol or drug abuse.

The cognitive and behavioral symptoms that depict Julia as suffering from anorexia nervosa are:

  • Low BMI and lack of seriousness about this condition
  • Dieting and consequent drastic loss of weight
  • Exercising extensively to avoid weight gain
  • Antisocial behavior including fearfulness and defensiveness
  • Low self-esteem occasioned by undue influence of body image

Long-term goal

The long-term gal for Julia’s treatment plan is to have normal eating patterns, maintain ahealthy weight and a realistic assessment of body weight.

Short-term objectives

The short-term objectives for the treatment will be:

  1. To honestly describe eating and exercising patterns including the types, amount and frequency of food eatenas well as inappropriate dieting and exercising during the first three weeks of the treatment.

Establish regular eating patterns by eating at regular intervals and consuming optimal daily calories during the one-year treatment perio………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

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Dynamic Psychotherapy

Prior to beginning work on this assignment, it is recommended that you read Chapter 1 in Turning Points in Dynamic Psychotherapy: Initial Assessment, Boundaries, Money, Disruptions and Suicidal Crises and Chapters 1, 2, and 4 in The Psychiatric Interview: Evaluation and Diagnosis.

Respond to at least one of your colleagues in the discussion forum before creating your assignment submission.

For this assignment, you will take on the role of a mental health professional providing a consultation to a colleague. Your colleague in this case happens to be a licensed clinical psychologist. Carefully review the PSY645 Fictional Mental Health Consultation Scenario (Links to an external site.) which provides information on your colleague’s patient and specific questions your colleague has posed to you as a consultant. Once you have reviewed the scenario, research a minimum of two peer-reviewed articles in the Ashford University Library related to the situation(s) presented in the scenario and how these have been approached and treated in previous cases.

Write an evaluation of the patient’s symptoms and presenting problems within the context of one theoretical orientation (e.g., psychoanalytic, cognitive, behavioral, humanistic, etc.). Summarize views of these symptoms and presenting problems within the context of at least one historical perspective and two theoretical orientations different from the one used in your evaluation (e.g.:, cognitive, humanistic, psychodynamic, integrative) in order to provide alternative viewpoints. To conclude, justify the use of diagnostic manuals and handbooks besides the DSM-5 that might be used to assess this prospective patient.

The Mental Health Consultation:

Must be two to three double-spaced pages in length (not including title and references pages) and must be formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.).
Must include a separate title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
Must use at least two peer-reviewed sources in addition to the course text.
Must document all sources in APA style as outlined in the Ashford Writing Center.
Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center

Prior to beginning work on this assignment, it is recommended that you read Chapter 1 in Turning Points in Dynamic Psychotherapy: Initial Assessment, Boundaries, Money, Disruptions and Suicidal Crises and Chapters 1, 2, and 4 in The Psychiatric Interview: Evaluation and Diagnosis.

Respond to at least one of your colleagues in the discussion forum before creating your assignment submission.

For this assignment, you will take on the role of a mental health professional providing a consultation to a colleague. Your colleague in this case happens to be a licensed clinical psychologist. Carefully review the PSY645 Fictional Mental Health Consultation Scenario (Links to an external site.) which provides information on your colleague’s patient and specific questions your colleague has posed to you as a consultant. Once you have reviewed the scenario, research a minimum of two peer-reviewed articles in the Ashford University Library related to the situation(s) presented in the scenario and how these have been approached and treated in previous cases.

Write an evaluation of the patient’s symptoms and presenting problems within the context of one theoretical orientation (e.g., psychoanalytic, cognitive, behavioral, humanistic, etc.). Summarize views of these symptoms and presenting problems within the context of at least one historical perspective and two theoretical orientations different from the one used in your evaluation (e.g.:, cognitive, humanistic, psychodynamic, integrative) in order to provide alternative viewpoints. To conclude, justify the use of diagnostic manuals and handbooks besides the DSM-5 that might be used to assess this prospective patient.

The Mental Health Consultation:

Must be two to three double-spaced pages in length (not including title and references pages) and must be formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.).
Must include a separate title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
Must use at least two peer-reviewed sources in addition to the course text.
Must document all sources in APA style as outlined in the Ashford Writing Center.
Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center

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Mental Health Consultation

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Response to Bob’s Condition

Looking at Bob’s case is or a patient with a psychiatric disorder that could be related to circadian rhythms and disturbed sleep. In any case, psychomotor agitation is a range of disorders that are often characterized by purposeless or unintentional restlessness and motions which is accompanied by distress like the one depicted by Bob.  As can be seen from your initial assessment, Bob appears to be restless and hypersensitive, he has uncontrolled speech among other actions to depict agitation. His condition appears to be more severe, and if he was not put in the crisis house as failure to do this would lead to the risk of further decompensating (Sachs, 2005).  It is likely that Bob, given his history of the psychiatric condition means that he could be harmful to himself and those around him. Some of the characters would include tearing, ripping, and chewing at the skin around his lips, fingernails among other parts to the point of bleeding.  

It is essential that Bob is also tested for various forms of depressive disorders and obsessive-compulsive disorder which could also develop to the bipolar condition as he behaves like a maniac (Simon, 2009).  Also, it is essential to assess whether he is in some form of addiction which could include excessive intake of stimulants that make him stay awake for long hours or cases of severe hypernatremia due to his decreased ability to think confusion and seizure. Psychomotor agitation and restlessness are also implicated as a pathway to dysregulation of the nigrostriatal.  In Bob’s case, because the function of his pathway seems to be the regulation of motor impulses, he may be experiencing a decrease in the activation of the pathway which could be responsible for his hyperactivity and impulsiveness (Sachs, 2005). There will also be a decrease in the levels of catecholamine, in particular, dopamine which is often associated with impulsivity and hyperactivity. It is also possible that there was a condition that triggered the pathway, which led to an increase in aggression and agitation, thus high motor output.  There is also evidence of uncontrolled anger fromBob, which was witnessed by his violent response to your assessment questions and explosiveness, it is essential to assess for hippocampus and amygdala which could be reasons for increased mood disturbance. Evidence-based practice has shown that patients who exhibit………………………………………………………………………………………………

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