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People that abuse substances have individual reasons for
what first drove them to begin using these substances in the first
place. Some clients started using them through experimentation, peer
pressure, or curiosity. However, many users began using substances as a
way of dealing with other issues in their lives, such as depression,
anxiety, weight loss, or other physical or mental disorders. In still
other cases, mental and physical disorders may result in response to
chronic substance abuse. In these cases, it is important to determine
what the co-occurring disorder is, as well as the substance abuse
problem, in order to determine the best course of treatment.
Read the following scenario and then respond to the questions that follow:
You are a substance abuse counselor.
Gregory, your new client, has come to you for help with his alcohol use
problem. Gregory is married with three children and works as a sales
representative for a large corporation in the city. In your first
meeting with Gregory, you discover that his drinking began as a way to
alleviate the anxiety he felt in social situations. Over time, Gregory
began using alcohol more often. He found that every time he used
alcohol, his anxiety lifted and he was able to be more at ease during
work, out with colleagues, and at other such public events. Over time,
Gregory realized he needed more alcohol than before to get the same
anxiety relieving effects.
Two weeks ago, one of Gregory’s coworkers
became suspicious that Gregory was drinking at work. That same day,
while Gregory was driving home from work, he was pulled over by the
police. He passed the field sobriety test and the officer let him off
with a warning. These two events served as a wake-up call for Gregory as
he realized his alcohol use may be beyond his control.
Gregory has made an appointment with you because he sincerely wants to curtail his alcohol use.
To help Gregory achieve his goals, write a
paper that analyzes the components of his scenario. In your paper,
ensure that you include the following information:
- Summarize the history and usefulness of the four
major contemporary treatment modalities (crisis intervention, individual
counseling, group counseling, and family counseling).
- Evaluate Gregory’s dual diagnosis (also referred to
as “co-occurring disorders”) and the implications for counseling. Keep
the following questions in mind:
- Describe the meaning of dual diagnosis and how it impacts counseling.
- Classify Gregory’s primary and secondary diagnoses.
- Analyze the implications in treating a secondary diagnosis.
- Evaluate the limitations for an alcohol and drug
counselor when treating diagnoses other than those related to substance
abuse. Describe the circumstances where the four treatment modalities
might be useful in a dual diagnosis.
- Recommend at least one treatment modality for Gregory and explain your recommendation using at least two scholarly references.
Write a 4–5-page paper in Word format. Use
scholarly resources, including your textbook, to support your ideas.
Your paper must be in Word format and include a title page and reference
page in addition to the 4-5-pages of content. Apply APA 6th edition
standards to the format of the paper, and the citation of sources. Use
the following file naming convention: LastnameFirstInitial_M3_A2.doc.
By Wednesday, October 21, 2015, deliver your assignment to the M3: Assignment 2 Dropbox.
Assignment 2 Grading Criteria
Summarize the history and
usefulness of the four major contemporary treatment modalities (crisis
intervention, individual counseling, group counseling, and family
Evaluate dual diagnosis
and the implications for counseling. Include a description of what dual
diagnosis means and how it impacts counseling.
Classify Gregory’s primary and secondary diagnoses.
Analyze the implications in treating a secondary diagnosis.
Evaluate the limitations for an alcohol and drug counselor treating diagnoses other than those related to substance abuse.
Describe in what different circumstances (related to dual diagnosis), the four treatment modalities might be useful.
Recommend at least one treatment modality for Gregory and explain the recommendation.
Usage and Mechanics (12)
APA Elements (16)