Relapse does not have to be a part of the recovery process, but it is a reality that many will encounter. The necessity to hit a painful bottom has proven to be a very effective motivator toward a successful recovery. “when the pain of remaining the same becomes greater than the pain of changing, we will change” (Narcotics Anonymous, 1992, pg. 173). There is hope, as the substance user will discover, through the necessary treatment of change. Yet many do not understand relapse and are often left with shame, fear, and distorted perceptions of its ability to oppose positive change.…
Counselor met with Pt. for his monthly individual session. Counselor and Pt. discussed his new treatment plan update objectives and interventions. Pt. agreed to sign the AMS Record of Services sheet. Counselor helped Pt.…
PO also shared with peers about his recovery experience and ways to manage triggers, such as changing negative thinking and avoiding high-stress situations. PO’s participation and treatment progress are consistent with maintenance stage of change. / Grant Group topic: Coping With High-Risk Situations In today’s session, group members were to identify and discuss their personal relapse risk factors and emotional responses to such situations. Group members then were presented with steps/strategies to cope identified high-risk situations.…
Pt. has been in the program for over 2 years and she has been able to earn level 7 take home privilege once again. Pt. recently lost her take home privileges due to counseling non-compliance. Pt. completed a take home request form and attended two groups this quarter in order to resolve tx issues. The pt. has had her take-home privileges reinstated. Pt. was provided with feedback regarding her engagement in her tx plans and she started to reach this writer and other individual with the same recovery issues to learn and improve relapse prevention skills.…
This writer address with the patient about his UA result dated on 5/15/2017 as there were mutliple reschedule and cancellation from this writer and the patient. This writer address with the patient about the opiate and benzo use. The patient was admit that he haven't relapse on any benzo since his last conversation with this writer and honestly feels that the benzo could potentially have been in the "dope." This writer discuss the seriousness with the patient about his recovery and discuss clinical intervention with the patient. First and foremost, this writer discuss with the patient about his depression but according to the patient, he is not depress anymore.…
Pt. verbalized how his current prescribed medication (methadone 90 mg) is working well. Primary Counselor asked him if he is having any recovery concerns and whether the he has used any drugs or alcohol since his last AMS therapy session. Pt. denied having any mental health issues at the moment. Pt. reported that the last time he used heroin was with his girlfriend. Pt. identified himself as a 21 year…
If following the recommendations of the Joint Commission, the RCA for Mr. B’s care would include 24 questions about the scenario and then after answering and filling in the data each would be identified as a root cause or not. For the intention of this paper, and considering lack of essential data with this scenario, the paper will just move in sequence order of events as presented. First thing to take into consideration is Mr. B’s vital signs, physical assessment, and previous health history. The given information appears accurate and within normal limits.…
D: Therapist and Adriano met for an individual therapy session. Adriano wanted to talk about other peers behaviors at the start of the session assured Adriano that his concerns would be looked into. Therapist asked Adriano how his behaviors have been since the last time therapist and Adriano met, Adriano got quite and took a deep breath and leaned back in his chair. Therapist provided Adriano a little time to process what he was feeling and then attempted to restate the question. Adriano reveled that his week was good he just got upset a few times and punched a hole in his bedroom wall.…
This writer informed the patient that this writer was in fact in receipt of her missed phone detailing about running late to her sessions. The patient reports she cannot stay for a full session because she has to be at work by 9:30am. This writer immediately addressed with the patient about the need for the early dosing card as the patient has been dosing after 7am and the early dosing card will have to eliminated if the patient is not utlizing it. The patient agreed to return the early dosing card and/or change her status based on her work schedule. Furthermore, the patient requested to increase her dose again due to relapsing two days ago, heroin-2 bags by IV.…
The patient is a 56 year old Bangladesh male came by ambulance due to sudden onset of shortness of breath at 3 o’clock in the morning when he woke up to go to the washroom. The patient also has chest pain, nausea and vomiting, fever and worsening orthopnea The patient is having dementia, hypertension and ESRF stage 4. However, patient reused HD and was under nephro clinic, but planned for palliative management. The patient had been admitted to the hospital due to the same presenting complaint for several times.…
Progress: Mr. Griffin current progress in sex offender specific treatment is improving and is now considered satisfactory. While Mr. Griffin continues to have challenges with denial, specifically, not having intent in committing his index sex offense. He has never denied giving the victim in this case an STD, but in his mind not having intent makes him guilty of bad judgment and not a sex offense. Mr. Griffin’s current challenge has been his inability to take action. He is currently 73 years old and has medical issues that should be addressed/evaluated by a medical professional, desires more flexibility in his supervision, but resists taking the necessary steps to create a safety plan, out of spite against what he calls “The System”.…
Essay #2-Chasing Heroin was a documentary that highlighted many different programs to help with America’s increasing Heroin issues. There were two programs that were mentioned to help people with their heroin addiction. The first program is known as the Law Enforcement Addiction Diversion program, or LEAD program. This program has a goal to not punish people for their addiction but to improve their quality of life. This program essentially gives users a second chance by instead of taking them to jail right away.…
Conclusion When a person chooses to take control of their addiction they have several types of therapy that may assist them. Two model of relapse approach this problem in different ways. Some similarities between them include, “that substance abuse is a learned behavior” (Stevens & Smith, pg. 271). One difference is that while one approached harm reduction from a “legal standpoint the cognitive behavioral looks at a lapse in recovery as a teaching moment” (Stevens & Smith, pg.…
A continuous reoccurrence of using becomes an everyday trend (Kovac 22). Self control becomes invisible as the path to addiction becomes longer (Jedras and Field 2). Drug resources continue to grow everyday (Zimic and Valdo…
There are a number of reasons that Carla could be agitated over, such as: being overwhelmed, confused, and angry about the agency’s actions, fearful, exhausted, confused, needing attention, and being angry about something said or done. I do believe the staff didn’t take Carla’s anger personally, because the staff recognized there was an underlying issue that needed to be resolved. Staff recognized that we all experience tough times and feelings of anger are not out of the ordinary. The staff was focused on disarming the anger, before the client escalated any further. Staff disarmed the client’s anger by respecting the client, understanding the problem, practicing empathy, eliminating the current issue, and focusing on coming to a resolution…