Name : Mrs.Claire Falls Age :2 8
Place of Residence : New York Occupation : Secretary
First Consultation Date : 10 January 2018 Therapy Commenced on : 17 January 2018
Therapy Duration : Six Months Last Therapy Date : 10 July 2018
Number of Sessions : 24 Sessions Missed : 3
Type of Termination : Unplanned
Statement of the Problem
Mrs. Falls is an alcoholic addict. She approached the clinic, requesting assistance on how she could overcome alcohol addiction. She insisted that she has, on several occasions, tried to avoid alcoholism, but her efforts proved futile. The patient says that as a result of her failed attempts to overcome alcoholism, she had made up her mind to seek professional help. She is a respected employee at her workplace, but she feels her problem will affect her career negatively. The client is worried about how she will thrive if she is fired because of alcoholism. She is the mother of one child, and she had recently divorced her husband. She has employed a nanny to take care of the child as she attends to her duties at the office. She was confident that this therapy was going to be of great assistance in addressing her problem.
Major Psychosocial Issues
It was established that Mrs. Falls suffers from depression and anxiety. These mental disorders are the leading cause of alcoholism. The divorce from her husband had greatly affected her. She said that she could not bear it when she found out that her husband was having an affair with another woman. She is uncertain of what the future holds for her. This proves that, indeed, the therapy should be focused on addressing anxiety and depression.
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Type of service to be rendered: Individual therapy
An Overview of the Treatment Process
The treatment happened twice a week at the clinic premises. The treatment process involved cognitive-behavioral therapy and motivational enhancement therapy (Swift and Aston, 2015). The cognitive-behavior therapy involved giving the client the treatment to enable her to comprehend the feelings and thoughts influencing her to be dependant on alcohol. Once these causes were established, the client was taught how to control and interpret every aspect of life she was going through. According to Hanscom, Brox, and Bunnage (2015), cognitive-behavior therapy helps the patient to focus on the current situation and not the influence of past experience on existing experience. Motivational enhancement therapy is applied when there is a need to motivate clients to change their addictive behaviors (Crits-Christoph et al. 2010). According to Gautam et al. (2017), the therapy is best suited for patients with the depressive disorder who are poorly motivated and unduly pessimistic. This form of therapy applied very well to Mrs. Falls, who was an alcoholic addict. This involved a question and answer session between the psychologist and the client. The questions were meant to trigger behavior change in the client as they mostly focused on where she was and where she wanted to be.
There was also a treatment for alcohol use disorder (AUD). The AUD treatment consists of social, psychological, and pharmaceutical interventions that are aimed at reducing the consumption and consequences of alcohol. The most preferred medication suggested to the client was disulfiram. Disulfiram treatment has proved to be successful in addressing alcoholism menace, and many patients have complied with it (Skinner et al. 2014). The client was given some medications meant to help her solve the problem.
Goals Status
The main goal of treatment was realized. The client showed massive improvement as she rarely takes alcohol. Colleagues at the workplace have congratulated her on her recent behavior. She works very hard, and she is very optimistic that her future is bright.
Treatment Limitations
It was difficult to establish whether the client had to get over the divorce.
Remaining difficulties and Concerns
There were no concerns as the client showed complete transformation at the end of the therapy.
Recommendations
Though the client had shown positive behavior change, she was at will to seek any further therapy is she wishes.
Follow-up Plan
There was no follow-up plan, as both parties were satisfied with the outcome of the treatment.
Instructions for Future Contact
The client was given the supervisor’s phone number to call in case she needed further assistance.
Counselor’s signature Date
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Supervisor’s signature Date
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References
Crits-Christoph, P., Gallop, R., Temes, C., M., Woody, G., Ball, S., A., Martino, S., & Carroll, K. M. (2009). The alliance in motivational enhancement therapy and counseling as usual for substance use problems. Journal of Consulting and Clinical Psychology , 77 (6), 1125–1135. doi:10.1037/a0017045.
Gautam, S., Jain, A., Gautam, M., Vahia, V., N., & Grover, S. (2017). Clinical practice quidelines for the management of depression. Indian Journal of Psychiatry , 59 (Suppl 1), 34–50. doi:10.4103/0019-5545.196973.
Hanscom, D., A., Brox, J., I., & Bunnage, R. (2015). Defining the role of cognitive behavioral therapy in treating chronic low back pain: An overview. Global Spine Journal , 5 (6), 496–504. doi:10.1055/s-0035-1567836
Skinner, M. D., Lahmek, P., Pham, H., & Aubin, H. J. (2014). Disulfiram efficacy in the treatment of alcohol dependence: a meta-analysis. PloS One , 9 (2), e87366. doi:10.1371/journal.pone.0087366.
Swift, M., R., & Aston, R. E. (2015). Pharmacotherapy for alcohol use disorder: Current and emerging therapies. Harv Rev Psychiatry , 23 (2), 122–133.
