Question One
An Explanation Of The Importance Of Use Disorder Counselors Having An Understanding Of Tolerance And Withdrawal And The Potential Issue That Could Arise If They Did Not Have An Understanding Of It
It is crucial for use disorder councilors to have an understanding of tolerance and withdrawal because the understanding enables them to understand and communicate foundational issue at play in recovery effectively. As such, forming a strong therapeutic alliance with the patient, that enhances the success of the counselor's support for the recovery. Failure to have this understanding undermines the counselor–patient trust. Therefore, it hampers the recovery process because patients refrain from sharing their experience freely. Additionally, the counselors are likely to device a life-threatening recovery plan to the patient. For instance, advising alcohol addicted patients to stop alcohol consumption instantly is likely to expose them to experience life-threatening withdrawal symptoms such as strokes, seizures, or heart attacks in high-risk patients (Kalant, 1988).
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A Discussion on How Substance Use Disorder Could Mimic and Co-Occur With A Variety of Neurological, Medical, and Psychological Disorders As Discussed In the Differential Diagnoses Sections
More often patients with substance use disorder can present conditions that can be found in the general public. For instance, cocaine use may result in gastrointestinal problems such as retroperitoneal fibrosis, gastric ulcerations, intestinal ischemia and visceral infarction. Therefore, the treatment administered does not defer from that used on the general public. Nevertheless, the detoxification protocol may need to be modified to minimize the adverse effect on the presented condition ("5 Co-Occurring Medical and Psychiatric Conditions", 2018).
Question Two
Clinical Issues That May Arise As A Result Of Legalization of Marijuana and How to Deal With an Alcohol and Narcotics Addict Using Marijuana for Chronic Pain Relieve
The legalization of marijuana in many states presents many clinical issues. First, there is a probable increase of exposure of marijuana to infants. As a result, infants are likely to suffer the related effects that include increased aggression and reduced attention span. Secondly, the toddler will be exposed through lactation and inhalation from their parents. The exposure may lead to hyperactivity, impaired reasoning, attention, and memory. Furthermore, lack of proper legislation is likely to increase its use among the adolescent. As a result, adolescents are likely to suffer from delinquency, reduced memory, and an early influence to other substance abuse. For the general adult population, it is expected to complicate treatment of the other addicted drugs (FRIED, 1993).
Harm reduction will be used to deal with a client who is addicted to alcohol and narcotics but uses marijuana to help with chronic pain. Assumedly, the client comes from one of the regions that have legalized marijuana. It is prudent to develop a recovery program that concentrates on managing only the alcohol and narcotics addiction and leaving the choice of whether to continue with marijuana or not to the client.
Application of crisis management skills enables the client to gradually recover from the stated addiction in a manner that reduces possible relapse. Therefore, it involves devising ways to allow them to deal with the pain systematically by engaging in alternative pain alleviation activities such as social groups. In the long run, the crisis management skill enhances the chances of the client’s full recovery from the stated addiction and marijuana usage (Novotny, 2018).
References
5 Co-Occurring Medical and Psychiatric Conditions. (2018). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK64105/
FRIED, P. (1993). Prenatal Exposure to Tobacco and Marijuana: Effects During Pregnancy, Infancy, and Early Childhood. Clinical Obstetrics And Gynecology, 36(2), 319-337. DOI: 10.1097/00003081-199306000-00011
Kalant, H. (1988). Alcohol tolerance, dependence, and withdrawal: an overview of current issues. Drug And Alcohol Review , 7 (1), 27-34. DOI: 10.1080/09595238880000081
Litt, M., Kadden, R., & Tennen, H. (2012). The nature of coping in treatment for marijuana dependence: Latent structure and validation of the Coping Strategies Scale. Psychology Of Addictive Behaviors , 26 (4), 791-800. DOI: 10.1037/a0026207
Novotny, S. (2018). How Marijuana Legalization Will Affect Substance Use Treatment: A Counselor's Opinion. Retrieved from http://addictionblog.org/treatment/how-marijuana-legalization-will-effect-substance-use-treatment-a-counselors-opinion/
