Treatment Plan
Client Name: Franklyn McMahon Substance Use Disorder: Tobacco Addiction
Therapist Name: Osborne Wright Treatment Approach: Pharmacotherapy
Date: 10 th June 2019
PRESENTING CONCERN
Current Substance Use (quantity, frequency, duration, precipitants): Franklyn is currently abusing tobacco, specifically cigarettes. The nicotine in tobacco is highly addictive than any other drug. He reported to me that he smokes approximately 50 cigarettes in a day. He does this at an interval of 30 minutes. This is because he has financial constraints; otherwise, he can smoke continuously. He has been smoking for the past five years. He got engaged in the smoking habit out of curiosity after his friends lured him. Since then, he has been a chronic smoker who cannot live without smoking and he values smoking than food. However, smoking has caused him some health effects, which has raised my concern.
Negative Consequences of Use: Cigarette smoking is among the leading causes of deaths in the world. Many individuals have died prematurely due to the smoking of cigarettes. It leads to lung cancer that translates to about ninety percent of all lung cancer deaths. Therefore, cigarette smoking accelerates the threat of deaths in both men and women. Moreover, smoking leads to respiratory diseases like chronic bronchitis. Besides, it is a significant cause of cardiovascular diseases like stroke and coronary heart disease. Most people are ignorant of these effects; hence, they spend a lot of money on hospital bills treating preventable complications.
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TREATMENT APPROACH
Summarize Treatment Approach: Pharmacotherapy is the use of pharmaceutical drugs as medication for addiction. For the case of cigarette smoking, I will make use of Nicotine Replacement Therapy (NRT) and Varenicline. NRT is most suitable because nicotine is the addictive ingredient in tobacco. However, NRT has varied forms, but I preferably recommend transdermal nicotine patch, nicotine gum or nicotine lozenges, which are more effective. On the other hand, Varenicline applies to smoking cessation. It is responsible for reducing cravings for tobacco; thus, abstaining the addict from smoking.
Rationale for Treatment Approach: The justification for the use of NRT is that considerate low levels of nicotine prevent withdrawal effects. Therefore, the addict is not tempted to continue using tobacco. Instead, it motivates one to quit smoking. The rationale behind Varenicline is that it is involved in the rewarding effects of nicotine. Moreover, it reduces the urge for one to feel like smoking. Generally, pharmacotherapy is easily manageable as clients know where to find the therapist. Furthermore, the approach is less involving and consumes less time compared to cognitive behavioural therapy.
TREATMENT PLAN
Goal of Treatment: The purpose of the treatment is to help Franklyn to cease from the smoking habit. It is for this reason that smoking has numerous health effects.
Treatment Objectives:
To prevent the withdrawal effects accompanied by smoking cessation; this can entice one back to smoking.
To prevent the adverse health effects associated with cigarette smoking including death, health complications, and diseases like lung cancer.
Proposed Interventions/Actions:
Routine collection of the prescribed dosage by the client at the pharmaceutical. Both the NRT and Varenicline will be recommended for the client.
Follow up on whether the client takes the drugs or not by assigning a close relative or a friend to prevent negligence on the part of the client.
Assess the results of the treatment approach to measure its effectiveness. If the results are positive, implying that the client is recovering, then it can be maintained. If it is negative, indicating that it is inappropriate, another treatment approach can be sought.
