Week 6: Psychotherapy for Addictive Disorders.

Posted: November 7th, 2022

Week 6: Psychotherapy for Addictive Disorders.

 

Assignment 1: Assessing Clients With Addictive Disorders
Addictive disorders can be particularly challenging for clients. Not only do these disorders typically interfere with a client’s ability to function in daily life, but they also often manifest as negative and sometimes criminal behaviors. Sometime clients with addictive disorders also suffer from other mental health issues, creating even greater struggles for them to overcome. In your role, you have the opportunity to help clients address their addictions and improve outcomes for both the clients and their families. For this Assignment, as you examine the Levy Family video in this week’s Learning Resources, consider how you might assess and treat clients presenting with addiction.Week 6: Psychotherapy for Addictive Disorders.

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Learning Objectives
Students will:
Assess clients presenting with addictive disorders
Analyze therapeutic approaches for treating clients with addictive disorders
Evaluate outcomes for clients with addictive disorders
To prepare:

Review this week’s Learning Resources and consider the insights they provide.
Review the Levy Family video Episodes 1 through 5.
The Assignment
In a 2- to 3-page paper, address the following:

After watching Episode 1, describe:
What is Mr. Levy’s perception of the problem?
What is Mrs. Levy’s perception of the problem?
What can be some of the implications of the problem on the family as a whole?
After watching Episode 2, describe:
What did you think of Mr. Levy’s social worker’s ideas?
What were your thoughts of her supervisor’s questions about her suggested therapies and his advice to Mr. Levy’s supervisor?
After watching Episode 3, discuss the following:
What were your thoughts about the way Mr. Levy’s therapist responded to what Mr. Levy had to say?
What were your impressions of how the therapist worked with Mr. Levy? What did you think about the therapy session as a whole?
Informed by your knowledge of pathophysiology, explain the physiology of deep breathing (a common technique that we use in helping clients to manage anxiety). Explain how changing breathing mechanics can alter blood chemistry.Week 6: Psychotherapy for Addictive Disorders.
Describe the therapeutic approach his therapist selected. Would you use exposure therapy with Mr. Levy? Why or why not? What evidence exists to support the use of exposure therapy (or the therapeutic approach you would consider if you disagree with exposure therapy)?
In Episode 4, Mr. Levy tells a very difficult story about Kurt, his platoon officer.
Discuss how you would have responded to this revelation.
Describe how this information would inform your therapeutic approach. What would you say/do next?
In Episode 5, Mr. Levy’s therapist is having issues with his story.
Imagine that you were providing supervision to this therapist, how would you respond to her concerns?
Support your approach with evidence-based literature.
Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

By Day 7
Submit your Assignment.

Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK6Assgn+last name+first initial.(extension)” as the name.
Click the Week 6 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 6 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK6Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.Week 6: Psychotherapy for Addictive Disorders.
Grading Criteria

To access your rubric:

Week 6 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:

Submit your Week 6 Assignment draft and review the originality report.

Learning Resources
Required Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

Chapter 7, “Motivational Interviewing” (pp. 299–312)
Chapter 16, “Psychotherapeutic Approaches for Addictions and Related Disorders” (pp. 565–596)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Albrecht, U., Kirschner, N. E., & Grusser, S. M. (2007). Diagnostic instruments for behavioral addiction: An overview. German Medical Science Psycho-Social-Medicine, 4, 1–11. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2736529/

Fisher, M. A. (2016a). The ethical ABCs of conditional confidentiality. In Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals (pp. 13–25). Washington, DC: American Psychological Association. doi:10.1037/14860-002

Required Media
Laureate Education (Producer). (2013c). Levy family: Episodes 1 [Video file]. Baltimore, MD: Author.

 

Note: The approximate length of this media piece is 2 minutes.

 

Accessible player
Laureate Education (Producer). (2013c). Levy family: Episodes 2 [Video file]. Baltimore, MD: Author.

 

Note: The approximate length of this media piece is 2 minutes.

 

Accessible player
Laureate Education (Producer). (2013c). Levy family: Episodes 3 [Video file]. Baltimore, MD: Author.

 

Note: The approximate length of this media piece is 6 minutes.

 

Accessible player
Laureate Education (Producer). (2013c). Levy family: Episodes 4 [Video file]. Baltimore, MD: Author.

 

Note: The approximate length of this media piece is 5 minutes.

 

Accessible player
Laureate Education (Producer). (2013c). Levy family: Episodes 5 [Video file]. Baltimore, MD: Author.

 

Note: The approximate length of this media piece is 2 minutes.

 

Accessible player
Laureate Education (Producer). (2012c). In their own words [Video file]. Baltimore, MD: Author.

 

Note: The approximate length of this media piece is 23 minutes.

 

Accessible player
Optional Resources
Dronen, S. O. (2012). New research about Facebook addiction. Retrieved from http://www.uib.no/en/news/36380/new-research-about-facebook-addiction

Substance Abuse and Mental Health Services Administration. (2005). Substance abuse treatment for adults in the criminal justice system. Treatment Improvement Protocol (TIP) Series 44. Rockville, MD: Author. Retrieved from https://store.samhsa.gov/system/files/sma13-4056.pdf

Substance Abuse and Mental Health Services Administration. (2013). Substance abuse treatment for persons with co-occurring disorders: A treatment improvement protocol. Treatment Improvement Protocol (TIP) Series 42. Rockville, MD: Author. Retrieved from https://store.samhsa.gov/system/files/sma13-3992.pdf

According to the statistics provided by the Centers for Disease Control, at least 2 million people have an opioid use disorder (Rudd et al., 2016). This number is expected to increase by the year 2030 irrespective of the policies implemented to address it. Follow-up data from studies involving people receiving treatment for OUD reveals significantly high rates of premature deaths either as a result of over dosage or abuse. This means that, even if access to treatment is made available and efficient, mortality rates will continue to increase with decreased quality of life. Most communities in the United States continue to be impacted by drug overdose related deaths such that, more than 702,000 people have died between the year 1999-2016 (Rudd et al., 2016). In the year 2016, drug overdoses were the leading cause of injury related deaths in the US with an estimated 70,000 deaths that occurred. 70% of these deaths involved either illicit or prescribed opioids (Rudd et al., 2016). In order to contain the current opioid epidemic and prevent its harmful effects, coordinated and sustained efforts by different players are needed.Week 6: Psychotherapy for Addictive Disorders.
This epidemiological data demands coordinated and sustained efforts in implementing and establishing policies that are scientifically grounded to influence changes in health practice. As suggested by Rudd et al. (2016), this can easily be achieved through reshaping prescribing practices to reduce the incidences and mortalities related to prescription opioid-induced OUD. Such policies may include but not limited to: supply restriction through regulation of the product types approved for use, influencing practices in prescribing either by educating providers or providing guidelines for prescribing, reducing demand through patient education on opioids and ensuring access to OUD treatment. Harm reduction to prevent opioid overdose by providing naloxone and implementation of needle exchange programs for injecting drug users are other changes in heath practice.Week 6: Psychotherapy for Addictive Disorders.