Psychotherapy for Addictive Disorders

“A long-standing debate has roiled over whether addicts have a choice over their behaviors. The disease creates distortions in thinking, feelings, and perceptions, which drive people to behave in ways that are not understandable to others around them. Simply put, addiction is not a choice. Addictive behaviors are a manifestation of the disease, not a cause.”

–Dr. Raju Hajela, former president of the Canadian Society of Addiction Medicine

A common misconception is that addiction is a choice, and addicts are often labeled as individuals who lack morals, willpower, or responsibility. However, addiction is a clinical disorder that must be treated with the support of a health care professional. Although many people who are exposed to potentially addictive substances and behaviors continue life unaltered by their experiences, some people are fueled by these experiences and spiral out of control. In your role as the psychiatric mental health nurse practitioner, you must be prepared to not only work with these individuals who struggle with addiction, but also help them and their families overcome the social stigmas associated with addictive behavior.

This week, as you explore psychotherapy for addiction, you assess clients presenting with addictive disorders. You also examine therapies for treating these clients and consider potential outcomes. Finally, you develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients.

Learning Objectives

Students will:

· Develop diagnoses for clients receiving psychotherapy*

· Evaluate the efficacy of motivational interviewing techniques for clients*

· Analyze legal and ethical implications of counseling clients with psychiatric 

  disorders*

   Select a client whom you observed or counseled this week. Then, address the  

   following in your Practicum Journal:

·  Describe the client (without violating HIPAA regulations) and identify any  

   pertinent history or medical information, including prescribed medications.

· Using the DSM-5, explain and justify your diagnosis for this client.

·  Explain whether motivational interviewing would be effective with this client.   

   Include expected outcomes based on this therapeutic approach. Support your  

   approach with evidence-based literature.

·  Explain any legal and/or ethical implications related to counseling this client.

·  Support your approach with evidence-based literature.

· NOTE: PLEASE SEE THE ATTACHED Practicum Journal Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL ENTRIES) FOR WRITING THIS ASSIGNMENT…..ALSO FOR THE TIME LOG AND JOURNAL ENTRIES, JUST MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION IN MENTAL HEALTH NURSING.

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. (2016). 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

PLEASE, PAY ATTENTION TO THE QUESTIONS AND INCLUDE OTHER NEEDED INFORMATION THAT WERE NOT ADDED IN THE  EXAMPLE

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 hi dear,

can help me to finish this assignment with good quality and be on time please?

Please follow the instructor carefully.  You are expected to post a primary response to the 2 discussions topic. All posts should address the discussion topic/question, add to the discussion, and/or encourage others to respond. Facts and claims MUST be supported with APA format citations and references. Your primary response to the topic/questions posed should be 2 paragraphs for each question, and be thoughtful, well-written, and include appropriate APA in-text citation(s) and reference(s) when appropriate.

Discussion one,

 Why is the linkage to the local community so important for a hospital?

Discussion two, 

  · Do you think the federal government has improved its response posture since 9/11?

· Has it improved Since Katrina?

· What made Katrina so different?

Thanks,

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 hi dear,

can help me to finish this assignment with good quality and be on time please?

Please follow the instructor carefully. There are 4 Discussions ,your response to classmates should be at least one paragraph for each Discussion, address the discussion topic or question, be respectful, and add to the discussion. You may draw upon personal experience, course or scholarly references, citing appropriately. Restating the primary response, or agreeing or disagreeing without supporting statements will result in a lower grade. 

In reference to including a paragraph for both primary and peer responses, 4-5 sentences constitute a paragraph.

Discussion one, 

In my community the biggest threat in my opinion is the San Andreas Fault. The San Andreas fault is a fault line in California that is about 800 miles long if you include all of the curves, 700 if you measure in a straight line.  This fault is one of the most famous in the world, and that is due to the amount of activity constantly being reported. Ever since childhood I have heard about “the big one” a massive earthquake that is supposed to hit when this fault splits. There have even been stories that California will completely break off of the US. The United States Geological Society tells us that, “The paleosceismic data on different parts of the San Andreas Fault Zone are all telling us that some sections appear to be past the average, or ‘overdue’ for a significant earthquake, But the data can’t be used to make predictions: we do not understand earthquakes well enough to know exactly where the next earthquake will occur, what the magnitude will be, or exactly when it will happen.” If a large magnitude earthquake hit, it would result in a very large scale incident affecting emergency services, hospitals, electric companies, water companies, and pretty much everyone. While building codes in California are very strict, many buildings have not actually been tested in a real life event and may not hold as strong as they are intended to. Hospitals also run many drills, but in the event of a major disaster the amout of patients could far outweigh the resources available. Water and gas lines could burst, and freeways could collapse. Overall the entire state could be placed into disarray that all of the planning possible may not prepare us for.

Discussion two,

  Living in California we see a little bit of everything depending on what part of the state you live in. I went searching for risks of an incident in my area and found the CAL OES website that lets you search a community by zip code to show what that community is most at risk for. I live in the northern part of San Diego County. Like all Californians we are at risk for earthquakes, moderate and intense sizes. My community is also at risk for flooding. On the positive side we are outside the zone for tsunamis. Every year during fire season I feel like my community is at risk for fires due to the amount of hills, mountains, trees and bushes in my neighborhood but according to the CAL OES website, my community is outside of the fire hazard area.

Discussion three,

   Emergency management involves plans, structures and arrangements established to engage the normal endeavors of government, voluntary and private agencies in a comprehensive and coordinated way to respond to the whole spectrum of emergency needs (What is Emergency Management, n.d.). Over the course of history, emergency management continues to evolve due to the learning process of each situation that occurs local, state, country, and globally. Various approaches and programs have been developed to address these needs in domestic and global contexts, including initiatives to strengthen public health preparedness and global health security (Rose, Murthy, Brooks, & Bryant, 2017). We learn from what works and what doesn’t in the context of how we respond to emergencies. Public health continues to progress and evolve. Emergency management continues to progress and evolve as well.

An example of emergency management learning from history is the infamous 9/11 attacks on the twin towers in New York City. The relationship between public health and emergency management came into sharper focus after the events of September 11, 2001, and efforts to strengthen ties have continued to evolve (Rose, Murthy, Brooks, & Bryant, n.d.). Going through natural disasters, terrorist attacks, infectious disease and other emergencies being prepared is an important factor in protecting the local communities, state and the country from a repeat of history. Furthermore, learning from history can help broaden and expand emergency management.

Discussion four,

  Emergency Management learns from history in many ways; from natural disaster preparedness to response to terrorist attacks. Two major historical examples are September 11th attacks and Hurricane Katrina 2005. From the September 11th attacks lessons learned included communication and coordination, the triage and movement of patients from the scene, and the preparation of hospitals. (Simon & Teperman, 2001) According to the George W. Bush White House archives lessons learned for emergency responses included the response of state and local governments, the knowledge and plan in case of disasters, and insufficient planning and coordination. (United States, 2006) In both cases communication has significant failures and inadequacies. According to the textbook communication needs must be addressed in all planning and then have backup systems in place in the event primary communications fail. However, like the book mentions funding and the overall cost of many communication methods cause hospitals and healthcare setting to have underfunded communication systems. (Reilly & Markeson, 2011)

Thanks,

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n the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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